Pediatric HIV clinical care resources and management practices in Asia: a regional survey of the TREAT Asia pediatric network
| Autor: | Joselyn Pang, Cees Hesp, Asha C. Bowen, Annette H. Sohn, Azar Kariminia, Wasana Prasitsuebsai |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Efavirenz Nevirapine Asia Outpatient Clinics Hospital Pediatric hiv Referral Adolescent Anti-HIV Agents HIV Infections Pediatrics Polymerase Chain Reaction Article chemistry.chemical_compound Acquired immunodeficiency syndrome (AIDS) Pregnancy Surveys and Questionnaires Health care medicine Humans Pregnancy Complications Infectious Intensive care medicine Child Internet business.industry Hospitals Public Public Health Environmental and Occupational Health Infant Newborn Infant Viral Load medicine.disease CD4 Lymphocyte Count Regimen Infectious Diseases chemistry Family medicine Child Preschool Health Care Surveys HIV-1 Female business Viral load medicine.drug |
| Zdroj: | AIDS patient care and STDs. 24(2) |
| ISSN: | 1557-7449 |
| Popis: | Characterizing intraregional differences in current pediatric HIV care and treatment in Asia can guide the development of clinical practice guidelines and improve the understanding of local resource availability. The Therapeutics Research, Education, and AIDS Training in Asia (TREAT Asia) Pediatric Program is a collaboration of clinics and referral hospitals studying pediatric HIV outcomes in the region. A Web-based survey to characterize clinical management practices and monitoring resources was developed and distributed to 20 sites in January 2008. Seventeen (85%) sites from 6 countries responded through April 2008; 14 (82%) were hospital-based and 16 (94%) were public facilities. Of 4050 HIV-infected children under care, 3606 (89%) were on antiretroviral treatment; 80% were on their first mono-, dual-, or triple-drug regimen and 74% were on nevirapine- or efavirenz-based regimens. Fifteen (88%) sites had consistent access to polymerase chain reaction (PCR) testing for infant diagnosis. All sites had access to CD4 testing, with 13 (76%) routinely monitoring patients every 3–6 months; 7 (41%) sites monitored viral load at 6- to 12-month intervals. Although there is some variation in clinical practices, high levels of treatment and monitoring resources were available at these sites. The availability of PCR for early infant diagnosis positions them to implement recent WHO recommendations to treat HIV-infected children younger than 1 year of age. This information will be used to develop future research and programs to support children with HIV in Asia. |
| Databáze: | OpenAIRE |
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