HCV:
The Correctional Conundrum
(continued)
Summary
Correctional facilities
can expect to care for an increasing number of HIV-infected women. Healthcare
providers have a unique chance to educate and empower this population,
which is at increased risk for HIV infection, and has high rates of HIV
infection. Providers will need to be aware of the gender-specific issues
in HIV care, such as gynecologic complications of HIV infection,
management of the HIV positive pregnant woman, and monitoring for the metabolic
toxicities of antiretroviral therapy, which may be more severe or more
apparent in women. New appreciation of these toxicities has led to more
conservative recommendations for antiretroviral use, which should be interpreted
in light of the gender differences seen in HIV-1 viral loads. Regular monitoring
of multiple parameters can help pick up metabolic toxicites of antiretroviral
therapy before patients are clinically symptomatic.
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