       Document 0443
 DOCN  M9590443
 TI    Managing the child infected with HIV.
 DT    9509
 AU    Larson T; Bechtel L; Department of Pediatrics, University of Nevada
       School of; Medicine, Reno 89557-0046, USA.
 SO    Prim Care. 1995 Mar;22(1):23-50. Unique Identifier : AIDSLINE
       MED/95296448
 AB    Care of the HIV-infected/exposed infant and child is both routine and
       challenging. Routine well child care and immunizations are an important
       part of maintaining and monitoring health status. Challenges arise in
       the management of acute illnesses and the numerous crises that are
       experienced by the family caring for that child. Therapy guidelines now
       provide a logical way in which to initiate antiretroviral treatment and
       PCP prophylaxis. In HIV-infected children with early disease, common
       pathogens initially predominate, and only in advanced immune suppression
       does care become complicated enough to require expert consultation. With
       increasing numbers of HIV-infected women, perinatally acquired
       infections in infants will become more common. Early testing and
       identification will increasingly be important as a way to impact on the
       significant morbidity and mortality seen in infants less than 6 months
       old. A caring, compassionate, and comprehensive approach to the care of
       HIV-infected infants and children results in increased survival and
       lengthening of disease-free time. Providing this vitally needed care is
       both satisfying and stimulating.
 DE    Acute Disease/THERAPY  AIDS-Related Opportunistic Infections/PREVENTION
       & CONTROL  Child, Preschool  CD4 Lymphocyte Count  Disease Transmission,
       Vertical  Family/PSYCHOLOGY  Human  HIV
       Infections/*CONGENITAL/*THERAPY/TRANSMISSION  Infant  Infant, Newborn
       Infection Control  Social Support  Zidovudine/THERAPEUTIC USE  JOURNAL
       ARTICLE  REVIEW  REVIEW, TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

