Back to Search
Start Over
Italian consensus statement on paediatric HIV infection
- Source :
- Infection. 38(4)
- Publication Year :
- 2009
-
Abstract
- The objective of this document is to identify and reinforce current recommendations concerning the management of HIV infection in infants and children in the context of good resource availability. All recommendations were graded according to the strength and quality of the evidence and were voted on by the 57 participants attending the first Italian Consensus on Paediatric HIV, held in Siracusa in 2008. Paediatricians and HIV/AIDS care specialists were requested to agree on different statements summarizing key issues in the management of paediatric HIV. The comprehensive approach on preventing mother-to-child transmission (PMTCT) has clearly reduced the number of children acquiring the infection in Italy. Although further reduction of MTCT should be attempted, efforts to personalize intervention to specific cases are now required in order to optimise the treatment and care of HIV-infected children. The prompt initiation of treatment and careful selection of first-line regimen, taking into consideration potency and tolerance, remain central. In addition, opportunistic infection prevention, adherence to treatment, and long-term psychosocial consequences are becoming increasingly relevant in the era of effective antiretroviral combination therapies (ART). The increasing proportion of infected children achieving adulthood highlights the need for multidisciplinary strategies to facilitate transition to adult care and maintain strategies specific to perinatally acquired HIV infection.
- Subjects :
- Microbiology (medical)
Adult
medicine.medical_specialty
Pediatrics
HAART
Opportunistic infection
Context (language use)
HIV Infections
HIV, HAART, Paediatrics, Antiretroviral therapy
Pharmacotherapy
Pregnancy
Intervention (counseling)
Antiretroviral Therapy, Highly Active
medicine
Infection control
Humans
Child
Settore MED/38 - Pediatria Generale e Specialistica
Transmission (medicine)
business.industry
Infant, Newborn
HIV
Paediatrics
Antiretroviral therapy
Disease Management
Infant
General Medicine
medicine.disease
Infectious Disease Transmission, Vertical
Regimen
Infectious Diseases
Anti-Retroviral Agents
Italy
Family medicine
Child, Preschool
Disease Progression
Female
business
Psychosocial
Subjects
Details
- ISSN :
- 14390973
- Volume :
- 38
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Infection
- Accession number :
- edsair.doi.dedup.....6acf96fdbfec6fe07601c8ece99df43c