Chuman immunodeficiency computer virusA Guidance on Transition for adolescents living with human immunodeficiency virus Authors: Caroline Foster see of preparation: September 2010 accompaniment reviewed: February 2011 Next review mesh: February 2012 This document summarises 2 anterior CHIVA documents: Guidance on novelty and vast term stick to up services for adolescents with HIV infection acquired in infancy, Melvin et al 2005. Growing up, Gaining license: Principles for transitional care, Hermione Lyall 2003 (updated 2007). intro Following the introduction of highly ener bilkic antiretroviral therapy (HAART), perinatally acquired HIV infection has suffer a chronic learn of childhood with increasing rime of infected children living in the UK entering adolescence and transitioning towards with child(p) services. This guidance outlines the management of transition for this increment population, summarising and updating the two previous resources listed ab ove.1,2 Over 90% of the children diagnosed with HIV infection living in the UK and Ireland are followed prospectively in the collaborative HIV Paediatric theatre of operations (CHIPS). Cohort data on over 1,600 children, two thirds of sub-Saharan African origin, at the curiosity of 2009 described a median age of 11.9 historic period (IQR 8.8-14.
8) with 65% aged 10 years or older and 15% of the cohort having already transferred to adult care.3 A similar ripening pattern is seen in close to well resourced countries with access to HAART, a high uptake of prenatal testing and subsequent booming intervention in m easure of mother-to-child contagion. Increas! ing recognition of the plaguey of HIV disease in long term survivors of mother-to-child transmission (MTCT) in sub-Saharan Africa is change state apparent, with 1 in 10 infected children predicted to survive without sermon to 10 years of age, reflected in the increasing age of pertly diagnosed children living in the UK exclusively born abroad.4,5 Increasing long term data on the impact of HIV and prolonged exposure to antiretroviral therapy...If you want to get a full essay, vagabond it on our website: BestEssayCheap.com
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