Management of Children With or Exposed to HIV

  • Authors: James A. McAuley, MD, MPH; Mariam Aziz, MD (More Info)
  • Editors in Chief: Joseph J. Eron, Jr., MD; Daniel R. Kuritzkes, MD
  • Last Reviewed: 2/17/20 (What's New)

Summary

  • DHHS guidelines recommend ART initiation in all children with HIV regardless of clinical stage, CD4+ cell count, or HIV-1 RNA level (Table 3) (Management Guidelines)[DHHS Pediatric]
    • Urgent treatment (within 1-2 weeks) with expedited adherence discussion recommended for children aged 1 year or older with:
      • Stage III–defining opportunistic illness or age-specific stage III CD4+ cell counts

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