A Clinical Guide to Pediatric HIV: Bridging the Gaps Between by Tiffany Chenneville

By Tiffany Chenneville

This booklet examines the influence of pediatric HIV on youngsters, youth, and their households. starting with an outline of pediatric HIV epidemiology, it strains the scientific, mental, and social dimensions of HIV throughout the trajectory of formative years and early life. It examines the most recent examine on quite a lot of themes, together with remedy adherence, cultural, criminal, and moral concerns, and HIV stigma and its relief. Chapters supply professional suggestions for clinicians operating with kids with HIV in addition to researchers learning pediatric HIV. moreover, the publication additionally discusses day-by-day matters linked to pediatric HIV, reminiscent of affliction administration, coping, entry to prone, hazard prevention, and future health advertising.
Topics featured during this ebook contain:

  • The influence of pediatric HIV on households.
  • Psychosocial concerns for kids and youth with HIV.
  • HIV prevention and intervention within the tuition setting.
  • HIV disclosure in pediatric populations.
  • How to layout powerful evidence-based HIV risk-reduction courses for adolescents.

A medical advisor to Pediatric HIV is a must have source for researchers, clinicians, and graduate scholars in baby and college psychology, social paintings, and public future health in addition to pediatric drugs, nursing, epidemiology, anthropology, and different similar disciplines.

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Additional info for A Clinical Guide to Pediatric HIV: Bridging the Gaps Between Research and Practice

Sample text

Factors influencing medication adherence are usually multifaceted: some factors that may preclude optimal medication adherence include medication formulation, frequency of dosing, forgetting to administer the medication, the child’s age, psychosocial, behavioral, or socioeconomic characteristics of the child and their caregivers, personal beliefs, concomitant illnesses, adverse effects of the medication, understanding of the disease and the medication, improper measurement of liquid medication, and more.

If acute HIV infection is suspected, testing with an HIV NAT should be considered to diagnose HIV infection (Havens and Mofenson 2009). Infant Antiretroviral Prophylaxis All infants exposed to HIV should receive postpartum antiretroviral (ARV) drugs to reduce perinatal transmission of HIV. In all situations, infant prophylaxis should be initiated as soon as possible after delivery. A six-week neonatal zidovudine prophylaxis regimen is recommended in the US for all neonates exposed to HIV to reduce perinatal transmission of HIV.

In the South Africa’s CHER study, asymptomatic infants were randomized to receive antiretroviral therapy beginning at 12 weeks of age or when CD4 counts declined or clinical symptoms appeared. Infants in the early treatment group had a 76% decrease in death rates and a 75% decrease in progression to AIDS; infants often died from their first clinical event, with gastroenteritis or pneumonia being the most common causes (Violari et al. 2008). The results from this study confirm the need for close follow-up of exposed infants, early HIV testing, and prompt access to antiretroviral therapy.

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