S2 Episode 5: HIV, Primary Care Treatment, and Vaccines

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S2 Episode 5: HIV, Primary Care Treatment, and Vaccines
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Drs msaagmd and David H. Spach discuss HIV and the nuances of primary care treatment, with a special focus on vaccines, including COVID, hepatitis, varicella zoster virus, and mpox. MedTwitter

Perfect. Let's move to COVID. Do you treat your HIV patients in regard to COVID vaccination any differently than we would a patient who doesn't have HIV?I'd love to hear what your thoughts are on this, because I know you have really been involved with a lot of different avenues in COVID. In our clinic in general, our practice has been to approach this very similarly to the general population. Our biggest issue, like in the general population, is getting them the vaccine, period.

You can use it out to day 14. Just remember, using this vaccine any time after day 4 and up to day 14 is sort of plus-minus how well that's going to work. The primary way we're using the mpox vaccine is as a preventive vaccine for people who have not been exposed. There are two doses of this given at least a month apart. You can give the vaccine up to 4 days early, but you shouldn't give it 10 days early. If you give the vaccine 10 days early, you start over.

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