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close this bookNational Guidelines for the Clinical Management of HIV/AIDS - Tanzania (NACP; 2005; 131 pages)
View the documentLIST OF ABBREVIATIONS
View the documentACKNOWLEDGEMENTS
View the documentFOREWORD
Open this folder and view contentsCHAPTER 1: INTRODUCTION
Open this folder and view contentsCHAPTER 2: ORGANIZATION OF HIV/AIDS CARE AND TREATMENT
Open this folder and view contentsCHAPTER 3: HIV/AIDS PREVENTION
Open this folder and view contentsCHAPTER 4: PROTECTIVE MEASURES AGAINST HIV TRANSMISSION
close this folderCHAPTER 5: LABORATORY TESTS IN HIV/AIDS
close this folder5.1 Tests for HIV Diagnosis
View the document5.1.1 HIV Diagnosis in Adults and Children over 18 months
View the document5.1.2 Diagnosing HIV infection in children under 18 months
View the document5.1.3 HIV Diagnostic Protocol for Abandoned Infants
View the document5.2 Tests for treatment eligibility and efficacy monitoring
Open this folder and view contents5.3 Tests for treatment safety monitoring
View the document5.4 Laboratory Safety Procedures
View the document5.5 Phlebotomy Safety Procedures
View the document5.6 Sample Storage Procedures
View the document5.7 Sample Transportation Procedure
Open this folder and view contentsCHAPTER 6: HIV/AIDS AND PREGNANCY
Open this folder and view contentsCHAPTER 7: PEDIATRIC HIV/AIDS AND RELATED CONDITIONS
Open this folder and view contentsCHAPTER 8: COMMUNITY AND HOME BASED CARE FOR PEOPLE LIVING WITH HIV/AIDS (PLHA)
Open this folder and view contentsCHAPTER 9: COUNSELLING RELATED TO HIV-TESTING AND TREATMENT ADHERENCE
Open this folder and view contentsCHAPTER 10: MANAGEMENT OF COMMON SYMPTOMS AND OPPORTUNISTIC INFECTIONS IN HIV/AIDS
Open this folder and view contentsCHAPTER 11: MANAGEMENT OF MENTAL HEALTH PROBLEMS IN HIV/AIDS
Open this folder and view contentsCHAPTER 12: MANAGEMENT OF HIV INFECTED PATIENTS USING ANTIRETROVIRAL DRUGS
Open this folder and view contentsCHAPTER 13: ARV THERAPY IN INFANTS AND CHILDREN
Open this folder and view contentsCHAPTER 14: USE OF ARVS IN SPECIAL CIRCUMSTANCES
Open this folder and view contentsCHAPTER 15: HIV/AIDS AND NUTRITION
Open this folder and view contentsCHAPTER 16: MANAGEMENT OF ANTIRETROVIRAL MEDICINES
Open this folder and view contentsCHAPTER 17: CERTIFICATION OF HEALTHCARE FACILITIES AS CARE AND TREATMENT SITES
 

5.1.1 HIV Diagnosis in Adults and Children over 18 months

Diagnosis of HIV infection in adults and children older than 18 months can be made serologically by detection of antibodies to HIV using rapid tests or ELISA. To confirm a diagnosis of HIV infection, two tests are used in serial testing and a second test should only be done after the first test is positive or inconclusive, as per the national algorithm (Figure 1). Only HIV rapid and ELISA test kits in the national algorithms are to be use in Tanzania.


Figure 1: HIV Diagnosis Serological Testing Algorithm for Adults and Children over 18 Months

Notes:

In areas where it is available, ELISA tests can be done instead of rapid tests.
Send specimen to the laboratory whenever rapid test results are discrepant.
All children, regardless of exposure to HIV infection and of HIV status should be followed up according to the current national IMCI and/or WHO guidelines for management of children. See chapter 6.4.3, which states that children should followed up monthly in the first year of life, and 3 monthly thereafter till the age of 5 years.

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