Rapid Start

Welcome to Short Scoops in HIV

In this asynchronous online activity, we will be exploring timely clinical topics related to caring for people living with HIV.


Rapid Start in the Naïve Patient
**No Longer Available for Credit**


Consider the Following Case:
Martin, a 34-year-old African American male, presents after being diagnosed with HIV.  He has no past medical history.  He takes a multivitamin daily and for occasion heartburn he takes over the counter antacids including Tums and Rolaids. He was diagnosed at his primary care provider’s office 2 days prior and he was sent to you for evaluation/treatment. The testing was done as part of routine primary care. His last HIV test was 2 years ago and it was negative.  He is currently asymptomatic.

Data:

  • BP: 110/70 mmHg
  • HIV antigen/antibody screening test: reactive
  • HIV antibody-reactive
  • Labs drawn and pending including HIV-1 genotype
  • Pt is ready to start treatment

Questions for Discussion:

  1. Would you start him on treatment today prior to his lab work coming back?
  2. What treatment option would you start and why?