Antiretroviral Therapy and Viral Suppression Among Active Duty Service Members with Incident HIV Infection — United States, January 2012–June 2018

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Stahlman, Shauna ; Hakre, Shilpa ; Scott, Paul T. ; Agan, Brian K. ; Shell, Donald ; Gleeson, Todd ; Blaylock, Jason M. ; Okulicz, Jason F.
• Description:
  Human immunodeficiency Virus (HIV) infection is a deployment-limiting medical condition for U.S. armed forces in the Department of Defense (DoD) (1). HIV management using contemporary antiretroviral therapy (ART) regimens permits effective suppression of viremia among persons in clinical care. Although service members with HIV infection can remain in military service, treatment outcomes have not been fully described. Data from the Defense Medical Surveillance System (DMSS) were analyzed to estimate ART use and viral suppression among DoD service members with diagnosed HIV infection during January 2012-June 2018 (2). Among 1,050 service members newly diagnosed with HIV infection during January 1, 2012-December 31, 2017, 89.4% received ART within 6 months of HIV Diagnosis, 95.4% within 12 months, and 98.7% by the end of the Surveillance period on June 30, 2018. Analyses determined that, among 793 persons who initiated ART and remained in military service for ≥1 year, 93.8% received continuous ART, 99.0% achieved viral suppression within 1 year after ART initiation, and 96.8% were virally suppressed at receipt of their last viral load test. The DoD model of HIV care demonstrates that service members with HIV infection who remain in care receive timely ART and can achieve both early and sustained viral suppression.
• Subjects:
  Adult Anti-HIV Agents Female Full Report HIV Infections Humans Incidence Male Middle Aged Military Personnel Treatment Outcome Viral Load Young Adult

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• Source:
  MMWR Morbidity Mortal Weekly Rep. 69(13):366-370
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  32240126
• Pubmed Central ID:
  PMC7119519
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  5 pdf pages
• Volume:
  69
• Issue:
  13
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:038df1463c18d0ad5801af4c3e16d6698b34344eb76186d653f019a57e3f8e356a435e419e02d6a2c5032486d97f6fea9aca55af88ece6cd07b2db716ad49fb4
• Download URL:
  https://stacks.cdc.gov/view/cdc/87224/cdc_87224_DS1.pdf
• File Type:
  [PDF - 99.14 KB ]