As per WHO 2010 guidelines, when should an HIV infected adult be staed on anti retroviral therapy?
Target population 2010 A guideline 2006 A guideline HIV+ asymptomatic ARV-naive individuals CD4 <=350 cells/mm3 CD4 <=200 cells/mm3 HIV+ symptomatic ARV-naive individuals WHO clinical stage 2 if CD4 <=350 cells/mm3 OR WHO clinical stage 3 or 4 irrespective of CD4 cell count WHO stage 2 or 3 and CD4 <=200 cells/mm3 WHO stage 3 if CD4 not available WHO stage 4 irrespective of CD4 cell count Consider treatment for WHO clinical stage 3 and CD4 cell count between 200 and 350 cells/mm3 HIV+ pregnant women CD4 <=350 cells/mm3 irrespective of clinical symptoms OR WHO clinical stage 3 or 4 irrespective of CD4 cell count WHO stage 1 or 2 and CD4 <=200 cells/mm3 WHO stage 3 and CD4 <=350 cells/ mm3 WHO stage 4 irrespective of CD4 count Ref: Epidemiology of communicable diseases Park's textbook of Preventive and Social Medicine, 21stedition, page-327.
CD4 count less than 600 irrespective of staging
CD4 count less than 350 irrespective of staging
CD4 count less than 500 irrespective of staging
CD4 count less than 450 irrespective of staging