HIV infection early diagnosis experience in primary care

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HIV infection early diagnosis experience in primary care

INTRODUCTION Traditional screening system focus on classic risk factors "lost" a substantial proportion of HIV-infected patients. Several organizations such as CDC or USPS Task Force favour universal screening for HIV infection for good cost-effectiveness profile. In a previous study prevalence of HIV infection in patients attending our infectious diseases department was high (5.4%). OBJECTIV...

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The Diagnosis of HIV Infection in Infants and Children

It is estimated that the number of HIV infected children globally has increased from 1.6 million in 2001 to 3.3 million in 2012. The number of children below 15 years of age living with HIV has increased worldwide. Published data from recent studies confirmed dramatic survival benefit for infants started anti-retroviral therapy (ART) as early as possible after diagnosis of HI. Early confirmatio...

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Diagnosis of Primary HIV-1 Infection

Results: Primary infection was diagnosed in 54 patients (12.4%). The sensitivity and specificity of the p24 antigen assay were 88.7% (95% CI, 77.0% to 95.7%) and 100% (CI, 99.3% to 100%), respectively. For the HIV RNA assay, sensitivity was 100% and specificity was 97.4% (CI, 94.9% to 98.9%). Fever, myalgia, rash, night sweats, and arthralgia occurred more frequently in patients with primary in...

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Challenges in the Early Diagnosis of HIV Infection in Infants: Experience from Tamil Nadu, India.

OBJECTIVE To analyze critical steps in the testing algorithm of the National Early Infant Diagnosis (EID) program in India. METHODS A retrospective analysis of data on cases enrolled in the EID program during 2010-2012 from Tamil Nadu was undertaken. RESULTS 2745 dried blood spots were tested; 9% of these tested positive. Median age of infants at the time of testing was 4 months. Second spe...

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Implementing early infant diagnosis of HIV infection at the primary care level: experiences and challenges in Malawi.

PROBLEM Malawi's national guidelines recommend that infants exposed to the human immunodeficiency virus (HIV) be tested at 6 weeks of age. Rollout of services for early infant diagnosis has been limited and has resulted in the initiation of antiretroviral therapy (ART) in very few infants. APPROACH An early infant diagnosis programme was launched. It included education of pregnant women on in...

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ژورنال

عنوان ژورنال: Journal of the International AIDS Society

سال: 2014

ISSN: 1758-2652

DOI: 10.7448/ias.17.4.19597