Other herpesviridiae including cytomegalovirus (CMV) and Epstein-Bar virus (EBV) do not typically present with chronic mucocutaneous lesions. In PLWHIV, mucocutaneous CMV infection is regarded as an AIDS-defining condition. (15) Clinical Presentation In PLWHIV and CD4+ count below 200 cells/μL, both CMV and EBV infection may result in chronic mucosal or perianal ulceration, correlating with the …
In cases of chronic mucocutaneous ulceration suspected to be secondary to CMV or EBV infection, biopsy for histopathological assessment is necessary to make the diagnosis.
Improvement of mucocutaneous lesions of CMV and EBV following commencement of ART have been reported in the setting of advanced HIV infection. (48) Systemic antiviral therapy is indicated for CMV infection in immunocompromised patients, and may involve oral valganciclovir or intravenous ganciclovir for up to six weeks. Oral valganciclovir may be continued as secondary prophylaxis …
Joint United Nations Programme on HIV/AIDS (UNAIDS). Global HIV & AIDS statistics — 2020 fact sheet. [Internet]. 2022 [cited 2024 May 1]. Greenhalgh T, Wherton J, Shaw S, Morrison C. Video consultations for COVID-19. BMJ. 2020;368:m988. Shariq A, Rasheed Z, Abdulmonem WA. Human monkeypox: An update on knowledge and future implications. Int J Health Sci …
Mpox control guideline (NSW)
In summary, the COVID-19 pandemic has shaped the delivery of HIV care, requiring innovative approaches in the context of emerging infectious diseases such as Mpox. Nurses play a key role at the complex intersection of HIV, Mpox and COVID-19 by integrating infection prevention and control measures, providing psychosocial support and patient education. Using their expertise …
In addition to clinical care, nurses play a key role in providing psychosocial support and patient education to individuals living with HIV and understanding the complexities of comorbidities (13). The COVID-19 pandemic has exacerbated existing social determinants of health that have increased stress, anxiety, and stigma among vulnerable populations (14). Nurses must use empathic communication …
The COVID-19 pandemic has highlighted the importance of strict infection prevention and control (IPC) measures in healthcare settings (8). Nurses have an important role in implementing IPC protocols to reduce the risk of transmission of COVID-19 and prevent nosocomial infections among patients, including HIV infection and potential exposure to Mpox (9). This requires standard precautions …
Integrating infection prevention and control (IPC) measures Read More »
Nurses are on the front line of HIV management and provide comprehensive care that includes prevention, treatment, and support services (1). However, the COVID-19 pandemic has necessitated the use of telehealth and virtual platforms in the provision of HIV treatment. Nurses must adapt their practices to remote patient care while ensuring continuity of care and …
Impact on Nursing and HIV Care throughout COVID-19 Read More »
Daniel Sankar: Nurse Practitioner, Centre Clinic, Melbourne. Summary This section discusses the intersection between HIV, COVID-19 and Monkeypox (Mpox) from a nursing perspective, highlighting important issues and strategies. Introduction Impact on Nursing and HIV Care throughout COVID-19 Integrating infection prevention and control (IPC) measures Psychosocial Support and Patient Education Resources Introduction The COVID-19 pandemic has …