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348 HIV/AIDS TREATMENT AND CARE CLINICAL PROTOCOLS FOR THE WHO EUROPEAN REGION 3. What percentage of the time do you and your partner(s) use condoms (or other barriers such as diaphragms or cervical caps)? Sex trading 1. Have you ever exchanged sex for food, shelter, drugs or money? 2. Are you earning an income by sex work? Contraception 1. For heterosexual/bisexual patients: a. What method of birth control do you use? b. How long have you been using it? c. Do you use any additional barriers? 2. Are you interested in becoming pregnant? 3. If yes, do you have any plans for when? Are you interested in birth control? Sexually transmitted infections (STIs) 1. Have you ever been treated for: a. syphilis b. gonorrhoea c. proctitis d. vaginitis e. genital herpes f. Chlamydia g. non-gonococcal urethritis (NGU) h. pelvic inflammatory disease i. genital warts 2. Note site, date, treatment and compliance 3. Have you ever had a Pap smear? a. When was the last time? b. To your knowledge, have any been abnormal? Substance use 1. Do you smoke or chew tobacco? a. How many cigarettes/how much smokeless tobacco (chewing or snuff) do you consume per day? b. How long have you used tobacco? 2. How often do you drink alcohol? How many drinks per week on average? a. Have you ever drunk so much that the next day you didn’t remember what you did (“blackouts”)? b. Have you ever experienced withdrawal symptoms (cravings, “the shakes”, “the DTs” (delirium tremens))? c. Are you ever worried about your alcohol use? 3. Do you use drugs for fun? a. What kinds of drugs? b. How often do you take these drugs (daily, weekly, monthly, occasionally)? c. For how long have you been taking them? d. Have you ever taken so much that the next day you didn’t remember what you did? e. Are you ever worried about your drug use?
4. Are you on any medicine to help you sleep or relax? If so, what? 5. Are you on any pain relievers? If so, which ones? support for sexual and reproductive health in people living with hiv 6. Have you ever injected drugs and medications (including steroids or vitamins)? 7. If so, have you ever shared needles or works, even just once? 8. Have any of your current or past sex partners ever injected drugs? Intimate partner or gender-based violence (Read section IV.4. of this protocol first to help avoid causing unnecessary stress for the patient.) 1. Have you ever been sexually abused, assaulted or raped? 2. In your adult life, have you ever lived in a situation with physical violence or intimidation? 3. If yes to either of the above, when did they occur? 4. Are you currently encountering discrimination, humiliation or physical or sexual violence? 5. Are you afraid for your safety now? For example, are you physically forced to have sexual intercourse against your will? Do you have sexual intercourse because you are afraid of what your partner may do? 6. Have you been forced to do something sexual that you found degrading or humiliating? 349
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HIV/AIDS TREATMENT AND CARE Clinica
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© World Health Organization 2007 A
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iv Acknowledgements The editors wou
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vi Marco Vitoria (WHO headquarters)
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viii CRP C-reactive protein CS caes
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x LFT liver function test LGE linea
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xii TDM therapeutic drug monitoring
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xiv Introduction HIV is a chronic i
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Annex 7. Glossary .................
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HIV/AIDS TREATMENT AND CARE CLINICA
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HIV/AIDS TREATMENT AND CARE CLINICA
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10 HIV/AIDS TREATMENT AND CARE CLIN
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1 HIV/AIDS TREATMENT AND CARE CLINI
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I. Principles management of opportu
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management of opportunistic infecti
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Table 8. pcp second-line treatment
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Table 12. oesophageal and dissemina
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5.9.1.2. Treatment Table 15. treatm
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palliative care for people living w
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III. Initial evaluation palliative
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IV. Treatment palliative care for p
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Fig. 2. who analgesic ladder for ma
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Type of pain or treatment Usual sta
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Table 5. prevalence of symptoms in
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Type Symptoms Possible causes Disea
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Type Symptoms Possible causes Disea
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Table 22. Management of mania and B
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Table 24. Management of cough or di
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V. Special advice for terminal care
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Table 27. common manifestations in
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References palliative care for peop
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VI. Suggested minimum data to be co
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136 HIV/AIDS TREATMENT AND CARE CLI
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Contents I. Policy and principles .
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I. Policy and principles HIV/AIDS T
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HIV/AIDS TREATMENT AND CARE FOR INJ
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° bacterial pneumonia ° endocardi
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Social factors are: • homelessnes
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Table 3. Interactions between ARV d
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Other medications Use Rifampicin (R
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Table 5. Interactions of illicit dr
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ANNEX 1 ASI6 C © 2004 University o
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• Cardiovascular Hypertension Tac
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Contents I. Epidemiology and natura
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ManageMent of Hepatitis C and HiV C
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Annex 3. Alcohol screening question
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Table 16. a sample of the drug pipe
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3.2. Considerations regarding treat
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278 hiv/aids tReatment and caRe cLi
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• Disseminated non-tuberculous my
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Annex 3. Rabies vaccines ..........
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442 hIv/aIds tReatment and caRe clI
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Contents I. Policy issues .........
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I. Policy issues post-exposure prop
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post-exposure prophylaxis for hiv i
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° condom use ° presence of STIs (
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Table 3. thre- drug arv regimens Pr
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VI. Suggested minimum data to be co
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History of antiretroviral treatment
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Test results: HBV: HCV: HIV: Post-t
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Infection control standard precauti
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The World Health Organization (WHO)
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