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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
 

5.1.3 HIV Diagnostic Protocol for Abandoned Infants

In case of unavailability of the mother, the guardian needs to be counselled and the child started on co-trimoxazole prophylaxis. If PCR test is available, test the child at 6 weeks and proceed according to figure 5.2.

1. 6 weeks of age: HIV PCR 2. 3 months of age: Repeat HIV PCR to confirm 6 week result

Notes:

1. A clinical examination to assess for signs and symptoms of HIV infection should be performed during all visits, and especially at 6 weeks and 3 months of age. The infant should thereafter be followed up as per recommendations for all children

2. Postnatal transmission of HIV infection is likely to be evident by 6 weeks after termination of breastfeeding. Nevertheless it is recommended that the final qualitative HIV PCR test on abandoned infants be performed 3 months after breastfeeding has ceased.


If PCR is unavailable clinical monitoring and prophylaxis should continue until the child reaches stage III upon which ART can be started. HIV testing (ELISA or rapid) should be performed as soon as the child attains 18 months of age.

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