Universal Antiretroviral Treatment Eligibility for Children and Adolescents Living With HIV

Details

• Alternative Title:
  Pediatr Infect Dis J
• Personal Author:
  Dziuban, Eric J. ; Rivadeneira, Emilia D.
• Description:
  Antiretroviral treatment coverage for children living with HIV is low, and new efforts are underway to expand eligibility so that all children and adolescents qualify for the treatment regardless of immune suppression or clinical stage. Although recent trials provide direct evidence of the benefit of this approach in adults, no such studies have been performed in children. This report examines the available body of evidence regarding universal HIV treatment for children and adolescents and assesses the benefits and challenges both at individual patient health, as well as at programmatic level. Universal treatment eligibility for children with HIV has great potential for improved growth and neurodevelopment and fewer morbidities for children, and treatment coverage would be expected to increase through guideline simplification. However, concerns regarding toxicities, drug resistance and costs require careful planning. Successful implementation will depend on effective strategies for case-finding, treatment adherence support and program monitoring that will contribute to the growing evidence base for this pivotal pediatric HIV policy shift.
• Subjects:
  Adolescent Anti-HIV Agents Antiretroviral Therapy, Highly Active Child Eligibility Determination Health Policy HIV Infections Humans Practice Guidelines As Topic
• Keywords:
  Antiretroviral Therapy Children Eligibility Determination Guidelines HIV
• Source:
  Pediatr Infect Dis J. 35(11):1225-1228
• Pubmed ID:
  27294308
• Pubmed Central ID:
  PMC6403488
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/ ; PEPFAR/PEPFARUnited States/
• Volume:
  35
• Issue:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:327c5cb5694bc9fad9721f2ab8d33f298861cb6a8c1e2066d521cc2d64e4950f
• Download URL:
  https://stacks.cdc.gov/view/cdc/76377/cdc_76377_DS1.pdf
• File Type:
  [PDF - 54.29 KB ]