New Health Guidelines for HIV+ Older Patients

In time for December 1st’s World AIDS Day, the first-ever clinical treatment strategies for managing older people with HIV were issued.

The HIV and Aging Consensus Project: Recommended Treatment Strategies for Clinicians Managing Older Patients with HIV  was put together by the American Academy of HIV Medicine, the American Geriatrics Society, and the AIDS Community Research Initiative of America.  The guidelines define “older” as age 50 or greater; an estimated 40% of all U.S. people with HIV are over 50, with people in that age group making up about 17% of new cases annually. 

Consensus on treatment strategies was reached in the following categories:

  • Screening, Monitoring, and Initiating Antiretroviral Therapy in HIV and Aging
  • Cardiovascular Risk Reduction, Diabetes in HIV and Aging
  • Monitoring Renal Function / Hypertension in HIV and Aging
  • Drug-drug Interactions and Polypharmacy in HIV and Aging
  • Viral Hepatitis Screening in HIV and Aging
  • Cancer Screening in HIV and Aging
  • COPD in HIV and Aging
  • Immunizations in HIV and Aging
  • Sexual Health in HIV and Aging
  • Osteoporosis in HIV and Aging
  • Advance Directives in HIV and Aging
  • Neuro-cognitive Changes, Psychiatric Illness and Substance Use in HIV and Aging

The full report can be accessed at

On a related topic, if you get the chance to see the documentary “We Were Here,” go see it.  A history of HIV/AIDS in San Francisco, it features some survivors and activists in their 50s and older.  Most importantly, the documentary gives those who were not personally involved in HIV/AIDS work in the 80s and 90s a sense of the magnitude of the crisis for those who lived through it.  This impact is perhaps best summarized by the son of a military veteran, who called the AIDS crisis, “my war.”  Information on the documentary is available at

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