Routine versus Targeted Viral Load Strategy among Patients Starting Antiretroviral in Hanoi, Vietnam

Introduction HIV viral load ( VL ) testing is recommended by the WHO as the preferred method for monitoring patients on antiretroviral therapy ( ART ). However, evidence that routine VL ( RVL ) monitoring improves clinical outcomes is lacking. Methods We conducted a prospective, randomized controlled trial of RVL monitoring every six months versus a targeted VL ( TVL ) strategy (routine CD 4 plus VL testing if clinical or immunological failure)...