Episode 199: Practice-Changing Updates

Yeah, so I think, first of all, just kind of level set everybody.

There's obviously a lot of different guidelines that are out there.

The New York State Department of Health has a set of guidelines.

You know, there's there's also obviously international guidelines as well.

But there's really two sets that are kind of, you know, U.S. based.

And I think one of them is the IAS USA.

That's the International Antiviral Society.

We've covered that before.

This one is the one that comes out every every couple of years.

It's published in JAMA.

But the one that I think that is that is really interesting.

really focusing on today is the department of health and human services and these are the the guidelines that we train off of um we know with the atc so when we do presentations you know we might present data from i from the issue of save ones as well but the guidelines are very similar but the um the the dhhs guidelines are really kind of the more comprehensive um kind of full-fledged guidelines in the United States, which are very good.

It's a very comprehensive document.

It's very large.

There's a lot of different sections.

But what I like about it is, and again, this is true of most guidelines, there's usually top experts from across the US are on these guideline panels, and they kind of make recommendations on what you should and shouldn't do.

So for some of the things that are controversial or you're not sure of how to manage, there's usually some helpful recommendations, hopefully, for you in the guidelines that you can go to.

For those of you who do a lot of HIV treatment, you probably don't utilize the guidelines very often, but just encourage you to go back through.

You'd be surprised what's in there sometimes.

I don't always use them all the time, but when there's a chapter on something that you're looking to kind of reflect on or try to figure out what to do with a certain person who's in front of you, Some of these guideline sections are actually really, really good and provide some really nice evidence-based data on how to manage certain situations.

Numerous sections are there, but the one that I think the most people utilize the most is what to use for treatment sections.

And most of us that do HIV are probably familiar with these.

So anyways, we'll cover the DHHS guidelines today.

But the last update, just so you know, was about a year ago.

It was in September of 2025 and just in – I believe it was September 24th or 26th.