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HIV Management
A Florida Board-Approved CE Activity

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This CE activity is approved by the Florida Board of Pharmacy and meets the HIV CE requirement for licensure in Florida.

Thirty-three years after the first case of acquired immunodeficiency syndrome (AIDS) was reported, approximately 35 million persons worldwide are living with HIV infection, of which 25 million live in sub-Saharan Africa. In the U.S., an estimated 1.2 million persons are living with HIV/AIDS. The number of new infections reported to the Centers for Disease Control and Prevention (CDC) each year has remained fairly stable since the mid-1990s, with about 50,000 infections reported per year.

Drug therapy for HIV infection is complex and evolving. In developed countries, there have been substantial advances in antiretroviral (ARV) therapy for HIV, which have improved survival and the quality of life for infected individuals. Potent ARV agents now allow the majority of highly treatment-experienced persons, who have failed multiple regimens, to achieve virus suppression and survival benefits similar to those of treatment-naïve persons.

Between 2004 and 2009, the availability of ARV therapy reduced disease progression and death by 19%, allowing HIV to be managed as a chronic disease rather than a death sentence. Survival rates on ARV therapy are excellent, but lifespans are not normal compared to uninfected persons. Life expectancy is shortened by about 10 years due to the effects of "HIV aging," which results from persistent viral inflammation. About 50% of deaths are now due to non-HIV related illnesses, including cancer, cardiovascular disease, liver disease, and other diseases associated with aging.

This article will review the modes of HIV transmission, prevention of HIV including pre- and postexposure prophylaxis, and infection control precautions. Key ARV therapy principles are highlighted, and recommendations for general HIV care by are discussed.


Publication Date: 08/05/2014
Expiration Date: 08/05/2017
CE Credit: 1.5 (0.15 CEU)
Type of Activity: Knowledge-based

This program was developed by The Rx Consultant and published by Continuing Education Network, Inc. The Rx Consultant accepts no advertising or financial support from the pharmaceutical industry and is funded solely by the purchase of programs. The Rx Consultant is dedicated to providing unbiased, balanced information to health care practitioners.

Programs developed by The Rx Consultant are written by health care providers with expertise in the topic area, peer-reviewed, extensively edited, and fact-checked. This development process was created to insure that every program presents information that is current, accurate, relevant to "real world" health care providers, and written in an easy reading, "plain English" style.


The Rx Consultant Editorial Board

Disclosure Statement

The Rx Consultant Editorial Board has nothing to disclose.

Target Audience

This accredited program is targeted to pharmacists .

Goals & Objectives

At the conclusion of this program, participants will be able to:

  • List the modes of HIV transmission and discuss preventive measures for each mode. Counsel patients about reducing their risk of transmission.
  • List the antiretroviral (ARV) regimens currently recommended for pre- and post-exposure prophylaxis, and describe their efficacy in preventing HIV transmission.
  • State the major provisions of Florida’s Omnibus AIDS Act.
  • Identify the preferred ARV drug class combinations for ARV-naïve patients. Discuss the treatment of tuberculosis in HIV-infected patients. Counsel patients about the importance of adherence.

Accreditation Statements

The Rx Consultant is a publication of Continuing Education Network, Inc.

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Continuing Education Network, Inc. is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education as a provider of continuing pharmacy education.

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Continuing Education Network is approved by the California Board of Registered Nursing, Provider Number CEP 13118. Programs approved by CA BRN are accepted by most State Boards of Nursing.

ACPE Universal Activity Number: 0428-0000-14-011-H02-P

Exam & Credit Statement Procedures

Upon successful completion of this program and the post test (70%), 1.5 hours of continuing education credit will be awarded. To receive credit and your exam score, please complete the exam questions and program evaluation.

Editorial and Review Board

Chief Editor and CE Administrator

Terry M. Baker, PharmD

Managing Editor

Tracy Farnen, PharmD

Associate Editors

James Chan, PharmD, PhD
Pharmacy Quality and Outcomes Coordinator
Kaiser Permanente
Oakland, CA

Associate Clinical Professor
School of Pharmacy
University of California San Francisco
San Francisco, CA

Richard Ron Finley, B.S. Pharm.,R.Ph.
Clinical Pharmacist (volunteer faculty)
University of California, San Francisco (UCSF) Memory and Aging Center
Lecturer (Emeritus) UCSF, Department of Clinical Pharmacy
Health Sciences Clinical Professor, UCSF School of Pharmacy
San Francisco, CA

Consultant Pharmacist
Ray Dolby Brain Health Center, Sutter Health/CPMC
San Francisco, CA

Consult Pharmacist Aging and Adult Health Services
San Francisco Health Department
San Francisco, CA

Julio R. Lopez, PharmD, FCSHP
Chief of Pharmacy Service
VA Northern California Health Care System

Adjunct Clinical Professor
College of Pharmacy
Touro University
Vallejo, CA

Assistant Clinical Professor
School of Pharmacy
University of California, San Francisco
San Francisco, CA Adjunct Professor
Thomas J. Long School of Pharmacy
University of the Pacific
Stockton, CA

Visiting Associate Professor and Lecturer
Nursing School
Samuel Merritt University
Oakland, CA

Pamela Mausner, MD

Helen Berlie, Pharm.D. CDE, BCACP
Clinical Assistant Professor, Pharmacy Practice
Wayne State University
Detroit, MI

Ambulatory Care Specialist - Diabetes
Health Centers Detroit Medical Group
Detroit, MI

Senior Editorial Advisor

Gerard Hatheway, PharmD, PhD

Editorial Advisors

Belinda M. Danielson, RPh
Christopher M. DeSoto, PharmD
Angie S. Graham, PharmD
Cynthia Chan Huang, PharmD, MBA
Fred Plageman, PharmD

Editorial Advisor and Clinical Practice Consultant for Nurse Practitioners

Emily K.
Meuleman, RN, C, MS

About the Rx Consultant

The Rx Consultant is a monthly publication dedicated to providing health care professionals with the information they need to educate patients about drugs and manage drug therapy. The reader is responsible for confirming the information presented here and interpreting it in relation to each patient's specific situation before utilizing the information.

Technical Specifications

Hardware requirements

Any hardware that supports Microsoft Windows, Apple Mac OS, iOS, or Android, and meets the software requirements.

Software requirements

Browser that supports TLS 1.1 + and PDF files.

This includes Microsoft Internet Explorer 11, Google Chrome 38, Google Android OS 5.0 Browser, Apple Safari (version 7 for desktop, 5 for mobile), Mozilla Firefox 27, newer versions of these browsers, as well as some earlier versions that may require additional configuration.

Adobe Acrobat Reader is recommended, and is required for some browsers.

Note: TLS 1.1 and 1.2 support is required for browser security. Click here for TLS browser support details.

Internet Connectivity

Required. Broadband recommended. (T1, DSL, Cable, G4 or higher.)

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