Topics, Trends & Updates

August 2026

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Updated: HIV Testing

The HIV Testing guideline was developed to provide clinicians with information on HIV testing policies and practices and ensure awareness of and access to the standard 3-step HIV testing algorithm recommended by the U.S. Centers for Disease Control and Prevention and NYSDOH AI.


Updates by author Dr. Benjamin W. Tsoi, contributor Dr. Linda Styer, and the Medical Care Criteria Committee:


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All Recommendations

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Updated: Treatment of Substance Use (Including Alcohol and Tobacco) During Pregnancy

The Treatment of Substance Use (Including Alcohol and Tobacco) During Pregnancy guideline was developed to establish a standard of care for the treatment of substance use disorder (SUD) in pregnant adults (aged ≥18 years).


Author Dr. Kelly S. Ramsey and the Substance Use Guidelines Committee have completed a comprehensive update of this guideline.

Quick Links:

Full Guideline

All Recommendations

Printable PDF

Save the Date: PrEP Aware Week 2026

Learn more at prepforsex.org

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Updated Guideline: Prevention and Management of Hepatitis A Virus Infection in Adults With HIV



Viremic—Cases in HIV Podcast

Join Hosts Eileen Scully and Christopher Hoffmann as they present cases, explore quandaries in adult HIV care, and discuss key evidence and guidelines that inform clinical decision-making.



New Episodes

Case 25. A Few of Our Favorite Vaccines: A new-to-you patient—51-yr-old man with HIV since the early 2000s—has spotty vaccine records. How to educate, make recommendations, and avoid too many vaccinations at once? Listen as Chris Hoffmann and Eileen Scully from Johns Hopkins make the case for their favorite vaccines among the many recommended for adults with HIV and describe their approaches to patient education, prioritizing based on specific patient needs, and strategizing vaccination schedules. Listen Now

Case 26. A Weighty Challenge: Elevated Liver Enzymes: A 41-yr-old man with HIV for 15 years, suppressed on ART, has had elevated liver enzymes for several years. Listen as Chris Hoffmann and Juhi Moon from Johns Hopkins review the differential diagnosis and diagnostic and management approaches with a focus on metabolic dysfunction associated steatotic liver disease. Listen Now

Upcoming Episode

Case 27. What’s New from IAS 2026: The 26th International AIDS Conference, hosted by IAS, took place in Rio de Janeiro, Brazil at the end of July. For this episode, Chris Hoffmann welcomes Joel Gallant from Johns Hopkins to review conference updates and clinical implications for HIV care. Listen August 18

We’re open to suggestions! To submit a clinical topic for a Viremic case discussion, email us at viremicpodcast@jh.edu.

Conversations With CEI Podcast

Cardiovascular Risk in People with HIV: New Risk Equations, New Guidelines, and Who Gets a Statin: The 2026 ACC/AHA/Multisociety Dyslipidemia Guideline recommends statin therapy for primary prevention of atherosclerotic cardiovascular disease (ASCVD) for all people living with HIV aged 40 to 75 years, independently of their traditional ASCVD risk score. This replaces previous calculator-based thresholds. On this episode, Antonio Urbina, MD, Medical Director for CEI’s HIV Primary Care and Prevention Center of Excellence, outlines the latest cardiovascular health guidelines for persons living with HIV. Listen Now


Best of the Best: Practice-Changing Papers in STI Care from 2025: Hosts Margie Urban, MD, and Daniela DiMarco, MD, MPH, are joined by Jason Zucker, MD. Dr. Zucker is an Assistant Professor of Medicine at the Columbia University Irving Medical Center and is also the Principal Investigator (PI) and Co-Medical Director of the New York City STD and HIV Prevention Training Center. This podcast gives a snapshot of Dr. Zucker’s review of the most influential STI-related publications of 2025. Listen Now

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