• Stepwise formation, evaluation and adherence support to highly active antiretroviral therapy of HIV infection in children 
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Stepwise formation, evaluation and adherence support to highly active antiretroviral therapy of HIV infection in children 

PERINATOLOGIYA I PEDIATRIYA.2014.1(57):17-22; doi 10.15574/PP.2014.57.17

Stepwise formation, evaluation and adherence support to highly active antiretroviral therapy of HIV infection in children 
 

 

N.V. Kotova, N.V. Grishchenko

 

Odessa National Medical University, Ukraine

 

Odessa City Centre for AIDS Prevention and Control, Ukraine

 

 

Objective – to provide a list of services and neonatal primary medical health care to children born by HIV-infected mothers and to HIV-infected children, on the question of stage formation, assessment and adherence support to the application of antiretroviral preparations.

 

 

Patients and methods. According to the results of long-term medical follow-up of the HIV-infected children in the Odessa region and in the City Center for AIDS Prevention and Control and in Odessa Regional Children's Hospital was developed a strategy of staged formation, assessment and adherence support to highly active antiretroviral therapy, as well as found the list of services and neonatal primary care. For the aim to identify the causes of inefficiency of a such therapy the history cards of dispensary observation of HIV-infected children were retrospectively analyzed by the method of selected randomly.

 

 

Results. Neonatal care services include post-exposure antiretroviral prophylaxis, diagnosis of antenatal contamination by HIV and consultation of HIV-infected mother for this question and for further medical attention for the child. Primary medical care services include monitoring and adherence support to antiretroviral prophylaxis at home, early diagnosis of HIV infection, support, evaluation of commitment of this therapy and influence of cases of medical neglect. The algorithms of counseling of HIV-infected mothers are proposed according to the existing list of services.

 

 

Conclusions. For implementation of proposed information-educational services are necessary to use developed algorithms of counseling of HIV-infected mothers.

 

 

Key words: HIV infection, children, highly active antiretroviral therapy, adherence to highly active antiretroviral therapy, primary care, neonatal care.

 

 

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