By Tiffany Chenneville
This ebook examines the impression of pediatric HIV on childrens, young people, and their households. starting with an summary of pediatric HIV epidemiology, it lines the clinical, mental, and social dimensions of HIV in the course of the trajectory of youth and early life. It examines the newest examine on quite a lot of issues, together with therapy adherence, cultural, felony, and moral concerns, and HIV stigma and its aid. Chapters provide professional thoughts for clinicians operating with teenagers with HIV in addition to researchers learning pediatric HIV. furthermore, the booklet additionally discusses day-by-day issues linked to pediatric HIV, resembling ailment administration, coping, entry to providers, chance prevention, and health and wellbeing promoting.
Topics featured during this booklet comprise:
- The effect of pediatric HIV on households.
- Psychosocial concerns for kids and youth with HIV.
- HIV prevention and intervention within the college setting.
- HIV disclosure in pediatric populations.
- How to layout powerful evidence-based HIV risk-reduction courses for adolescents.
A medical consultant to Pediatric HIV is a must have source for researchers, clinicians, and graduate scholars in baby and faculty psychology, social paintings, and public wellbeing and fitness in addition to pediatric medication, nursing, epidemiology, anthropology, and different similar disciplines.
Read Online or Download A Clinical Guide to Pediatric HIV: Bridging the Gaps Between Research and Practice PDF
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Extra info for A Clinical Guide to Pediatric HIV: Bridging the Gaps Between Research and Practice
Older adolescents may be products of an unstable home life or may be homeless, posing difﬁculties with medication receipt or storage, as well as consistency of clinic visits. Although medications are reﬁlled, this does not indicate adherence at home, so this should not be a sole tool in addressing compliance. Providers may also ask patients to bring their pill bottles to all appointments to conduct a pill count, which may be indicative of compliance. Other approaches may include pill packs or blister packages labeled by day and storing medications in pillboxes.
In addition, potential side effects, drug interactions, palatability, and type of formulation available based on age influence the clinician decision when constructing the drug regimen. 3 26 C. Rodriguez and P. 2 Selection of antiretroviral therapy by class and age Two NRTIs plus EVG INSTI-based Regimens Two NRTIs plus DTG Two NRTIs plus RAL Two NRTIs plus NVP NNRTI-based Regimens PI-based Regimens Two NRTIs plus EFV Two NRTIs plus RPV Two NRTIs plus ATV/r Two NRTIs plus BID DRV/r Two NRTIs plus QD DRV/r >3 years >12 years Two NRTIs plus LPV/r >14 >4 >3 days weeks months >2 years Preferred Alternative NRTI: NNRTI: PI: INSTI: EVG: DTG: RAL: Nucleoside reverse transcriptase inhibitor Non-nucleoside reverse transcriptase inhibitor Protease inhibitor Integrase inhibitor Elvitegravir Dolutegravir Raltegravir RPV: QD: NPV: EFV: ATV/r: DRV/r: BID: Rilpivirine Once daily Nevirapine Efavirenz Boosted atazanavir Boosted darunavir Twice a day Adapted from panel on antiretroviral therapy and medical management of HIV-infected children.
Later innovative tools include mobile phone technologies with reminder applications, voice response systems, SMS text messaging reminders, or email reminders (Horvath et al. 2012). Perinatal HIV Prevention The decline of mother-to-child transmission of HIV infection is one of the successes in HIV care. Recommended mother-to-child HIV-1 transmission interventions have resulted in a ten times reduction in this risk, and complete elimination of mother-to-child HIV-1 transmission could be potentially feasible though gaps in testing and treatment availability remain an obstacle.