Antiretrovirals Essay examples

42417 Words Aug 25th, 2013 170 Pages
Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis

May 2007

NACO
Ministry of Health & Family Welfare Government of India

Assessment and Management of HIV-Infected Person
No

Is HIV infection confirmed?

Send to ICTC for confirmation of HIV status

Yes
     

Perform history taking and physical examination (see p 9 ) Evaluate for signs and symptoms of HIV infection or OIs and WHO clinical staging (see p 10) Provide appropriate investigations/treatment of OIs (see p 13 ) If pregnant, refer to PPTCT Screen for TB Screen for STI

Identify need for:
 

CTX prophylaxis (see p 16 ) ART (see p 18 )

No

Pre ART care (see p 15 )

Yes
      

Give patient education on
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7 Assessment of Adults and Adolescents with HIV Infection and pre-ART Care and Follow-up ............................................................................................................................ 9 Prophylaxis of Opportunistic Infections .....................................................................................................16 ART in Adults and Adolescents ......................................................................................................................18 Routine Monitoring of Patients on ART ......................................................................................................25 ART in Pregnant Women, PPTCT and Previous Exposure to NVP .......................................................27 Considerations for Co-infection with Tuberculosis and HIV ...............................................................30 What to Expect in the First six Months of Therapy .................................................................................33 Antiretroviral Drug Toxicity ..............................................................................................................................36 ARV Treatment Failure and When to Switch ..............................................................................................39 Choice of ARV Regimens in the Event of Failure of First-line

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