PMID- 21445551 OWN - NLM STAT- MEDLINE DCOM- 20110816 LR - 20211020 IS - 1548-3576 (Electronic) IS - 1548-3568 (Linking) VI - 8 IP - 2 DP - 2011 Jun TI - Antiretroviral therapy: a key component of a comprehensive HIV prevention strategy. PG - 85-93 LID - 10.1007/s11904-011-0076-6 [doi] AB - Transmission of HIV is critically dependent on the level of HIV viral load within blood and genital secretions. Antiretroviral therapy results in sustained reductions in viral load to undetectable levels. Thus, antiretroviral therapy has long been postulated as a potential means to curb HIV transmission. Observational data have now confirmed that antiretroviral therapy is associated with a decrease in transmission among heterosexual serodiscordant couples, injection-drug users, and in population-based studies. Mathematical models suggest that further expansion of antiretroviral coverage within current guidelines can play a major role in controlling the spread of HIV. Concerns regarding the potential for transmission during acute HIV infection, behavioral disinhibition, and resistance to overcome the impact of treatment on prevention have not materialized to date. The Joint United Nations AIDS (UNAIDS) program has called for the inclusion of antiretroviral treatment as a key pillar in the global strategy to control the spread of HIV infection. FAU - Hull, Mark W AU - Hull MW AD - British Columbia-Centre for Excellence in HIV/AIDS, at St Paul's Hospital, Providence Health Care and Division of AIDS, Department of Medicine, University of British Columbia, Vancouver, Canada. FAU - Montaner, Julio AU - Montaner J LA - eng PT - Journal Article PT - Review PL - United States TA - Curr HIV/AIDS Rep JT - Current HIV/AIDS reports JID - 101235661 RN - 0 (Anti-HIV Agents) SB - IM MH - Anti-HIV Agents/*therapeutic use MH - Antiretroviral Therapy, Highly Active MH - HIV Infections/epidemiology/*prevention & control/transmission MH - Humans MH - Infectious Disease Transmission, Vertical/prevention & control MH - Viral Load EDAT- 2011/03/30 06:00 MHDA- 2011/08/17 06:00 CRDT- 2011/03/30 06:00 PHST- 2011/03/30 06:00 [entrez] PHST- 2011/03/30 06:00 [pubmed] PHST- 2011/08/17 06:00 [medline] AID - 10.1007/s11904-011-0076-6 [doi] PST - ppublish SO - Curr HIV/AIDS Rep. 2011 Jun;8(2):85-93. doi: 10.1007/s11904-011-0076-6.