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Clinical Algorithm for Screening of HIV Among High-risk Children — Need of the Hour!

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Human immunodeficiency virus (HIV) transmission in children is most commonly due to vertical transmission [1]. Under the Prevention of parent to child transmission (PPTCT) program, all pregnant women are screened… Click to show full abstract

Human immunodeficiency virus (HIV) transmission in children is most commonly due to vertical transmission [1]. Under the Prevention of parent to child transmission (PPTCT) program, all pregnant women are screened for HIV, which enables early diagnosis of HIV-exposed infants as they are at high risk for malnutrition, growth failure, developmental delay and repeated infections with common as well as uncommon organisms [1].Without treatment, about one third of infants living with HIV will die in their first year and 50% by the second year of life [1]. The National HIV program provides access to early diagnosis for HIV testing of infants and children younger than 18 months who are HIV-exposed, and ensures that they receive the required essential package of care as part of the country’s commitment on achieving 90-90-90 target by 2030, which aims at ending the acquired immunodeficiency syndrome (AIDS) epidemic [1]. In an attempt to achieve the target, screening of sick infants/ children with unknown HIV exposure is important.

Keywords: algorithm screening; high risk; hiv; clinical algorithm; screening hiv

Journal Title: Indian Pediatrics
Year Published: 2020

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