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Medical care of PLWA

Medical care of PLWA

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Medical care of PLWA

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  1. Medical care of PLWA • Medical care is only one aspect of care • Medical care must be linked to and supported by other forms of care • ARVs are only one aspect of medical care • Other forms of treatment can also prolong & improve quality of life

  2. General aims of medical care • Curative • Preventive • Palliative

  3. Aims of medical care for PLWA • Relief of symptoms • Curing or preventing opportunistic infections • Curing or controlling cancers • Controlling the HIV virus

  4. Relief of symptoms • Keep the person as comfortable as possible • maintains dignity • reduces stress • Simple, inexpensive medicines: e.g., • aqueous cream for dry itchy skin • loperamide for chronic diarrhoea • Management of mental problems • Management of pain • Traditional remedies

  5. Opportunistic infections Treatment: • Many infections in PLWA can be treated • Can often be treated with drugs that are widely available & inexpensive e.g., skin infections, pneumonia, STIs, candida

  6. Opportunistic infections Prevention: Cotrimoxazole: PCP, bacterial pneumonias, toxoplasmosis, GI infections WHO indications: CD4 count < 500 Total lymphocyte count < 2000 PLWA with symptoms (WHO stage 2- 4) PLWA with TB HIV+ pregnant women in 3rd trimester

  7. Opportunistic infections Prevention: • INH – tuberculosis • Intermittent presumptive treatment for malaria in pregnant women