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Policies and practices for the clinical management of HIV/HCV coinfected children in Europe: an epidemiological survey.
- Source :
-
European Journal of Pediatrics . Aug2009, Vol. 168 Issue 8, p915-917. 3p. - Publication Year :
- 2009
-
Abstract
- The antenatal prevalence of HIV/HCV coinfection ranges from 12% to 28% with mother-to-child transmission rates ranging from 3.6% to 9.5%. There are no guidelines detailing the most appropriate clinical management and treatment of coinfected children. We used a semi-structured questionnaire to investigate current European practices for the management and follow-up of HIV/HCV coinfected children among clinical centres contributing to the European Collaborative Study or the European Paediatric HCV Network. Clinicians from 16 out of 24 clinical centres responded and were caring for a total of 44 HIV/HCV coinfected children. We found that, although there was a high level of concordance regarding testing for HIV and/or HCV infection, monitoring practices in these European centres varied widely. Few clinicians stated they would administer HIV and HCV treatment concurrently. Limited experience in the clinical management of this group and the lack of an evidence base to guide policy may be a barrier to achieving optimal care and treatment. [ABSTRACT FROM AUTHOR]
- Subjects :
- *DISEASE prevalence
*ANTIRETROVIRAL agents
*HIV-positive persons
*JUVENILE diseases
*THERAPEUTICS
*HIV infection epidemiology
*ANTIVIRAL agents
*COMBINATION drug therapy
*COMPARATIVE studies
*DRUG monitoring
*HEPATITIS C
*RESEARCH methodology
*MEDICAL cooperation
*MEDICAL protocols
*RESEARCH
*RESEARCH funding
*SURVEYS
*COMORBIDITY
*EVALUATION research
*ANTI-HIV agents
Subjects
Details
- Language :
- English
- ISSN :
- 03406199
- Volume :
- 168
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- European Journal of Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 41328526
- Full Text :
- https://doi.org/10.1007/s00431-008-0855-2