n Southern African Journal of HIV Medicine - What is the role of CD4 count in a large public health antiretroviral programme? : opinion paper
|Article Title||What is the role of CD4 count in a large public health antiretroviral programme? : opinion paper|
|Journal||Southern African Journal of HIV Medicine|
|Affiliations||1 University of the Witwatersrand, 2 University of the Witwatersrand and 3 University of the Witwatersrand|
|Publication Date||Jan 2016|
|Pages||1 - 3|
HIV clinicians have relied on the CD4 count for more than three decades as being central to key issues in managing HIV-positive patients. The CD4 count is an important predictor of disease progression 1,2,3,4,5 and death ,6,7,8 and has informed us when to start antiretroviral therapy (ART), opportunistic infection (OI) risk stratification (especially in late presenting patients), when to start and stop OI prophylaxis or management, as well as in monitoring response to treatment. 8,9,10 However, in areas where viral loads are readily available and patients are virologically suppressed and stable, the question arises - is there a role for continued CD4 count monitoring in this setting?
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