[Asymptomatic patient in human immunodeficiency virus infection]

Clinical management of HIV-infected asymptomatic individuals implies: creating trustful relationship with the practitioner including medical and non medical features such as adequate information and careful attention to emotional and social aspects; integrating, when indicated, the patient in a multidisciplinary approach; establishing a clinical and biological monitoring in order to initiate timely antiretroviral therapy and prophylaxis of opportunistic infections. The occurrence of minor symptoms and the determination of CD4 cell count have a key value in assessing the optimal time to initiate therapy in accordance to current recommendations.