To evaluate the implication of WHO guidelines for serodiscordant couples, we interviewed HIV-infected adults on their partner's serostatus. We found that 12% with more than 500 CD4+ cells/μl should be recommended antiretroviral treatment (ART) because their partner was seronegative; 24% could be recommended not to start ART because their partner was seropositive; and 64% could not be given any recommendation regarding ART early initiation because they had either no stable partnership (30%) or were in a stable partnership with a partner whose status they were not aware of (34%).
aPAC-CI, ANRS Research Site, Abidjan, Côte d’Ivoire
bInserm, U897, University of Bordeaux, Bordeaux, France
cInfectious Diseases Department, Treichville University Hospital, Abidjan, Côte d’Ivoire
dInserm, UMRS 1018, Université Versailles Saint-Quentin, Villejuif
eCEPED (Centre de Population et Développement), UMR 196, Ined, IRD, Université Paris Descartes, Paris, France.
Correspondence to Xavier Anglaret, Programme PACCI, 18 BP 1954, Abidjan 18, Côte d’Ivoire. Tel: +225 21755960; e-mail: Xavier.Anglaret@isped.u-bordeaux2.fr
Received 7 March, 2014
Revised 28 March, 2014
Accepted 31 March, 2014