Page 19 - Children Bookt.pdf

3. HIV staging in children using clinical and immunological criteria

Table(2) HIV staging in children using clinical criteria

WHO Clinical Stage
associated clinical disease
Asymptomatic 1
Mild 2

Advanced 3
Severe 4

Table ( 3) HIV staging in children using immunological Criteria (CD4 )

!!"#$%
&# $%
HIV-associated < 11 months 12 - 35 36-59 *+"
!!" (%) months(%) months(%) (cells/mm )
3
+ > 35 > 30 > 25 > 500

Mild 30 - 35 25 - 30 20 - 25 x{‚^ƒƒ
Advanced 25 - 30 „‚„{ {‚„ „‚x^ƒ

Severe <25 <20 <15 <200 or <15%

Table ( 4) HIV staging in children using immunological Criteria (TLC ) 12

Age-related TLC values
HIV-associated
< 11 months 12 - 35 months 36-59 months *+"
!!" 3 3 3 3
(cells/mm ) (cells/mm ) (cells/mm ) (cells/mm )
Severe <4000 <3000 <2500 <2000

Notes:
Clinical staging in children without ART can predict mortality; however, it is
heavily dependent on the presence of malnutrition. Clinical staging is used as

&~
CD4 is not available.

11