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Rapid initiation of antiretroviral therapy in those with newly diagnosed HIV infection in London, UK

HIV Medicine Aug 25, 2019

Whitlock G, et al. - Researchers sought to assess how antiretroviral therapy (ART) uptake was affected by the rapid initiation option (RIO), which they introduced in July 2016 to offer a first medical appointment and ART initiation within 2 days of HIV diagnosis at 56 Dean Street (56DS), a combined sexual health and HIV treatment service in London, UK. They performed a retrospective case-note review of patients newly diagnosed with HIV infection at 56DS following the introduction of the new RIO from July to October 2016 and adopted a comparison group of newly diagnosed patients at 56DS from 1 year earlier: July to October 2015. The 4 months following RIO introduction vs the same 4-month period 1 year previously showed a reduction in the median time from HIV diagnosis to the first medical appointment (7 vs 15 days) and to ART initiation (8 vs 21 days). Also, there was a significant increase in uptake of ART at the first appointment from 60% to 76%. These findings suggest the fulfilling of the aim of the service to offer ART more quickly following HIV diagnosis.
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