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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
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% Document Info
\author{jamietamn}
\pdfinfo{
  /Title (hiv-guidelines.pdf)
  /Creator (Cheatography)
  /Author (jamietamn)
  /Subject (HIV Guidelines Cheat Sheet)
}

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% Header and Footer
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{HIV Guidelines Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{jamietamn} via \textcolor{DarkBackground}{\uline{cheatography.com/177390/cs/37030/}}}
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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}jamietamn \\
  \uline{cheatography.com/jamietamn} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 27th January, 2025.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
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  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\begin{document}
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% www.emerson.emory.edu/services/latex/latex_169.html
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\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{X}
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\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Screening and Evaluation}}  \tn
% Row 0
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\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
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\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Who to Screen and What to Screen For}}  \tn
% Row 0
\SetRowColor{LightBackground}
\{\{width=50\}\}The Centers for Disease Control and Prevention (CDC) and U.S. Preventive Services Task Force (USPSTF) recommend screening the following groups of people: & The following should be included in the baseline evaluation: \tn 
% Row Count 9 (+ 9)
% Row 1
\SetRowColor{white}
~• Everyone between 13 and 64 years of age (at least once) & ~• Complete medical history \tn 
% Row Count 13 (+ 4)
% Row 2
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~• Individuals who engage in high-risk behaviors (annually)\{\{nl\}\}~~~- Men who have sex with men (MSM)\{\{nl\}\}~~~- People who have had anal or vaginal sex with someone who has HIV\{\{nl\}\}~~~- People who have had ≥1 sex partner since their last HIV test\{\{nl\}\}~~~- People who share needles, syringes, or other drug injection equipment\{\{nl\}\}~~~- People who have exchanged sex for drugs or money\{\{nl\}\}~~~- People who have been diagnosed with or are being treated for another \seqsplit{sexually-transmitted} infection, hepatitis, or tuberculosis (TB)\{\{nl\}\}~~~- People who have had sex with anyone who has done any of the above or whose sexual history is unknown & ~• Lab tests\{\{nl\}\}~~- HIV antigen/antibody testing\{\{nl\}\}~~- CD4 count\{\{nl\}\}~~- HIV RNA (viral load)\{\{nl\}\}~~- Complete blood count (CBC)\{\{nl\}\}~~- Chemistry panel\{\{nl\}\}~~- Urinalysis\{\{nl\}\}~~- Hepatitis A, B, and C serologies\{\{nl\}\}~~- Lipid panel\{\{nl\}\}~~- HLA-B*5701 test\textasciicircum{}\textdagger{}\textasciicircum{}\{\{nl\}\}~~- Genotypic drug-resistance testing\{\{nl\}\}~~- Sexually transmitted infection (STI) screening\{\{nl\}\}~~- Opportunistic infection screening\{\{nl\}\}~~- Cancer screening\{\{nl\}\}~~- Immunization history\{\{nl\}\}~~- Pregnancy test \tn 
% Row Count 51 (+ 38)
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Who to Screen and What to Screen For (cont)}}  \tn
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~• Gay and bisexual men (every 3 to 6 months) & ~• Physical exam \tn 
% Row Count 3 (+ 3)
% Row 4
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~• Pregnant people (each pregnancy) & ~• Patient Counseling \tn 
% Row Count 6 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
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\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Treatment}}  \tn
% Row 0
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\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
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\begin{tabularx}{8.4cm}{X}
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\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Treatment Goals}}  \tn
% Row 0
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\mymulticolumn{1}{x{8.4cm}}{Prevention of HIV-associated morbidity and mortality} \tn 
% Row Count 2 (+ 2)
% Row 1
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\mymulticolumn{1}{x{8.4cm}}{Maximal and durable suppression of HIV viral load} \tn 
% Row Count 3 (+ 1)
% Row 2
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\mymulticolumn{1}{x{8.4cm}}{Restoration and preservation of immune function} \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Improvement in quality of life} \tn 
% Row Count 5 (+ 1)
% Row 4
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\mymulticolumn{1}{x{8.4cm}}{Prevention of HIV transmission} \tn 
% Row Count 6 (+ 1)
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\begin{tabularx}{8.4cm}{X}
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\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Initiation of Treatment}}  \tn
% Row 0
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\mymulticolumn{1}{x{8.4cm}}{{\bf{Who is antiretroviral therapy (ART) recommended for?}}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}All persons with HIV (to prevent morbidity and mortality and to prevent transmission of HIV to others)} \tn 
% Row Count 5 (+ 5)
% Row 1
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\mymulticolumn{1}{x{8.4cm}}{{\bf{When should ART be initiated, and why?}}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}ART should be initiated at diagnosis, if possible, or as soon as possible afterward in order to: \{\{nl\}\}~(1) increase ART uptake,\{\{nl\}\}~(2) decrease time to viral suppression, and\{\{nl\}\}~(3) improve the rate of virologic suppression} \tn 
% Row Count 12 (+ 7)
% Row 2
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\mymulticolumn{1}{x{8.4cm}}{{\bf{What do patients need to know when beginning on ART?}}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Patients should be educated on the benefits of ART and strategies to improve adherence with healthcare visits and their medications.} \tn 
% Row Count 17 (+ 5)
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\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Treatment Pearls}}  \tn
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\mymulticolumn{1}{x{8.4cm}}{• ART typically consists of 3 to 4 agents from 2 or more drug classes. Monotherapy is not recommended. \newline % Row Count 3 (+ 3)
• When choosing an ART regimen for a patient, it is important to consider pre-treatment labs, previous treatment regimens, drug resistance, individual preferences, likelihood of adherence to treatment, and presence of coinfections, comorbidities, and pregnancy.% Row Count 9 (+ 6)
} \tn 
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\begin{tabularx}{8.4cm}{x{2.56 cm} x{5.44 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Recommended for Treatment-Naïve Patients}}  \tn
% Row 0
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{\bf{INSTI + 2 NRTIs}} & • BIC/TAF/FTC\{\{nl\}\}• DTG/(TAF or TDF)/(FTC or 3TC) \tn 
% Row Count 2 (+ 2)
% Row 1
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{\bf{INSTI + NRTI}} & •DTG/3TC* \tn 
% Row Count 4 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\mymulticolumn{2}{x{8.4cm}}{These regimens are recommended for most people with HIV who have {\emph{no}} history of using long-acting injectable cabotegravir (CAB-LA) as pre-exposure prophylaxis (PrEP). \newline  \newline * Use only if HIV RNA \textless{}500,000 copies/mL, no HBV coinfection, and genotypic resistance testing results are available.}  \tn 
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\begin{tabularx}{8.4cm}{x{3.04 cm} x{4.96 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Recommended for Patients Exposed to CAB-LA}}  \tn
% Row 0
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{\bf{Boosted PI + 2 NRTIs}} & • DRV/(COBI or RTV)/(TAF or TDF)/(FTC or 3TC) \tn 
% Row Count 2 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{These regimens are recommended for most people with HIV who {\emph{have}} a history of using CAB-LA as pre-exposure prophylaxis (PrEP).}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{1.76 cm} x{6.24 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Other Regimens for Certain Clinical Scenarios}}  \tn
% Row 0
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{\bf{Regimen}} & {\bf{When to Use}} \tn 
% Row Count 2 (+ 2)
% Row 1
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\seqsplit{DTG/ABC/3TC} & When wanting to avoid TAF or TDF due to risk of renal- or bone-related adverse effects \tn 
% Row Count 5 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}