SidaSubSaharaV1, Istex, Corpus, bibRecord, 002737

A family clinic—optimising care for HIV infected children and their families

Identifieur interne : 002737 ( Istex/Corpus ); précédent : 002736; suivant : 002738

A family clinic—optimising care for HIV infected children and their families

Auteurs : Diana M. Gibb ; Janet Masters ; Delane Shingadia ; Sue Trickett ; Nigel Klein ; Candy Duggan ; Vas Novelli ; Danielle Mercey

Source :

Archives of Disease in Childhood [ 0003-9888 ] ; 1997-12-01.

RBID : ISTEX:788DC3B7CF98C0B0633133327E13B9808524A9E9

English descriptors

Abstract

A family clinic providing specialist paediatric and adult medical, testing, counselling, and terminal care services for families living with HIV was set up at a paediatric tertiary care hospital in London in 1991. During the first five years, until April 1996, 185 children from 149 families attended, including 119 infected children, of whom 32 have died. Only 5% of mothers were born in the UK; the rest were born in 24 different countries, the majority in sub-Saharan Africa. Less than a quarter of children were cared for by both parents, 61% by mothers alone, and 11% by guardians or foster parents. Of the adult attendees, 76% were women, and more than half were untested when they first attended the clinic. Provision of a family planning service within the family clinic was initiated as a result of women presenting with unplanned pregnancies. Shared care with local clinics is increasing, but with the complexity around the management of paediatric HIV infection, particularly with regard to antiretroviral treatments, there is need for continued specialist input. Coordination among specialist and locally based family services is required to provide flexible, accessible, and up to date care for families living with HIV infection in London.

Url:

https://api.istex.fr/document/788DC3B7CF98C0B0633133327E13B9808524A9E9/fulltext/pdf

DOI: 10.1136/adc.77.6.478

Links to Exploration step

ISTEX:788DC3B7CF98C0B0633133327E13B9808524A9E9

Le document en format XML

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<abstract xml:lang="en"><p>A family clinic providing specialist paediatric and adult medical, testing, counselling, and terminal care services for families living with HIV was set up at a paediatric tertiary care hospital in London in 1991. During the first five years, until April 1996, 185 children from 149 families attended, including 119 infected children, of whom 32 have died. Only 5% of mothers were born in the UK; the rest were born in 24 different countries, the majority in sub-Saharan Africa. Less than a quarter of children were cared for by both parents, 61% by mothers alone, and 11% by guardians or foster parents. Of the adult attendees, 76% were women, and more than half were untested when they first attended the clinic. Provision of a family planning service within the family clinic was initiated as a result of women presenting with unplanned pregnancies. Shared care with local clinics is increasing, but with the complexity around the management of paediatric HIV infection, particularly with regard to antiretroviral treatments, there is need for continued specialist input. Coordination among specialist and locally based family services is required to provide flexible, accessible, and up to date care for families living with HIV infection in London.</p>
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Department of Infectious Diseases, Great Ormond Street Hospital for Children NHS Trust, London, </target>
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<abstract><p>A family clinic providing specialist paediatric and adult medical, testing, counselling, and terminal care services for families living with HIV was set up at a paediatric tertiary care hospital in London in 1991. During the first five years, until April 1996, 185 children from 149 families attended, including 119 infected children, of whom 32 have died. Only 5% of mothers were born in the UK; the rest were born in 24 different countries, the majority in sub-Saharan Africa. Less than a quarter of children were cared for by both parents, 61% by mothers alone, and 11% by guardians or foster parents. Of the adult attendees, 76% were women, and more than half were untested when they first attended the clinic. Provision of a family planning service within the family clinic was initiated as a result of women presenting with unplanned pregnancies. Shared care with local clinics is increasing, but with the complexity around the management of paediatric HIV infection, particularly with regard to antiretroviral treatments, there is need for continued specialist input. Coordination among specialist and locally based family services is required to provide flexible, accessible, and up to date care for families living with HIV infection in London.</p>
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A family clinic—optimising care for HIV infected children and their families

A family clinic—optimising care for HIV infected children and their families

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