By Tiffany Chenneville
This publication examines the impression of pediatric HIV on young children, youth, and their households. starting with an summary of pediatric HIV epidemiology, it lines the scientific, mental, and social dimensions of HIV throughout the trajectory of adolescence and formative years. It examines the newest examine on a variety of themes, together with remedy adherence, cultural, criminal, and moral matters, and HIV stigma and its relief. Chapters provide specialist techniques for clinicians operating with teenagers with HIV in addition to researchers learning pediatric HIV. furthermore, the e-book additionally discusses day-by-day issues linked to pediatric HIV, akin to disorder administration, coping, entry to companies, danger prevention, and future health promoting.
Topics featured during this booklet comprise:
- The influence of pediatric HIV on households.
- Psychosocial issues for kids and young people with HIV.
- HIV prevention and intervention within the tuition setting.
- HIV disclosure in pediatric populations.
- How to layout potent evidence-based HIV risk-reduction courses for adolescents.
A scientific advisor to Pediatric HIV is a must have source for researchers, clinicians, and graduate scholars in baby and faculty psychology, social paintings, and public overall healthiness in addition to pediatric medication, nursing, epidemiology, anthropology, and different comparable disciplines.
Read Online or Download A Clinical Guide to Pediatric HIV: Bridging the Gaps Between Research and Practice PDF
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Additional info for A Clinical Guide to Pediatric HIV: Bridging the Gaps Between Research and Practice
Rodriguez and P. Emmanuel infections. In a cohort of children perinatally infected in Italy, 44% who were diagnosed with a stage 3 disease died within one year (Galli et al. 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 !
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. Recommendations for use of antiretroviral drugs in pregnant HIV-1-infected women for maternal health and interventions to reduce perinatal HIV transmission in the US.
2014). A US study reported a high rate of premature rupture of membranes and delivery; however, outcomes were still good, and only one out of ten infants acquired HIV infection (Williams et al. 2009). Most studies have not shown a substantially different risk of mother-to-child transmission in women perinatally infected; however, the numbers are very limited. The long-term consequences for mothers and infants require further study. Youth with Behaviorally Acquired HIV Although there is a growing population of adolescent and young adults perinatally infected, the majority of youth infected acquired HIV through high-risk behaviors.
A Clinical Guide to Pediatric HIV: Bridging the Gaps Between Research and Practice by Tiffany Chenneville