lOMoAR
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cPSD|36357603
36357603
ATI PEDS HIV\AIDS MODULE 1
CHAPTER 37
conditions listed in the mildly symptomatic category (A).
UNIT 2 SYSTEM DISORDERS
SECTION: IMMUNE AND INFECTIOUS DISORDERS
CHAPTER 37 HIV/AIDS
HIV infection is a viral infection in which the
virus primarily infects a specific subset of
T-lymphocytes, the CD4 T cells, causing immune
dysfunction. The virus impairs or destroys
cells of the immune system and progressively
destroys the body’s ability to fight off infections.
This leads to organ dysfunction and a variety of
opportunistic illnesses in a weakened host.
DATA COLLECTION
RISK FACTORS
● Infants can become infected perinatally or by ingesting
breast milk from an HIV infected woman perinatally or
by breast milk.
● Exposure to blood products or body fluids that contain
the HIV virus
● Sexual assault survivor
● Risky behaviors (unprotected sexual activity and IV
substance use)
● Sexually transmitted infections
● Lack of awareness of risk factors and modes of
transmission
EXPECTED FINDINGS
37.1 HIV infection stages
LESS THAN 6 YEARS
12 MONTHS 1 TO 5 YEARS AND OLDER
(CELLS/µL*) (CELLS/µL) (CELLS/µL)
Stage 1 1,500 or more 1,000 or more 500 or more
Stage 2 750 to 1,499 500 to 999 200 to 499
Stage 3 Less than 750 Less than 500 Less than 200
*CD4+ T-lymphocyte count
Source: CDC.gov
HIV clinical classification
To read more about HIV, go to the website of the Centers
for Disease Control and Prevention.
Category N: Asymptomatic
No manifestations are present, considered to be the
result of HIV infection, or the child has only one of the
, lOMoAR cPSD| 36357603
Category C: Severely symptomatic
Category A: Mildly symptomatic
Children who have the following conditions are considered
Children have two or more of the following mildly
severely symptomatic.
symptomatic manifestations, but none of the
● Multiple serious bacterial infections (meningitis, bone
conditionslisted in the moderately or severely
or joint, abscesses of internal organ or body cavity,
symptomatic categories (B or C).
septicemia, mycobacterial pneumonia)
● Lymphadenopathy
● Esophageal or pulmonary candidiasis, (bronchi,
● Hepatomegaly
trachea, lungs)
● Splenomegaly
● Cytomegalovirus disease (greater than 1 month of age
● Recurrent upper respiratory infections,
with site other than liver, spleen, or lymph nodes)
sinusitis, or otitis media
● HSV stomatitis, bronchitis, pneumonitis, or esophagitis
● Oral candidiasis
lasting longer than 1 month
● Parotitis
● Kaposi’s sarcoma
Category B: Moderately symptomatic ● Tuberculosis
Children have more serious manifestations, including: ● Encephalopathy with developmental delays
● Anemia ● Extrapulmonary cryptococcosis
● Bacterial meningitis, pneumonia, or ● Cryptosporidiosis
sepsis(single episode) ● Disseminated histoplasmosis
● Oropharyngeal candidiasis ● Pneumocystis carinii pneumonia
● Cytomegalovirus infection ● Encephalopathy
● Cardiomyopathy ● Septicemia
● Herpes zoster ● Wasting syndrome
● Herpes simplex virus (HSV), bronchitis, ● Lymphoma
pneumonitis,or esophagitis
● Hepatitis HIV infection: 13 to 20 years
● Lymphoid interstitial pneumonia (LIP) or
Refer to ADULT MEDICAL SURGICAL REVIEW MODULE,
pulmonarylymphoid hyperplasia complex
CHAPTER 76: HIV/AIDS.
● Leiomyosarcoma
● Toxoplasmosis
lOMoARcPSD|
cPSD|36357603
36357603
ATI PEDS HIV\AIDS MODULE 1
CHAPTER 37
conditions listed in the mildly symptomatic category (A).
UNIT 2 SYSTEM DISORDERS
SECTION: IMMUNE AND INFECTIOUS DISORDERS
CHAPTER 37 HIV/AIDS
HIV infection is a viral infection in which the
virus primarily infects a specific subset of
T-lymphocytes, the CD4 T cells, causing immune
dysfunction. The virus impairs or destroys
cells of the immune system and progressively
destroys the body’s ability to fight off infections.
This leads to organ dysfunction and a variety of
opportunistic illnesses in a weakened host.
DATA COLLECTION
RISK FACTORS
● Infants can become infected perinatally or by ingesting
breast milk from an HIV infected woman perinatally or
by breast milk.
● Exposure to blood products or body fluids that contain
the HIV virus
● Sexual assault survivor
● Risky behaviors (unprotected sexual activity and IV
substance use)
● Sexually transmitted infections
● Lack of awareness of risk factors and modes of
transmission
EXPECTED FINDINGS
37.1 HIV infection stages
LESS THAN 6 YEARS
12 MONTHS 1 TO 5 YEARS AND OLDER
(CELLS/µL*) (CELLS/µL) (CELLS/µL)
Stage 1 1,500 or more 1,000 or more 500 or more
Stage 2 750 to 1,499 500 to 999 200 to 499
Stage 3 Less than 750 Less than 500 Less than 200
*CD4+ T-lymphocyte count
Source: CDC.gov
HIV clinical classification
To read more about HIV, go to the website of the Centers
for Disease Control and Prevention.
Category N: Asymptomatic
No manifestations are present, considered to be the
result of HIV infection, or the child has only one of the
, lOMoAR cPSD| 36357603
Category C: Severely symptomatic
Category A: Mildly symptomatic
Children who have the following conditions are considered
Children have two or more of the following mildly
severely symptomatic.
symptomatic manifestations, but none of the
● Multiple serious bacterial infections (meningitis, bone
conditionslisted in the moderately or severely
or joint, abscesses of internal organ or body cavity,
symptomatic categories (B or C).
septicemia, mycobacterial pneumonia)
● Lymphadenopathy
● Esophageal or pulmonary candidiasis, (bronchi,
● Hepatomegaly
trachea, lungs)
● Splenomegaly
● Cytomegalovirus disease (greater than 1 month of age
● Recurrent upper respiratory infections,
with site other than liver, spleen, or lymph nodes)
sinusitis, or otitis media
● HSV stomatitis, bronchitis, pneumonitis, or esophagitis
● Oral candidiasis
lasting longer than 1 month
● Parotitis
● Kaposi’s sarcoma
Category B: Moderately symptomatic ● Tuberculosis
Children have more serious manifestations, including: ● Encephalopathy with developmental delays
● Anemia ● Extrapulmonary cryptococcosis
● Bacterial meningitis, pneumonia, or ● Cryptosporidiosis
sepsis(single episode) ● Disseminated histoplasmosis
● Oropharyngeal candidiasis ● Pneumocystis carinii pneumonia
● Cytomegalovirus infection ● Encephalopathy
● Cardiomyopathy ● Septicemia
● Herpes zoster ● Wasting syndrome
● Herpes simplex virus (HSV), bronchitis, ● Lymphoma
pneumonitis,or esophagitis
● Hepatitis HIV infection: 13 to 20 years
● Lymphoid interstitial pneumonia (LIP) or
Refer to ADULT MEDICAL SURGICAL REVIEW MODULE,
pulmonarylymphoid hyperplasia complex
CHAPTER 76: HIV/AIDS.
● Leiomyosarcoma
● Toxoplasmosis
