Adult Antiretroviral Guidelines

US DHHS Guidelines with Australian Commentary

Guidelines

Sexuality and coming out

Rainbow Network   https://www.rainbownetwork.com.au/resources  QLife – Support and Referrals   https://qlife.org.au 

References

World Health Organization. Developing Sexual Health Programs [Internet]. Geneva: [updated 2010; cited 2-15 Aug 25]. Available from: http://apps.who.int/iris/bitstream/10665/70501/1/WHO_RHR_HRP_10.22_eng.pdf  Ezekiel JE, Ezekiel LL. Four models of the physician-patient relationship JAMA 1992; 16:2221-2226.  World Health Organization. Developing Sexual Health Programs [Internet]. Geneva: [updated 2010; cited 2-15 Aug 25]. Available from: http://apps.who.int/iris/bitstream/10665/70501/1/WHO_RHR_HRP_10.22_eng.pdf  Ezekiel JE, Ezekiel LL. Four models of the …

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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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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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Pregnancy and midwifery considerations in HIV

Geraldine Dunne Clinical Nurse Consultant Paediatric Immunology and Infectious Disease, Sydney Children’s Hospital NSW.   Acknowledgment to Karen Blyth (first edition)  Summary  Introduction and global overview   Pre-conception   Pre-natal period   Emotional care and support during pregnancy  Birth  Mode of feeding   Care of the infant in the first 18 months of life   PEP for the infant.  Infant testing  …

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Multidisciplinary care

Effective care coordination for a WLWHIV is paramount. A coordinated, cohesive model enhances engagement in care and avoids difficulties in navigating a complex health system and the potential for loss of follow-up, suboptimal adherence to ART and risking transmission of the virus to the unborn child. (11). For these reasons, a multidisciplinary model is the …

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Useful resources

Recommendations for the Use of Antiretroviral Drugs During Pregnancy and Interventions to Reduce Perinatal HIV Transmission in the United States The 2023 PENTA Guidelines for the use of antiretroviral therapy in paediatric HIV infection. ASHM The Optimal Scenario & Context of Care ASHM Guidance for Healthcare Providers regarding Infant Feeding Options for People Living with …

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