Annex 4. Package of care for advanced HIV disease

Table A4.1 summarizes the specific components of the package of interventions that should be offered to people presenting with advancsed HIV disease. For detailed guidance on the package of interventions for advanced HIV disease, including for children, see Guidelines for managing advanced HIV disease and rapid initiation of antiretroviral therapy (1) and WHO consolidated guidelines on tuberculosis: Module 5. management of tuberculosis in children and adolescents (2).


Table A4.1. Components of the package of care for people with advanced HIV disease

Table_A4_1

 

ART: antiretroviral therapy; CRP: C-reactive protein; CXR: chest X-ray; LF-LAM: lateral flow lipoarabinomannan; mWRDs: molecular WHOrecommended rapid diagnostic test; W4SS: WHO-recommended four symptom screen 

a Screening not advised in this age group 

b TB preventive treatment should be provided in accordance with current WHO guidance.

c People receiving a positive WHO four symptom screen should initiate ART while being evaluated for TB if clinical signs and symptoms of meningitis are absent.

References for Annex 4

  1. Guidelines for managing advanced HIV disease and rapid initiation of antiretroviral therapy, July 2017. Geneva: World Health Organization; 2017 (https://apps.who.int/iris/handle/10665/255884, accessed 31 August 2023).
  2. WHO consolidated guidelines on tuberculosis. Module 5: management of tuberculosis in children and adolescents. Geneva: World Health Organization; 2022 (https://apps.who.int/iris/handle/10665/352522, accessed 31 August 2023).

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