Antiretroviral Treatment and Stewardship in Hospital Settings

Abstract This chapter discusses the issues determining the relative priority of initiating and/or maintaining antiretroviral therapy in the context of hospitalized people with HIV with significant comorbid conditions as well as the continuity of care after discharge from the impatient setting. The chapter defines the antiretroviral stewardship and allows the learner to understand its potential benefit in implementation. It describes important consideration in the preoperative, perioperative, and postoperative care of people with HIV. An updated link to a reference table of available antiretroviral therapy (ART) formulations is provided. New ART agents since the last publication are incorporated in the chapter, and an additional resource regarding known absorption sites of ARVs, as well as pharmacokinetic effects of bariatric surgery on ARV, is provided. Lastly, the chapter describes the pharmacologic complications that may result from bariatric surgery.