Acute Human Immunodeficiency Virus Infection

Richey, Lauren; Halperin, Jason

doi:10.1097/maj.0b013e31825d4b88

Cited by 30 publications

(26 citation statements)

References 73 publications

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“…2013:345(2):136–142. (24)Promotional and commercial use of the material in print, digital or mobile device format is prohibited without permission from the publisher, Lippincott Williams & Wilkins. Please contact journalpermissions@lww.com for further information.…”

Section: Recognizing Hiv Infection In Infants Children and Adolescementioning

confidence: 99%

Preventing and Managing HIV Infection in Infants, Children, and Adolescents in the United States

Siberry¹

2014

Pediatrics in Review

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Objectives After completing this article, readers should be able to: Recognize the important role that the pediatrician plays in the prevention, detection, and care of human immunodeficiency virus (HIV)-infected and -affected patients. Know the epidemiology of human immunodeficiency virus infection in infants, children and adolescents. Select the proper HIV diagnostic testing plan for infants, children and adolescents. Plan the comprehensive management of HIV-exposed infants. Recognize the clinical conditions suggestive of HIV infection, including the major opportunistic infections seen in patients with HIV/AIDS. Understand the principles, monitoring, and complications of HIV treatment in infants, children and adolescents. Practice Gap Effective prevention strategies have reduced the risk of perinatal transmission of HIV infection to less than 1–2% in the United States, but failures to fully implement these strategies result in continued, preventable infant HIV infections. In addition, the rising number of sexually acquired HIV infections in adolescents underscores the important role of the pediatrician in preventing and diagnosing HIV infection in youth.

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Section: Recognizing Hiv Infection In Infants Children and Adolescementioning

confidence: 99%

Preventing and Managing HIV Infection in Infants, Children, and Adolescents in the United States

Siberry¹

2014

Pediatrics in Review

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“…12 Presenting symptoms often include fever, rash, lymphadenopathy, pharyngitis, malaise, lethargy, myalgia, headache, diarrhea, and oral ulcers, although some newly infected people are asymptomatic. 13 In fact, up to half of all transmissions occur during acute infection. 13 In fact, up to half of all transmissions occur during acute infection.…”

Section: Acute Hiv Infectionmentioning

confidence: 99%

“…12 Testing and identifying infected people during the acute period is important because the viral load is extremely high in blood and genital secretions at this time, and carriers of the virus are therefore more infectious than at any other time during the clinical course of the disease. 13 identification of symptoms associated with acute HIV infection. Unfortunately, the opportunity to test for and diagnose acute HIV infection ajnonline.com is often missed because symptoms are common to other, less severe conditions, such as influenza, strep pharyngitis, or mononucleosis.…”

Section: Acute Hiv Infectionmentioning

confidence: 99%

Ce

Starr

Springer

2014

AJN, American Journal of Nursing

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HIV has evolved over the past 30 years from a virtual death sentence to a chronic and manageable disease. Nurses in the United States have helped to change the epidemic through advocacy, education, care, and support for people living with HIV infection. They have contributed to the expansion of HIV prevention methods, provided support to this population and their families, and helped make HIV treatments more effective and efficient. People with HIV infection who access and remain in care can now enjoy both an improved quality of life and a greater life expectancy. Here, the authors discuss HIV epidemiology and policy in the United States, the concept of the HIV care cascade, advances in HIV testing and treatment, and how nurses can continue to have a positive impact on the HIV epidemic by encouraging testing, connecting newly diagnosed patients to specialty care, retaining these patients in long-term care, and providing access to combination antiretroviral therapy.

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“…13 Other testing methods include point-of-care tests (also known as rapid HIV tests) that can be performed on saliva, fi nger stick, or blood samples. 19 It is important to note that the range and severity of symptoms vary, and some individuals may not consider themselves ill enough to seek care. The advantage of rapid testing is the ability to get results within 20 to 40 minutes.…”

Section: ■ Testing and Diagnosismentioning

confidence: 99%

“…13 Rapid tests can be done in various venues, such as EDs, mobile testing centers, primary care offi ces, or other outpatient venues. 19 During this period, HIV undergoes rapid viral replication. This allows providers the opportunity to convey the results to patients in a timely manner.…”

Section: ■ Testing and Diagnosismentioning

confidence: 99%