HIV/AIDS Treatment and Care : Clinical protocols for the European ...

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Prevention of Hiv transmission from Hiv-infected motHers to tHeir infants V. Suggested minimum data to be collected at the clinical level The suggested minimum data to be collected are important in the development of key indicators on access to PMTCT services and its success. Such indicators assist managers in decision making on ways to strengthen and expand these services to all women who need them. The following data should be collected at the clinical level on a regular basis (e.g. monthly, quarterly or semi-annually): Antenantenal care services should collect data on the: • number of pregnant women • number of pregnant women who were tested for HIV • number of pregnant women who tested positive for HIV • number of HIV-infected pregnant women who had an abortion • number of HIV-infected pregnant women who received ARV prophylaxis during pregnancy • number of HIV-infected pregnant women who are opioid-dependent injecting drug users • number of HIV-infected pregnant women receiving OST • number of HIV-infected pregnant women receiving OST and ARV prophylaxis. Maternity services should collect data on the: • number of HIV-infected pregnant women who presented in the maternity services; • number of pregnant women who presented in the maternity services without prior HIV testing during pregnancy: ° among these how many received a rapid HIV test: - among these how many tested HIV positive; • number of HIV-infected pregnant women who presented in the maternity services without receiving ARV prophylaxis during pregnancy; • number of HIV-infected pregnant women who received ARV prophylaxis during labour; • number of HIV-infected opioid-dependent injecting drug users in the maternity services: ° among these how many received OST treatment during labour; • number of HIV-infected pregnant women who had a vaginal delivery; • number of HIV-infected pregnant women who had a planned caesarean section; • number of neonates born to HIV-infected women: ° among these number who received ARV prophylaxis; ° among these how many received milk formula feeding; ° among these how many received exclusive breastfeeding; • number of HIV-infected neonates, born to HIV -infected mothers, diagnosed by PCR; • number of neonates born to opioid dependent women; • number of neonates who received NAS treatment. 381
382 HIV/AIDS TREATMENT AND CARE CLINICAL PROTOCOLS FOR THE WHO EUROPEAN REGION Annex 1. Currently available medications for substance-dependence treatment during pregnancy Table 9. medications available for treating substance dependence during pregnancy Medication Dosage Side-effects Clinical considerations Opioid dependence Clonidine 0.1–0.2 mg every 4–6 hours, monitoring of withdrawal syndromes Naltrexone 50 mg/d, or 100 mg Monday and Wednesday and 150 mg Friday Buprenorphine 2–4 mg for induction a max. of 8 mg on first day; second day dosages up to 16 mg/d, depending on symptoms; may be given every other day at 8 mg dosage; 60+ mg usually more effective Methadone Dosage over 60 mg usually more effective Smoking cessation Nicotine patch 4 weeks of 21 mg/24 h then 2 weeks of 14 mg/24 h, then 2 weeks of 7 mg/24 h (Nicoderm CQ); or 15 mg/16 h (Nicotrol) 8 weeks Nicotine gum 2 mg for those who smoke
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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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I. Prevention strategies Prevention
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Prevention of HePatitis a, B, C and
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Prevention of HePatitis a, B, C and
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5. Contraceptive methods for women
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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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