HIV

Question 1

What are the modes of transmission of HIV in paediatrics?

Answer 1

Transplacental, at delivery, breastfeeding.

Question 2

What measures are put into place to prevent a child being infected with HIV?

Answer 2

1. HAART throughout pregnancy
2. If PROM and >34/40 - deliver no matter the viral load
3. vaginal delivery only if viral load under 50
4. avoid breastfeeding in all

Question 3

How is HIV diagnosed in children?

Answer 3

Test infant at birth, 3 and 6 months HIV viral PCR, p24 antigen, specific IgA.

Question 4

What is the treatment for HIV in children?

Answer 4

Paediatric European Network for Treatment of AIDS (PENTA) regime