Primary care of children with HIV infection.
As the number of children affected by the HIV epidemic increases, the primary care physician can have an important role in ensuring that these children receive comprehensive health care. Clinical aspects of pediatric HIV disease are reviewed, including the recently revised Centers for Disease Control and Prevention classification system. Important advances include the development and application of techniques for establishing in early infancy whether or not a child is infected. The implications for the use of these techniques are discussed, and recommendations are made for a system of coordinated care between the primary care physician and specialty clinic. Specific treatment approaches, such as the early introduction of Pneumocystis carinii pneumonia prophylaxis, antiretroviral medications, and the use of intravenous immunoglobulin, are discussed.
Yale University School of Medicine, Department of Pediatrics, New Haven, CT 06510-8064, USA.
B W
BW
Forsyth
D016915:AIDS Vaccines; D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy; D000998:Antiviral Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D019053:HIV Enteropathy / Q000175:diagnosis / Q000628:therapy; D015658:HIV Infections / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007114:Immunization; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D007223:Infant; D011020:Pneumonia, Pneumocystis / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy; D011320:Primary Health Care
D016915:AIDS Vaccines; D000998:Antiviral Agents; D016756:Immunoglobulins, Intravenous