Antiretroviral treatment for HIV infection: Swedish recommendations 2016

Infect Dis (Lond). 2017 Jan;49(1):1-34. doi: 10.1080/23744235.2016.1247495. Epub 2016 Nov 2.

Abstract

The Swedish Medical Products Agency and the Swedish Reference Group for Antiviral Therapy (RAV) have jointly published recommendations for the treatment of HIV infection on seven previous occasions (2002, 2003, 2005, 2007, 2009, 2011 and 2014). In February 2016, an expert group under the guidance of RAV once more revised the guidelines. The most important updates in the present guidelines are as follows: Tenofovir alafenamide (TAF) has recently been registered. TAF has several advantages over tenofovir disoproxilfumarate (TDF) and is recommended instead of TDF in most cases. First-line treatment for previously untreated individuals includes dolutegravir, boosted darunavir or efavirenz with either abacavir/lamivudine or tenofovir (TDF/TAF)/emtricitabine. Pre-exposure prophylaxis (PrEP) is recommended for high-risk individuals. As in the case of the previous publication, recommendations are evidence-graded in accordance with the Oxford Centre for Evidence Based Medicine ( http://www.cebm.net/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/ ) ( Table 1 ). This document does not cover treatment of opportunistic infections and tumours. [Table: see text].

Keywords: Antiretroviral; HIV; Sweden; adult; paediatric; treatment guidelines.

Publication types

  • Practice Guideline

MeSH terms

  • Adenine / administration & dosage
  • Adenine / analogs & derivatives
  • Adenine / therapeutic use
  • Adult
  • Alanine
  • Anti-HIV Agents / administration & dosage
  • Anti-HIV Agents / therapeutic use*
  • CD4 Lymphocyte Count
  • Dideoxynucleosides / therapeutic use
  • Drug Combinations
  • Early Detection of Cancer
  • Female
  • HIV Infections / drug therapy*
  • Heterocyclic Compounds, 3-Ring / administration & dosage
  • Heterocyclic Compounds, 3-Ring / therapeutic use
  • Humans
  • Lamivudine / therapeutic use
  • Male
  • Oxazines
  • Piperazines
  • Pre-Exposure Prophylaxis
  • Pyridones
  • Sweden
  • Tenofovir / analogs & derivatives

Substances

  • Anti-HIV Agents
  • Dideoxynucleosides
  • Drug Combinations
  • Heterocyclic Compounds, 3-Ring
  • Oxazines
  • Piperazines
  • Pyridones
  • abacavir, lamivudine drug combination
  • Lamivudine
  • Tenofovir
  • dolutegravir
  • tenofovir alafenamide
  • Adenine
  • Alanine