Recommendations for HIV Prevention with Adults and Adolescents with HIV

The Recommendations for HIV Prevention with Adults and Adolescents with HIV in the United States, 2014 (published December 11, 2014) updates and expands the 2003 guideline, Incorporating HIV prevention into the medical care of persons living with HIV. This guideline is a compilation of longstanding and new federal recommendations on biomedical, behavioral, and structural prevention interventions that can help reduce the risk of HIV transmission from persons with HIV – thus advancing the goals of the 2010 National HIV/AIDS Strategy (NHAS). The guideline does not provide comprehensive guidance on all prevention and care services for persons with HIV.

The guideline is accompanied by three companion summaries, one for each of the guideline’s three primary audiences:

• Summary for Clinical Providers – for persons who provide individual level HIV prevention and care services in healthcare settings such as clinics and hospitals.
• Summary for Nonclinical Providers – for persons who provide individual level HIV prevention and care services in non-healthcare settings, such as shelters, churches, and other community-based organizations.
• Summary for Health Departments and HIV Planning Groups – for health department and HIV planning group staff who provide population-level HIV prevention and care services, such as HIV surveillance and community HIV education.

The guideline may also interest persons with HIV; partners of persons with HIV; specialists in HIV planning, service delivery, policy, and legislation; and managers of medical assistance programs, health insurance plans, and health systems that serve persons with HIV.

The 2014 guideline and its companion summaries have been amended in December 2016 to fix errata, outdated or dysfunctional URLs, and missing references or footnotes (the above links to these documents will take the reader to the amended versions). The recommendations and other content have not been updated. For the most current versions of the guidelines on HIV prevention cited in the 2014 guideline please refer to the following guideline databases or websites:

• CDC’s HIV Prevention Guidelines: Guidelines and recommendations on prevention, screening, diagnosis, treatment, and management of HIV infection and HIV-related diseases.
• CDC’s 2015 Sexually Transmitted Diseases Treatment Guidelines: The current CDC STD guidelines and related resources.
• Clinical Guidelines
• HRSA Clinical Care Guidelines and Resources: Database of HHS HIV clinical care and treatment guidelines and clinical protocols and practices that provide detailed information on the effective delivery of HIV care.
• National HIV/AIDS Strategy for the United States: Updated to 2020: This updated Strategy reflects the hard work accomplished and the lessons learned since the original Strategy was released in 2010. The Update allows for opportunities to refresh the ongoing work in HIV prevention, care and research.