Page 44 - Children Bookt.pdf

Routine monitoring of children who are not yet eligible for ART

Because of the rapid rate of disease progression in infants and young
children, more frequent clinical and laboratory monitoring is indicated for

are not yet eligible for ART should be preformed every three to six months,
at a minimum , and should include the same parameters as are used in the

Routine monitoring of children on ART

Once an infant or child is on ART, the frequency of clinical monitoring will
depend on their response to ART. At a minimum, after starting ART, follow up visits
*

!"#!
$#

!"%#
&
has stabilized on therapy.

Routine clinical assessment should include addressing the child ‘s and/or care giver‘s
understanding of and adherence to therapy , along with their need for additional support
—
¢¢

*

Improvement in growth in infants and children who have been failing to grow.

Improvement in neurological symptoms and development in children with
encephalopathy or those who have demonstrated delay in the achievement of
developmental milestones.

Decreased frequency of infections ( bacterial infections , oral thrush and/or
other OIs)

Observation of the child ‘s response to therapy should include vigilance for
symptoms of potential drug toxicities or treatment failure. (i.e. – reassessment
of WHO clinical stage)

x_