KEY FEATURES and changes in 2016 HIV national guideline
1. Test and start - All people who test positive to HIV should commence ART immediately, irrespective of CD4 count after baseline investigations
2. Re testing. All who test positive to HIV must be retested by another person to avoid false positives
3. High risk babies born to HIV positive mothers with high viral load >1000copies/ml or unbooked HIV positive woman presenting in labour etc, should be placed on syrup Nevirapine + syr zidovudine for 12weeks
4 option B+. All HIV positive mothers or that tested positive at ANC should be placed on ART immediately and continued for life. HIV positive pregnant women on ART are to do viral load 32-36wks GA. Baby should be commenced on syr Nevirapine within 72hrs of delivery for 6weeks, after which DBS is done and child started on cotrimoxazole till HIV is ruled out. NB if high risk infant give syr Nevirapine +zidovudine for 12weeks.
2. Re testing. All who test positive to HIV must be retested by another person to avoid false positives
3. High risk babies born to HIV positive mothers with high viral load >1000copies/ml or unbooked HIV positive woman presenting in labour etc, should be placed on syrup Nevirapine + syr zidovudine for 12weeks
4 option B+. All HIV positive mothers or that tested positive at ANC should be placed on ART immediately and continued for life. HIV positive pregnant women on ART are to do viral load 32-36wks GA. Baby should be commenced on syr Nevirapine within 72hrs of delivery for 6weeks, after which DBS is done and child started on cotrimoxazole till HIV is ruled out. NB if high risk infant give syr Nevirapine +zidovudine for 12weeks.
Implications of 2016 HIV guideline
1. Health care workers are to commence their pre-ART pool of clients (those with HIV but CD4>500)on ART after retesting.
2.More health workers are needed as PMTCT sites and ART sites will be flooded more clients on ART.
3. Our youths need to hear word in OVD's voice
1. Health care workers are to commence their pre-ART pool of clients (those with HIV but CD4>500)on ART after retesting.
2.More health workers are needed as PMTCT sites and ART sites will be flooded more clients on ART.
3. Our youths need to hear word in OVD's voice
In addition 3new drugs has been added to the current ART drugs-Dolutegravir( integrase inhibitor), Raltegravir (integrase inhibitor), Darunavir (protease inhibitor
Thanks
God bless our HIV clients
God bless our HIV clients
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