By Tiffany Chenneville
This publication examines the effect of pediatric HIV on teenagers, teens, and their households. starting with an outline of pediatric HIV epidemiology, it lines the clinical, mental, and social dimensions of HIV in the course of the trajectory of adolescence and formative years. It examines the most recent examine on quite a lot of subject matters, together with remedy adherence, cultural, criminal, and moral concerns, and HIV stigma and its aid. Chapters provide specialist options for clinicians operating with childrens with HIV in addition to researchers learning pediatric HIV. furthermore, the ebook additionally discusses day-by-day issues linked to pediatric HIV, reminiscent of affliction administration, coping, entry to companies, possibility prevention, and well-being promoting.
Topics featured during this ebook comprise:
- The impression of pediatric HIV on households.
- Psychosocial issues for kids and children with HIV.
- HIV prevention and intervention within the university setting.
- HIV disclosure in pediatric populations.
- How to layout powerful evidence-based HIV risk-reduction courses for adolescents.
A scientific consultant to Pediatric HIV is a must have source for researchers, clinicians, and graduate scholars in baby and faculty psychology, social paintings, and public well-being in addition to pediatric drugs, nursing, epidemiology, anthropology, and different comparable disciplines.
Read or Download A Clinical Guide to Pediatric HIV: Bridging the Gaps Between Research and Practice PDF
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Extra resources for A Clinical Guide to Pediatric HIV: Bridging the Gaps Between Research and Practice
1993). Co-trimoxazole prophylaxis is efﬁcacious in preventing some infectious illnesses in untreated infants infected with HIV (Church et al. 2015). Co-infection with tuberculosis (TB) occurs in 30–50% of cases of HIV infection in TB-endemic areas, further contributing to morbidity and mortality (Ciaranello et al. 2014). 1 depicts the cycle of viremia, inflammation, and immune dysregulation that drives disease progression in infants. Strong and consistent data indicate that infants infected with HIV beneﬁt from early antiretroviral therapy.
As this ﬁeld changes rapidly, the clinician should refer to their most recent local guidelines. 4 Neonatal dosing for prevention of perinatal transmission of HIV Dosing Duration ! 35 weeks of gestation: 4 mg/kg/dose PO twice Birth through 4– daily. If unable to tolerate PO, 3 mg/kg/dose IV 6 weeks every 12 ha Zidovudine ! 5–2 kg: 8 mg/dose PO Three doses in the addition to Birth weight >2 kg: 12 mg/dose PO ﬁrst week of life: zidovudine) 1. Within 48 h of birth (birth–48 h) 2. 48 h after 1st 3. 96 h after 2nd Adapted from panel on treatment of HIV-infected pregnant women and prevention of perinatal transmission.
2000). As expected, children with mild symptoms, previously called CDC Category A diagnoses, had the best survival: 62% at eight years in this group with mixed exposure to antiretroviral therapy. 1 for the revised CDC staging of HIV based on CD4 count and clinical stage 3 diseases. 1 Stage -3 -Deﬁning Opportunistic Infections in HIV Bacterial infections, multiple or recurrenta Candidiasis of bronchi, trachea, or lungs Candidiasis of esophagus Cervical cancer, invasiveb Coccidioidomycosis, disseminated or extrapulmonary Cryptococcosis, extrapulmonary Cryptosporidiosis, chronic intestinal (>1 month of duration) Cytomegalovirus disease (other than liver, spleen, or nodes), onset at age >1 month Cytomegalovirus retinitis (with loss of vision) Encephalopathy attributed to HIVc Herpes simplex: chronic ulcers (>1 month of duration) or bronchitis, pneumonitis, or esophagitis (onset at age >1 month) Histoplasmosis, disseminated or extrapulmonary Isosporiasis, chronic intestinal (>1 month of duration) Kaposi sarcoma Lymphoma, Burkitt (or equivalent term) Lymphoma, immunoblastic (or equivalent term) Lymphoma, primary, of brain Mycobacterium avium complex or Mycobacterium kansasii, disseminated or extrapulmonary Mycobacterium tuberculosis of any site, pulmonaryb, disseminated, or extrapulmonary Mycobacterium, other species or unidentiﬁed species, disseminated or extrapulmonary Pneumocystis jirovecii (previously known as “Pneumocystis carinii”) pneumonia Pneumonia, recurrentb Progressive multi-focal leukoencephalopathy Salmonella septicemia, recurrent Toxoplasmosis of brain, onset at age >1 month Wasting syndrome attributed to HIVc Adapted from CDC (2014) a Only among children aged <6 years b Only among adults, adolescents, and children aged !