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Surgery in Well-Controlled HIV — SCE Infectious Diseases MCQ

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HardInfection Prevention & ControlSurgery in Well-Controlled HIVSCE Infectious Diseases

A person with HIV has undetectable viral load and CD4 count 550 cells/µL and is being assessed for coronary surgery. Which perioperative principle is correct?

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Correct answer: BUse standard surgical pathways while continuing ART and checking interactions and routine infection risks

The best answer is “Use standard surgical pathways while continuing ART and checking interactions and routine infection risks”. Well-controlled HIV is not a contraindication to major surgery and outcomes can approach those of HIV-negative patients; standard prophylaxis is used with attention to ART continuation and interactions. BHIVA guidance governs investigation and treatment of HIV-associated disease and supports standard specialist care when HIV is virologically controlled.

Reference: BHIVA clinical guidelines: https://bhiva.org/clinical-guidelines/