The Continuing Value of CD4 Cell Count Monitoring for Differential HIV Care and Surveillance
Author(s) -
Brian Rice,
Andrew Boulle,
Sandra Schwarcz,
Amir Shroufi,
George W. Rutherford,
James Hargreaves
Publication year - 2018
Publication title -
jmir public health and surveillance
Language(s) - English
Resource type - Journals
ISSN - 2369-2960
DOI - 10.2196/11136
Subject(s) - human immunodeficiency virus (hiv) , antiretroviral therapy , medicine , epidemiology , epidemiological surveillance , viral load , intensive care medicine , immunology , pathology
The move toward universal provision of antiretroviral therapy and the expansion of HIV viral load monitoring call into question the ongoing value of CD4 cell count testing and monitoring. We highlight the role CD4 monitoring continues to have in guiding clinical decisions and measuring and evaluating the epidemiology of HIV. To end the HIV/AIDS epidemic, we require strategic information, which includes CD4 cell counts, to make informed clinical decisions and effectively monitor key surveillance indicators.
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