Notes in HIV: Treatment

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Published 01/10/2024 Opportunistic infection prophylaxisIf CD4 <200{{c1::Co-trimoxazole 960 mgs daily}}Protects against pneumocystis pneumonia, toxoplasma if IgG positi…
Published 01/10/2024 Vaccinations in HIV care{{c1::HBV}}, {{c1::HAV}}{{c1::Pneumovax}} every 5 years{{c1::Influenza}} annually{{c1::HPV}}{{c1::Meningococcal…
Published 01/10/2024 {{c1::Antiretroviral therapy}} is recommended for all adults irrespective of CD4 counts
Published 01/10/2024 Markers of treatment success{{c1::Reduction in viral load, not detected<50 copies/mL}}{{c1::Increase in CD4 cell count or T cells}}{{c1::Clinical i…
Published 01/10/2024 Management of new HIV patientsBaseline {{c1::CXR (TB)}}{{c1::Vaccination hx}}{{c1::Serology for toxoplasmosis, HBV, etc}} to see if there’s …
Published 01/10/2024 045392d541864f4295544e1c05fbf14c-ao-1
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Published 01/10/2024 Adherence tools{{c1::Clear simple instructions}}{{c1::Pill boxes, beeper, alarms}}{{c1::Treatment supporter}}{{c1::Emergency}} supplies, anticipa…
Published 01/10/2024 Monitoring treatment{{c1::Weight}}Overall clinical response to therapysigns/symptoms of {{c1::potential drug toxicities}}adherence/tolerabilitySa…
Published 01/10/2024 {{c1::Inadequate drug levels}} result in resistance and viral rebound
Published 01/10/2024 All pregnant women should start ARVs by at least {{c1::week 14}} once HIV diagnosis made.
Published 01/10/2024 {{c1::C-section}} only if mother with HIV has detectable viral load. {{c1::Post exposure prophylaxis}} for baby.
Published 01/10/2024 {{c1::Vaginal delivery with minimal procedure}} if mother with HIV has undetectable viral load. {{c1::Post exposure prophylaxis}} for baby.
Published 01/10/2024 Breastfeeding with HIVNo breastfeeding when {{c1::alternatives easily available}}In resource limited settings: {{c1::exclusive breastfeeding x 6 …
Published 01/10/2024 Take post-exposure prophylaxis (PEP) within {{c1::72}} hours for {{c1::28}} days.
Published 01/10/2024 ARV management in developing world, based on SSSS{{c1::Start}}{{c1::Substitute for toxicity}}{{c1::Switch for failure}}{{c1::Stop for end-of-life care…
Published 01/10/2024 TB and HIV co-treatmentDrug interactions{{c1::Rifampicin}}: cytochrome p450 inducer{{c1::Pyrazinamide}}: hepatotoxic{{c1::Isoniazid}}: hepatotoxicBest…
Published 01/10/2024 Immune reconstitution inflammatory syndrome (IRIS){{c1::With more immune function from ARV use}} -> body can now mount a giant immune response…
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