HIV Management Guide for Clinical Care and ARV Guidelines

HIV Management Guide for Clinical Care and ARV Guidelines

Paediatric issues

Considerations In the Nursing care of Children and Young People living with HIV

Geraldine Dunne Clinical Nurse Consultant Paediatric Immunology and Infectious Disease, Sydney Children’s Hospital, NSW.  Summary  Children and young people (YP) LWHIV in Australia  Children and HIV: is it different to adults?  Treatment issues in children and YP living with HIV  Keeping well: growing children into healthy adults   Psychosocial context and considerations    Sharing of HIV status …

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Treatment challenges in children

Due to the small population of children and YP LWHIV in Australia, paediatric formulations of antiretroviral medicines are not always readily available. Nurses may need to advocate for compassionate access to formulations not generally available in Australia.   Treatment adherence may be hampered by issues such as cumbersome liquid preparations which may require refrigeration. The child …

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Pill swallowing

Before initiation of treatment, nurses must assess and consider the child’s ability to swallow pills.  This is a fundamental skill required before treatment in pill form can start, and before the transition to tablets from liquid. Teaching pill swallowing may require several sessions and the use of placebo capsules or jelly sweets is often helpful.  …

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Transition to adult care

Transition to adult care may symbolise loss (as it does in many chronic conditions) however due to HIV-related stigma, this transition and associated sense of loss may be experienced more acutely.   Furthermore, since many YP moving to adult services are not yet sexually active, the nurse may need to facilitate referral to an appropriate service.  …

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Useful resources

Antiretroviral / HIV Drug Dosing for Children and Adolescents 2022-2023 Imperial College Healthcare NHS Trust  HEEADSSS 3.0: The psychosocial interview for adolescents updated for a new century fueled by media  Supporting young people in moving to adult services: Who we are: Trapeze   Sydney Children’s Hospitals Network  CHIVA  The Royal Children’s Hospital  Elizabeth Glaser Pediatric AIDS …

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References

UNAIDS. 2023 epidemiological estimates. Fact sheet – Latest global and regional statistics on the status of the AIDS epidemic. Available from: https://unaids.org  UNSW The Kirby Institute. HIV, viral hepatitis and sexually transmissible infections in Australia Annual surveillance report 2022. Available from: https://www.kirby.unsw.edu.au/sites/default/files/documents/Annual-Surveillance-Report-2022_HIV.pdf  Volmink J, Marais B. HIV: mother-to-child transmission. BMJ Clin Evid. 2008; 2008:0909.  Tobin …

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