Optimal Standard of Medical Care for HIV+ Detainees
Posted by Emma Ginn
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Date: Thu, 4 Oct 2007
• Secondary Care Follow up
• Markers of disease status – CD4 count and viral load measured at least every 6 months
• Co-infection serology screen carried out at diagnosis– Syphilis, Hepatitis A,B,C, Toxoplasmosis, CMV.
• Annual cervical cytology screen
• Offer annual full sexual health screen
• Immunisations
• Hepatitis B (if negative serology)
• Influenza
• If uncertain childhood vaccinations - Diptheria/Tetanus/PARENTERAL Polio (Td/IPV)
• Pneumococcus (If CD4 > 200)
• Meningitis C (If < 25 years old)
• Consider MMR if CD4 > 200 and negative serology for measles. Also consider MMR in women who are negative for rubella and CD4 > 200.
Sources of Further Information for Immunisations
British HIV Association Guideline
Other useful websites
http://www.bashh.org/
http://www.aidsmap.com