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New: Treatment Recommended at CD4 Count of 500

From aidsmeds.com today:

“Due to a number of recent studies showing detrimental effects of uncontrolled HIV replication—even at fairly high CD4 cell counts—international HIV treatment guidelines may begin recommending that people start ARV therapy when their CD4 counts drop below 500. The current recommendation is to start treatment at 350.”

If HIV treatment guidelines were updated to recommend beginning treatment at 500 CD4 cells, then more than half of all people with HIV would need to initiate antiretroviral (ARV) treatment within two years of becoming infected. This startling finding was presented Monday, July 20, at the Fifth International AIDS Society (IAS) Conference on HIV Pathogenesis, Treatment and Prevention in Cape Town.