Guidelines

All guidelines are peer reviewed by a multidisciplinary guideline group to ensure that any advice given is representative of best practice and provides the most current information.

If you have any comments on any of the guidelines, or want to contribute please send a message to development [at] chiva [dot] org [dot] uk

Also see the sections for new guidelines under development and Clinic forms section.^{Updated March 2011}

CHIVA Standards of Care
for infants, children, and young people with HIV, (including infants born to mothers with HIV)
reference version

Testing:

Testing and diagnosis

• BHIVA UK national guidelines for HIV testing
• 'Don't Forget the Children'
• HIV testing guidelines for children of HIV positive parents (or siblings) ^{Updated March 2011}
  - testing pathway
• Guidelines for the testing of looked after children at risk of blood-borne infections
• Baseline investigations for children with HIV ^{Updated March 2011}

Follow-up:

Multidisciplinary monitoring and intervention

• Dietetic annual assessment form ^{Updated January 2012}
  as a word doc [49 Kb]
  as a pdf file [57 Kb]
• Disclosure process recording chart ^{New March 2011}
  as a word doc [61 Kb]
  as a pdf file [76 Kb]
• Talking to children ^{Updated March 2011}
  - clinical version - knowledge explanations grid
• Management of dyslipidaemia in HIV infected children ^{Updated March 2011}
  - algorithm for treatment of paediatric dyslipidaemia ^{Updated March 2011}
• Monitoring neurological and developmental outcomes ^{Updated March 2011}
  - clinical version

Treatment:

Antiretrovirals and monitoring
Also see Anti-retroviral drugs for paediatric use

• Influenza antiviral interactions ^{Updated March 2011}
• Baseline investigations for an infant/child starting on ART ^{Updated March 2011}
• Treatment of HIV infected children, refer to PENTA 2009 treatment guidelines
  as a pdf file [1.2 MB]

Vaccinations

• Vaccination of HIV infected children (UK schedule March 2011)
• Vaccination of HIV Infected Children with Uncertain or Incomplete Immunisation Status (March 2011)

PEP:

Post-exposure prophylaxis

• Post-exposure prophylaxis (PEP) ^{Updated March 2011}
  - download clinical version

Adherence:

Adherence and pill taking

• Protocol to enhance adherence ^{Updated March 2011}
• Taking medication: A factsheet for parents/carers  ^{Updated March 2011}
• You and your medicine: A factsheet for young people ^{Updated March 2011}
• Pill swallowing technique ^{Updated March 2011}

Complications:

Complications, opportunistic infections and immunisation.

• Treating opportunistic infections in HIV-infected children ^{Under review}
• The child with HIV and a fever ^{Under review}
• The child with HIV and gastroenteritis ^{Updated March 2011}
• The child with HIV and respiratory illness ^{Updated March 2011}
• Immunisation of HIV infected children^{Under review}

Young people:

Schools, growing up and transition.

• Guidance On The Management Of Sexual And Reproductive Health For Adolescents Living With HIV 2011.^New
• HIV in schools
  - factsheet
• CHIVA Guidance on Transition for adolescents living with HIV ^New

Mother-to-child transmission:

Mother-to-child transmission, pregnancy and infant feeding.

• BHIVA/CHIVA guidelines for the treatment of pregnant women
• Position statement on infant feeding in the UK
• Recommended perinatal care ^{Updated March 2011}