差分

{{TM menuFloating_Menu}}

===Prevention of Mother to Child transmission(PMTCT)===*Primary prevention in women of childbearing age*Voluntary counseling and testing (VCT) provided in prenatal care*ART for PMTCT ====WHO Consolidated Guidelines in 2021====*[https://www.who.int/publications/i/item/9789240031593 Consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring: recommendations for a public health approach. 16 July 2021]**refer to 'Chapter 3.4 Infant prophylaxis' on pp.91 (134th as PDF)*Mother**Urgently commence ART for all HIV-infected pregnant and post-partum women irrespective of time or viral load*All Infants**Daily AZT+NVP from 0d to 6w*Breastfed infants of high risk**Additional AZT+NVP or NVP alone from 6w to 12w*Breastfed infants of mother under ART**Additional daily NVP from 6w to 12w*Replacement fed infants of mother under ART**Additional daily NVP from 6w to 10-12w ==WHO Clinical staging=={{quote|content=[https://apps.who.int/iris/handle/10665/43699 WHO case definitions of HIV for surveillance and revised clinical staging and immunological classification of HIV-related disease in adults and children (2007)]}}

!style="width:104%"|Stage!style="width:3024%"|Superinfection1<br>&asymp; CD4 500-!style="width:24%"|2<br>&asymp; CD4 350-500!style="width:3024%"|Others3<br>&asymp; CD4 200-350!style="width:3024%"|Malignancy4<br>&asymp; CD4 -200|-style="vertical-align:top"!Skin||*Herpes zoster*Papular pruritic eruptions*Seborrheic dermatitis*Fungal nail infections||*Herpes simplex infection (oral, genital) > 1 month*[[Talaromycosis|Talaromycosis]] (Asia only)|- style="vertical-align:top"!Oral<br>GI tract||*Angular cheilitis*Oral ulcer, recurrent|*'''Oral''' candidiasis*Oral hairy leukoplakia (EBV-associated)*Acute necrotizing ulcerative stomatitis/gingivitis/periodontitis*Diarrhea > 1month, unexplained|*'''Esophageal''' candidiasis*Cryptosporidiasis, chronic*Isosporiasis, chronic|- style="vertical-align:top"!Respiratory||*URIs, recurrent|*Bacterial LRIs*Pulmonary TB, '''pluribacillary'''|*Severe bacterial LRIs, recurrent*Pulmonary TB, '''paucibacillary'''*Pneumocystis pneumonia (PcP)|- style="vertical-align:top"!Neurological

*recurrent URIsCNS toxoplamosis (Toxoplasmoma)*herpes zosterHIV encephalopathy*fungal nail infectionsCNS cryptococcal infection (Cryptococcoma)*Progressive multifocal leukoencephalopathy|- style="vertical-align:top"!Systemic

*unexplained weight loss <10%Asymptomatic*papular eruptionsAcute HIV infection*seborrheic dermatitisLymphadenopathy, persistent

*oral hairy leukoplakia Weight loss '''>10%''', unexplained*Fever > 1 month, unexplained*Sever bacterial infections (EBV-associatedLRI, bone/joint infections, meningitis)*oral candidiasisAnemia < 8g/dL of Hb, unexplained*TBThrombocytopenia < 50<math>\times</math>10<math>^9</math>/L, pluribacillary*severe bacterial infectionsunexplained

*unexplained weight loss >10%HIV wasting syndrome*persistent diarrhea >1 monthExtrapulmonary TB*persistent feverCytomegalovirus infection*unexplained anemiaNon-typhoidal salmonellosis (NTS), recurrent*unexplained thrombocytopenia[[Coccidioidomycosis|Coccidioidomycosis]] (America only)*[[Histoplasmosis|Histoplasmosis]]*Atypical disseminated leishmaniasis*HIV-associated nephrophathy*HIV-associated cardiomyopathy|- style="vertical-align:top"!Malignancy