Baumann U
Pädiatrische Immunologie, Abt. Pädiatrische Pneumologie, Medizinische Hochschule Hannover.
MMW Fortschr Med. 2005 Apr 25;147 Spec No 1:70-4.
The HIV infection in children is not easily characterized and, because of this, may remain undetected for a long time. Guiding symptoms could be chronic skin eczema, respiratory tract infections, otitides, diarrhea or parotitis. The German AIDS Pediatric Association (PAAD) has made recommendations for the treatment of HIV infections in children. The treatment of HIV-positive children should be conducted in connection with an experienced institution. The untreated HIV infection is associated with an especially high mortality during the first year of life. Antiretroviral therapy using liquid confections is also possible in children of every age other than premature infants and its efficacy has been demonstrated through studies. A specific feature of the treatment of HIV infections in children is the concealment of the diagnosis from the young patients to prevent an unintentional passing on of the diagnosis onto third parties. The subsequent necessary concealment strategy means an additional burden on the family concerned.
儿童感染艾滋病毒的情况不易被察觉,因此可能长时间未被发现。指导性症状可能是慢性皮肤湿疹、呼吸道感染、中耳炎、腹泻或腮腺炎。德国艾滋病儿童协会(PAAD)已针对儿童艾滋病毒感染的治疗提出了建议。艾滋病毒呈阳性儿童的治疗应在经验丰富的机构进行。未经治疗的艾滋病毒感染在生命的第一年死亡率特别高。除早产儿外,各个年龄段的儿童都可以使用液体制剂进行抗逆转录病毒治疗,并且其疗效已通过研究得到证实。儿童艾滋病毒感染治疗的一个特殊之处在于,要对年轻患者隐瞒诊断,以防止无意中将诊断告知第三方。随后必要的隐瞒策略给相关家庭带来了额外负担。