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

By Tiffany Chenneville

This publication examines the impression of pediatric HIV on little ones, youth, and their households. starting with an summary of pediatric HIV epidemiology, it lines the scientific, mental, and social dimensions of HIV during the trajectory of youth and adolescence. It examines the most recent study on quite a lot of themes, together with therapy adherence, cultural, criminal, and moral concerns, and HIV stigma and its relief. Chapters provide specialist ideas for clinicians operating with young ones with HIV in addition to researchers learning pediatric HIV. furthermore, the publication additionally discusses day-by-day matters linked to pediatric HIV, comparable to illness administration, coping, entry to providers, threat prevention, and overall healthiness merchandising.
Topics featured during this booklet 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 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 college psychology, social paintings, and public wellbeing and fitness in addition to pediatric medication, nursing, epidemiology, anthropology, and different comparable disciplines.

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

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6 months. Pneumocystis jirovecii pneumonia (PCP) prophylaxis is recommended for infants with indeterminate HIV infection status starting at age four to six weeks until they are determined to be HIV uninfected or presumptively uninfected. Thus, initiation of PCP prophylaxis can be avoided or discontinued if an infant has negative virologic tests at ages 2 weeks and ! 4 weeks, or if virologic testing is negative at age ! 8 weeks. Definitive exclusion of HIV infection in non-breastfed infants is based on two or more negative virologic tests, with one obtained at age !

Homozygous defect in HIV-1 coreceptor accounts for resistance of some multiply-exposed individuals to HIV-1 infection. Cell, 86(3), 367–377. , Mofenson, L. , Sullivan, J. , … & PACTG 356 Investigators. (2016). Early combination antiretroviral therapy limits exposure to HIV-1 replication and cell-associated HIV-1 DNA levels in infants. PloS one, 11(4), e0154391. 0154391 Mofenson, L. , Meyer, W. , et al. (1997). The relationship between serum human immunodeficiency virus type 1 (HIV-1) RNA level, CD4 lymphocyte percent, and long-term mortality risk in HIV-1—infected children.

Challenges facing medication adherence are seen in most chronic illnesses, including HIV (Phan and Nahata 2013). 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.

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