Medicine an Surgery notes

Apr 24th, 2015
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THE SOUTH AFRICAN ANTIRETROVIRAL TREATMENTGUIDELINES2010The South African Antiretroviral Treatment Guidelines2010Goals of the programmeAchieve best health outcomes in the most cost-efficient mannerImplement nurse-initiated treatmentDecentralise service delivery to PHC facilitiesIntegrate services for HIV, TB, MCH, SRH and wellnessDiagnose HIV earlierPrevent HIV disease progressionAvert AIDS-related deathsRetain patients on lifelong therapyPrevent new infections among children, adolescents, and adultsMitigate the impact of HIV & AIDSObjectivesTo contribute to strengthening of the public and private health sectors capacity to deliverhigh quality integrated health and wellness servicesTo ensure timely initiation of ARVs for treatment and prevention according to thePresidential mandatesTo minimize unnecessary drug toxicitiesSpecific ObjectivesTo prioritise ARVs for: Patients with CD4 counts < 200cells/mm3 or with severe HIV disease irrespective ofCD4 Patients co-infected with TB/HIV Pregnant women with CD4 < 350cells/mm3 for lifelong ART and CD4 >350cells/mm3for prophylaxisTo test all HIV exposed children under one year and treat all those found to be infected withHIVTo standardise first and second line therapy for children, adolescents, and adults in thepublic and private sectorTo reduce the use of stavudineTo expand the use of fixe

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