title: Staged introduction of antiretroviral therapy into a family with multiple HIV-infected members.
abstract: Children and families bear a significant burden of human immunodeficiency virus disease globally, particularly in sub-Saharan Africa. Care of severely affected families can be adversely impacted by high medication burdens and overwhelmed caregivers, who themselves may be human immunodeficiency virus infected. Family-centered care involving joint clinic days, treatment preparation, adherence counseling, and community-based follow-up may improve the care of family units. We describe the successful treatment of a single family composed of 6 infected members living in a rural African setting.
authors.affiliation: University of Maryland School of Medicine, Institute of Human Virology, Baltimore, Maryland, USA. jon.fielder@sim.org
authors.forename: Jon F
authors.initials: JF
authors.lastname: Fielder
authors.forename: Lily
authors.initials: L
authors.lastname: Kwatampora
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000494:pharmacology / Q000627:therapeutic use; D044966:Anti-Retroviral Agents / Q000494:pharmacology / Q000627:therapeutic use; D023241:Antiretroviral Therapy, Highly Active / Q000379:methods*; D018791:CD4 Lymphocyte Count; D002675:Child, Preschool; D003153:Community Health Services / Q000379:methods*; D005192:Family Health; D005260:Female; D006678:HIV / Q000187:drug effects; D015658:HIV Infections / Q000188:drug therapy*; D006801:Humans; D007630:Kenya; D008297:Male; D012424:Rural Population; D019562:Viral Load; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents; D044966:Anti-Retroviral Agents