MEASURES BEFORE ARV TREATMENT

Even without the use of specific ARV treatment, there are many ways in which good HIV management can help patients:

TREATMENT

Prophylaxis against opportunistic infections
  • Cotrimoxazole 960 mg once daily for adults and
    • children >30 kg
    • Child <5 kg: 120 mg once daily
    • Child 5-14.9 kg: 240 mg once daily
    • Child 15-29.9 kg: 480 mg once daily
  • Contraindications: known allergies, severe anaemia and neutropenia
  • Alternative: dapsone
    • Adults and child >12 years: dapsone 100 mg daily
    • Children below 12 years: dapsone 2 mg/kg daily
IPT (Isoniazid Preventive treatment)
  • Give isoniazid daily for 6 months in all adults, adolesents and children >12 months living with HIV and in whom TB disease has been excluded
  • If child <12 months, give only if history of contact with TB case and no active disease
    • Dose 5 mg/kg in adults (max 300 mg) and 10 mg/kg in children (max 300 mg)
Prompt and appropriate medical care
  • By treating opportunistic infections as they occur
  • By treating symptoms, such as pain, diarrhoea, and skin problems, as they develop Going for treatment promptly if unwell
Positive living
  • Encouraging patient/family to help themselves by:
    • Eating a balanced diet
    • Engaging in regular exercise
    • Keeping active and resting well
    • Spending quality time with family and friends
    • Obtaining support from a counsellor
    • Abstaining from sex or being faithful to one partner
    • Using a condom to help ensure safe sex