This chapter shows the suggested frequency and follow-up intervals of the history and physical examination for monitoring HIV-infected patients, as well as specific areas to assess in an ongoing manner. With this information, the clinician can track disease progression and formulate and maintain an appropriate care plan. Note that information gathered in the history or physical examination may indicate a need for additional directed explorations.
It is important to document new or ongoing symptoms and functional limitations at each visit. This information is particularly useful when outside agencies must determine the patient's disability status. (See chapter Karnofsky Performance Scale.)
See chapter Initial and Interim Laboratory and Other Tests for recommended screening tests.
|Every visit (at least every 3-4 months)|
|Every 6 months|
|As above||As above, plus:|
|Every 6 months (twice), and, if both are normal, annually thereafter (see chapters Cervical Dysplasia and Anal Dysplasia)|
|Update initial history: HIV-related symptoms, hospitalizations, major illnesses, and family history||Complete physical to include:|
- Aberg JA, Gallant JE, Ghanem KG et al.; HIV Medicine Association of the Infectious Diseases Society of America. Primary care guidelines for the management of persons infected with human immunodeficiency virus: 2013 update by the HIV Medicine Association of the Infectious Diseases Society of America. Clin Infect Dis. 2014 Jan;58(1):e1-e34.
- Panel on Opportunistic Infections in HIV-Infected Adults and Adolescents. Guidelines for the prevention and treatment of opportunistic infections in HIV-infected adults and adolescents: recommendations from the Centers for Disease Control and Prevention, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America. Accessed December 1, 2013.