Document 0443 DOCN M9590443 TI Managing the child infected with HIV. DT 9509 AU Larson T; Bechtel L; Department of Pediatrics, University of Nevada School of; Medicine, Reno 89557-0046, USA. SO Prim Care. 1995 Mar;22(1):23-50. Unique Identifier : AIDSLINE MED/95296448 AB Care of the HIV-infected/exposed infant and child is both routine and challenging. Routine well child care and immunizations are an important part of maintaining and monitoring health status. Challenges arise in the management of acute illnesses and the numerous crises that are experienced by the family caring for that child. Therapy guidelines now provide a logical way in which to initiate antiretroviral treatment and PCP prophylaxis. In HIV-infected children with early disease, common pathogens initially predominate, and only in advanced immune suppression does care become complicated enough to require expert consultation. With increasing numbers of HIV-infected women, perinatally acquired infections in infants will become more common. Early testing and identification will increasingly be important as a way to impact on the significant morbidity and mortality seen in infants less than 6 months old. A caring, compassionate, and comprehensive approach to the care of HIV-infected infants and children results in increased survival and lengthening of disease-free time. Providing this vitally needed care is both satisfying and stimulating. DE Acute Disease/THERAPY AIDS-Related Opportunistic Infections/PREVENTION & CONTROL Child, Preschool CD4 Lymphocyte Count Disease Transmission, Vertical Family/PSYCHOLOGY Human HIV Infections/*CONGENITAL/*THERAPY/TRANSMISSION Infant Infant, Newborn Infection Control Social Support Zidovudine/THERAPEUTIC USE JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).