Other routine checks what else should be monitored

Besides the CD4-cell count and viral load, several other parameters should be monitored in the HIV patient. The following recommendations apply to clinically asymptomatic patients with normal results on routine laboratory evaluation, who have been on stable treatment for several months, or who are not taking antiretroviral therapy. Of course, if treatment is started or changed, or if the patient develops complaints, more frequent and, depending on the problem, further investigations are required. Additional tests may also be necessary. A complete physical examination should be performed regularly, and this often leads to the discovery of important findings such as Kaposi lesions, condyloma or mycoses (thrush!). The lower the CD4 cell count, the more frequently patients should be examined.

Table 11.2: Minimal evaluations per year in stable asymptomatic patients

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