NACO/NACP (HIV-AIDS)

NACO Targets

1) Universal ART irrespective of CD4 count

2) 95% cdiagnosed →95% on Rx → 95% Viral Load suppression → 95%0 Good health related quality of Life.

screening of HIV÷

1) Tell the Names

2) Fill the gaps in above clinical scenarios

Diagnostic tests in adults

qPCR, Western blot

Diagnostic test of HIV in children

HIV TNA RT-PCR

(TNA → Total Nucleic acid)

1st inv to be positive in window period.

P24

Prognostic test

CD24

First Line ART

Post Exposure Prophylaxis (PEP)÷ (Needle stick injury)

1) Tell the drugs with doses.

2) To be started within

TLD: T300,L300,D50 × 28

Post- Exposure Prophylaxis (PEP) : (needle stick injury)

1) Drug with dose

2) started within

TLD: T300, L300, D50×28 days as 1 OD tablet

started within: 2hv (max:72 hrs).

Prevention of PJP [pneumocystis Jivorecii Pneumonia]

1) Drug with dose

2) when to start and stop

3) minimum Duration

Cotrimoxole ÷

1)800mg Sulfamethoxazole + 160mg Trimethoprim

2) started @ CD4 <350/mm3

stopped @ CD4 >350 on 2 occasions 6 months apart.

3) min Duration: 6months.

Prevention of mother to child Transmission

tell everything.

when Live vaccines are C/I in children born to HIV positive Mother?

If child have÷

1) CD4 <200

2) Relative CD4 <15%

3) HIV symptomatic.

Breast Feeding.

HIV-TB

NACO organisation

What dose Suraksha clinics do?

Sentind Surveillance (To find missing case) by ÷

→ Behavioural change therapy for clients of commercial sex workers and high risk.

→ syndromec Mx with kits.

sero - surveillance

NARO- District Categorization

What is Tuberculin conversion Index÷

% of individuals showing +ve reaction in standard tuberculin test.

1st Line ART C/I in Renal Failure pt.

Tenofovir

m/c HIV in india

HIV-1 (group→ M subgroup → C)

Pre-exposure prophylaxis of HIV÷