Topics, Trends & Updates

View as web page

May 2023

‌ ‌ ‌ ‌

Updated Guidance

Contents: Purpose of This Guidance Effects of Aging Approach to Aging in HIV Care Geriatric Screening and Assessment Integrating the Needs of Older Patients into Medical Care Printable PDF

Addressing the Needs of Older Patients in HIV Care Because published evidence to support clinical recommendations is not currently available, the New York State Department of Health AIDS Institute (NYSDOH AI) developed this guidance, which includes good practices, to help clinicians recognize and address the needs of older patients with HIV. The goals of this guidance are to: Raise clinicians’ awareness of the needs and concerns of patients with HIV who are ≥50 years old. Inform clinicians about an aging-related approach to older patients with HIV. Highlight good practices to help clinicians provide optimal care for this population. Provide resources about aging with HIV for healthcare providers and their patients. Suggest steps to guide medical settings in implementing geriatric care into HIV clinical practice. Go to the guidance

Don't Miss: More Recent Updates

ART Drug-Drug Interactions: Now includes lenacapavir MenB Vaccination: Now includes vaccine recommendations to protect against MenB infection and against gonococcal infection Rapid ART Initiation: Comprehensive update Second-Line ART After Treatment Failure or for Regimen Simplification: Now includes discussion of several abstracts from CROI 2023. Substance Use Harm Reduction in Medical Care: Comprehensive update U=U Guidance for Implementation in Clinical Settings: Expanded discussion of virologic blips, equitable access to U=U information, and benefits of U=U counseling

Hot Topics

Complete the CEI 2023 Annual Survey of NYS Medical Providers NYSDOH AI Dear Colleague Letter: Transition of pharmacy benefits in the NYS Medicaid Program from Managed Care to the new NY Medicaid Pharmacy Program (NYRx) NYSDOH & NYCDOHMH Launch Mpox Vaccine Campaigns Urging Eligible New Yorkers to Prepare Now for a Healthy Summer NYSDOH AI Health Advisory: Mpox Cases Associated with Person-to-Person Transmission HIVinfo: Updates to the Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection FDA: Updated Prescribing Information for All Opioid Pain Medicines to Provide Additional Guidance for Safe Use First Over-the-Counter Naloxone Nasal Spray Approved Changes Authorized to Simplify Use of Bivalent mRNA COVID-19 Vaccines See all Hot Topics

Conversations With CEI Podcasts

Providing Affirming Care to Transgender Youth: One recent study shows that only 4% of trans youth with supportive parents attempted suicide, while 57% with unsupportive parents committed suicide. In the current political landscape, transgender healthcare and rights have been used to stoke political divisiveness, creating confusion and perpetuating misinformation. As healthcare providers, it is important to focus on the facts and how to provide inclusive care and support the health and well-being of the transgender community, especially during these tumultuous times. In this episode, Dr. Tony Urbina, Professor of Medicine from Mt. Sinai Health System and Medical Director of the New York State CEI HIV Primary Care and Prevention Center of Excellence, speaks with Carolyn Wolf-Gould, MD, founder of the Gender Wellness Center in Susquehanna, New York. Listen now The Resurgence of Congenital Syphilis in NYS: A Look at the Past and Present to Change the Future: In this episode, host Melinda Godfrey, a Nurse Practitioner at the University of Rochester and Program Manager of the Congenital Syphilis Prevention Project (part of the NYS CEI Sexual Health Center of Excellence), speaks with special guest Dr. Geoffrey Weinberg, Professor of Pediatrics at the University of Rochester School of Medicine and Dentistry. Dr. Weinberg gives us a brief history of syphilis (“The Great Pox”) all the way back to the 1400s. Through the years, medicine began to understand how the disease was transmitted, and in the 1940s, with the advent of penicillin, syphilis was all but eliminated. The disease resurfaced in the 1980s with other STDs and chronic drug use. Again, it was all but eliminated by the year 2000. Alarmingly, in 2021 there were 2700 known cases in newborns, and this has led to today’s discussion about what clinicians can do to help reduce the number of babies born with syphilis today, and preventing transmission in the future. Listen now

Upcoming Training, Education, and Events

CEI 5/17: Smoking Cessation & HIV: What's the Connection? 5/23: HepCure & HCV and Drug User Health COE: Hepatitis B and C: Coinfection and Reactivation 5/26: HCV and Drug User Health COE: Stimulant Use Disorder: Clinical Practice Guidelines for the Primary Care Provider 6/05: 9th Annual NYS Sexual Health Conference: Emerging Issues and Practice Updates 6/23: HIV Primary Care and Prevention COE: 2023 New York State HIV Primary Care and Prevention Conference See all CEI training opportunities

General 5/18: SE AETC: N.O. S.H.A.M.E Conference: Beyond the Stigma 5/18: NECA AETC: Care and Treatment of People Aging with HIV: Ten Strategies for Maximizing Brain Health in People Aging with HIV 5/22: MWAETC: Mountain West Transforming Care Conference 5/23: TargetHIV: The Road to Dissemination: Session 4 – You’ve arrived! Creating your Travel Log 6/27: SE AETC: Medical Case Management Trauma-Informed Approach to HIV Care 7/23: IAS 2023, the 12th IAS Conference on HIV Science 9/06: 2023 U.S. Conference on HIV/AIDS (USCHA) 10/26: ANAC2023

Are You a Subscriber? If this newsletter was forwarded to you, please subscribe now to make sure you receive the Clinical Guidelines Program news every month and stay current with new and updated guidelines. Subscribing is as easy as entering your email address. We will send you just 1 email per month, and we do not share our mailing list. Please subscribe now!

Comment? Question? Suggestion? Drop us a line: [email protected] We welcome feedback and suggestions, and if you send us a question, we will get back to you as quickly as possible. Please note, however, that we cannot answer questions about the care or treatment of specific patients and cannot provide clinical advice.

Visit our website: hivguidelines.org

Clinical Guidelines Program  New York State Department of Health AIDS Institute in collaboration with the Division of Infectious Diseases | Johns Hopkins University School of Medicine