Medicine an Surgery notes

Apr 24th, 2015
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ARV ACCESS ROLE OF PHARMACYDr. Peter MbwiiriPharmacistHIV Specialty Pharmacy, pmhPRIMARY ROLE OF PHARMCY- COMMODITY (DRUG) MANAGEMENT1. Selection2. Procurement3. Distribution4. Ensure Rational UseARV PROGRAMS1. HAART GOK supported PEPFAR supported PMCT+ (CDC supported)2. PEP KNH Sponsored Staff Self-sponsored3. PMCT CDC SupportedCurrent regimens for PMTCT inKNHTiming ofknowingHIVstatusPMCT antiretroviral regimen*AntenatalIntrapartumPostpartumBefore 36weeksAZT 300 mgBD from28-36weeksNevirapine 200 mgorally at onset oflabour.AZT 300 mg 3 hourlyfrom onset oflabour to deliveryNevirapine 2 mg/kg stat within72 hours to the infantPlusZidovudine 2mg/Kg BD for 1weekNevirapine 200 mgorally at onset oflabourNevirapine 2 mg/kg stat within72 hours to the infantPlus Zidovudine 2mg/Kg BDfor 1 weekAfter 36weeks orearlylabourPost-partumNevirapine 2 mg/kg stat within72 hours to the infantPlus Zidovudine 2mg/Kg BDfor 1 weekROLE OF OTHER UNITS1.2.3.4.ANCLABOR WARDPNWPNCHAART ELIGIBILITY1.Clinical Criteria2.Social Criteria3.Adherence Criteria1. CLINICAL CRITERIAa)Adults HIV Positive WHO Stage 1,2 or 3 with CD4 T cells <200/mm3 WHO Stage 4 irrespective of CD4 count Karnofsky Performance Score greateror equal to 40%Clinical Criteriab) ChildrenUnder 18 months - PCR positive WHO Stage 1 or 2 cd4 % < 20% WHO Stage 3 regardless of CD4%Under 18 mo

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