Page 4 - Children Bookt.pdf
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GUIDELINES FOR THE CLINICAL MANAGEMENT OF HIV INFECTION IN CHILDREN IN MYANMAR
11. Clinical and Laboratory Monitoring HIV infected Children 35
Baseline clinical assessment for children 35
Baseline laboratory assessment for children 35
Routine monitoring of children who are not yet eligible for ART 36
Routine monitoring of children on ART 36
12. Managing ARV toxicity 39
Guiding principles in the management of ARV drug toxicity 39
Substitution drugs because of toxicity in infants and children 39
13. Changing therapy due to clinical failure 43
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Second-line regimen in the event of treatment failure 47
14. Consideration for Infants and children with Tuberculosis and HIV 49
Isoniazid Preventive Therapy (IPT) 49
Treatment of TB in HIV-infected infants and children 49
IRIS in the context of co-therapy for TB/HIV 51
15. HIV and Nutrition 55
Effects of HIV on Nutrition 55
Effect of Nutrition on HIV 56
HIV and infant feeding 56
Strategies to reduce breast milk transmission 58
16. Diagnosis and treatment of opportunistic infections in HIV-infected children 61
17. Annex
Annex 1 WHO Clinical Staging of HIV for Infant and Children with
established HIV infection 71
Annex 2 Weight for length table 73
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Annex 4 Paediatric drug, formulations and doses 80
Annex 5 Drug formulations and dosages 88
18. References 99
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