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Oral Combinational Antiretroviral Treatment in HIV-1 Infected Humanized Mice
Published on: October 6, 2022
Pediatric antiretroviral therapy
Adriana Cadilla1, Nadia Qureshi, Daniel C Johnson
1University of Chicago, Pritzker School of Medicine, 5841 S. Maryland Avenue, MC6082, Chicago, IL 60637, USA.
Insights
Antiretroviral therapy options for children with HIV have expanded. This overview covers new pediatric HIV treatment guidelines, drugs, and management strategies for children and adolescents.
Area of Science:
- Pediatric Infectious Diseases
- HIV/AIDS Research
- Pharmacology
Background:
- Perinatal HIV transmission is declining in developed nations but remains a primary source of pediatric HIV globally.
- Advances in clinical trials, viral resistance testing, and new medications have broadened initial treatment choices.
- Effective antiretroviral therapy (ART) is crucial for managing pediatric HIV.
Purpose of the Study:
- To provide an overview of current antiretroviral therapy for treatment-naive children with HIV.
- To present updated pediatric HIV treatment guidelines and recent clinical trial findings.
- To detail new ART drugs, dosages, resistance testing, and monitoring for pediatric populations.
Main Methods:
- Review of recent clinical trial data.
- Analysis of updated National Institutes of Health (NIH) guidelines.
- Compilation of information on newly approved pediatric antiretroviral drugs.
- Summary of drug resistance testing and monitoring recommendations.
Main Results:
- Significant advancements in ART have increased treatment options for children.
- New drugs and updated guidelines offer improved management strategies.
- Comprehensive information on pediatric ART, including adherence and contraception, is now available.
Conclusions:
- Current ART regimens offer effective options for children and adolescents with HIV.
- Adherence, disclosure, and contraception are critical considerations in pediatric HIV management.
- Ongoing research and updated guidelines are essential for optimizing pediatric HIV care.
Abstract:
The rate of perinatal HIV transmission has decreased significantly in developed countries. However, worldwide, it remains the main source of HIV infection within the pediatric population. Recent advances as a result of findings from clinical trials, viral resistance testing and the advent of new drugs have increased the options for initial treatment regimens. This article provides an overview of antiretroviral therapy in treatment-naive children, including recent pediatric data and updated guidelines from the NIH. It also provides information on new drugs approved for the pediatric age group, dosage information, drug resistance testing and monitoring suggestions for children and adolescents receiving antiretroviral therapy. Special issues pertaining to adherence, disclosure and contraception are also highlighted.
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