Management of Patients with HIV and AIDS

Posted by e-Medical PPT Friday, June 1, 2012
Human Immunodeficiency Virus
Infectious agent
Requires human host
RNA-based retrovirus
Destroys Helper T-cells (CD4+)
 HIV encephalopathy
 Wasting syndrome
 Blood abnormalities

Acquired Immunodeficiency Syndrome  (AIDS)
Group of disorders caused by the progressive immune system destruction associated with HIV infection
Characterized by opportunistic diseases and neoplasias

HIV: Modes of Transmission
Contact with infected blood/blood products
Contact with infected body fluids
Across placental barrier from infected mother to fetus, or through cervical or blood contact at time of delivery or through breast milk

HIV/AIDS: Important Aspects of Care
 Safer Sex Practices
 Harm Reduction Strategies
 Reproductive education
Early detection
 Enzyme immunoassay testing
Ongoing treatment
 Managed as a chronic disease
 Outpatient care setting

Stages of HIV Disease
Based on:
Clinical history, physical exam, lab evidence of immune dysfunction, signs/symptoms, and presence of infections and malignancies
Primary infection (part of CDC Category A)
HIV Symptomatic (CDC Category A)
HIV Symptomatic (CDC Category B)
AIDS (CDC Category C)

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