E-Book Overview
The Guide to Living with HIV Infection is the most complete source of medical, emotional, social, and practical advice available for those infected with HIV and their loved ones. Developed at the Johns Hopkins AIDS Clinic, the guide provides essential information for making decisions about treatment and testing in a world transformed by new research and pharmacotherapy.In this thoroughly updated sixth edition, Dr. John Bartlett and Ann K. Finkbeiner address the latest information about risks of transmission, viral mutations that confer drug resistance, and new, rapid, HIV testing. They offer guidelines for Highly Active Antiretroviral Therapy (HAART), a therapy protocol that has dramatically increased life expectancy for HIV-positive people. They describe how to follow HAART and when to change drug regimens, the symptoms of and treatments for HAART side effects, and the costs of and insurance coverage for HAART. They also outline the possibilities for a diagnosis of "no detectable virus."Accompanied by updated references and resources, the sixth edition of The Guide to Living with HIV Infection offers new hope for people living with a virus that once left no hope at all.
E-Book Content
The Guide to Living with HIV Infection
A J O H N S H O P K I N S P R E S S H E A LT H B O O K
The Guide to Living with HIV Infection Developed at the Johns Hopkins AIDS Clinic SIXTH EDITION
John G. Bartlett, M.D. Ann K. Finkbeiner
The Johns Hopkins University Press Baltimore
Note to the Reader This book is not meant to substitute for medical care of people with HIV infection, and treatment should not be based solely on its contents. Instead, treatment must be developed in a dialogue between the individual and his or her physician. Our book has been written to help with that dialogue. The author and the publisher have taken every step to make the information in this book as up to date as possible. Drug information: The author and the publisher have made reasonable efforts to determine that the selection and dosage of drugs discussed in this text conform to the practices of the general medical community. The medications described do not necessarily have specific approval by the U.S. Food and Drug Administration for use in the diseases and dosages for which they are recommended. In view of ongoing research, changes in governmental regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert or manufacturer’s patient information material of each drug for dosage and for warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently used drug.
© 1991, 1993, 1996, 1998, 2001, 2006 The Johns Hopkins University Press All rights reserved. First edition 1991 Sixth edition 2006 Printed in the United States of America on acid-free paper 9 8 7 6 5 4 3 2 1 The Johns Hopkins University Press 2715 North Charles Street Baltimore, Maryland 21218-4363 www.press.jhu.edu To purchase additional copies, call 1-800-537-JHUP Library of Congress Cataloging-in-Publication Data Bartlett, John G. The guide to living with HIV infection : developed at the Johns Hopkins AIDS Clinic / John G. Bartlett, Ann K. Finkbeiner. — 6th ed. p. cm. — (A Johns Hopkins Press health book) Includes index. ISBN 0-8018-8485-3 (hardcover : alk. paper) — ISBN 0-8018-8486-1 (pbk. : alk. paper) 1. AIDS (Disease)—Popular works. I. Finkbeiner, Ann K., 1943– II. Title. III. Series. RC607.A26.B376 2007 362.196⬘9792— dc22 2006009631 A catalog record for this book is available from the British Library.
To Garey Lambert
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Contents Introduction: About This Book / 1 1
When First Diagnosed: Understanding and Communicating about HIV / 10
2
Preventi