Universal screening for HIV infection is recommended, with repeat testing in persons at high risk. Infected persons should be promptly referred for a comprehensive assessment, including screening for associated infections and attention to social factors that may hinder adherence to treatment, and antiretroviral therapy should be initiated.
Funding and Disclosures
Disclosure forms provided by the author are available with the full text of this article at NEJM.org.
Dr. Saag reports receiving grant support, paid to his institution, from ViiV Healthcare and Gilead Sciences. No other potential conflict of interest relevant to this article was reported.
I thank Bonnie Zarzaur for technical assistance and Donna Jacobsen for editorial assistance with an earlier draft of the manuscript.
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