AIDS Clinic Singapore | Shim Clinic
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Acquired immune deficiency syndrome (AIDS) is a late stage of chronic HIV infection, which is characterized by the appearance opportunistic infections (OIs) resulting from a declining CD4 count due to it’s depletion by the HIV.
AIDS-Defining Conditions
- Bacterial infections, multiple or recurrent*
- Candidiasis of bronchi, trachea, or lungs
- Candidiasis of esophagus†
- Cervical cancer, invasive§
- Coccidioidomycosis, disseminated or extrapulmonary
- Cryptococcosis, extrapulmonary
- Cryptosporidiosis, chronic intestinal (>1 month’s duration)
- Cytomegalovirus disease (other than liver, spleen, or nodes), onset at age >1 month
- Cytomegalovirus retinitis (with loss of vision)†
- Encephalopathy, HIV related
- Herpes simplex: chronic ulcers (>1 month’s duration) or bronchitis, pneumonitis, or esophagitis (onset at age >1 month)
- Histoplasmosis, disseminated or extrapulmonary
- Isosporiasis, chronic intestinal (>1 month’s duration)
- Kaposi sarcoma†
- Lymphoid interstitial pneumonia or pulmonary lymphoid hyperplasia complex*†
- Lymphoma, Burkitt (or equivalent term)
- Lymphoma, immunoblastic (or equivalent term)
- Lymphoma, primary, of brain
- Mycobacterium avium complex or Mycobacterium kansasii, disseminated or extrapulmonary†
- Mycobacterium tuberculosis of any site, pulmonary,†§ disseminated,† or extrapulmonary†
- Mycobacterium, other species or unidentified species, disseminated† or extrapulmonary†
- Pneumocystis jirovecii pneumonia†
- Pneumonia, recurrent†§
- Progressive multifocal leukoencephalopathy
- Salmonella septicemia, recurrent
- Toxoplasmosis of brain, onset at age >1 month†
- Wasting syndrome attributed to HIV
* Only among children aged <13 years. (CDC. 1994 Revised classification system for human immunodeficiency virus infection in children less than 13 years of age. MMWR 1994;43[No. RR-12].)
† Condition that might be diagnosed presumptively.
§ Only among adults and adolescents aged >13 years. (CDC. 1993 Revised classification system for HIV infection and expanded surveillance case definition for AIDS among adolescents and adults. MMWR 1992;41[No. RR-17].)
References
AIDS-Defining Conditions
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5710a2.htm
Timeline | HIV | STD | Pregnancy |
---|---|---|---|
Before exposure | |||
Contraception (females only) | |||
HIV PrEP (pre-exposure prophylaxis) - Stop HIV infection before exposure | STD vaccine: - Hepatitis vaccine - HPV vaccine | ||
STD / HIV exposure | |||
0-72 hours | HIV PEP (post-exposure prophylaxis) - Stop HIV infection after exposure | STD testing * - Screening test - to look for asymptomatic infections - from previous exposures | Emergency contraception with the morning-after pill (females only) |
2 weeks | HIV DNA Test | ||
1 month | HIV 4th Generation Test - SD Bioline HIV Ag/Ab Combo - Fingerprick blood sampling. - 20 minutes to results | ||
3 months | HIV 3rd Generation Test - OraQuick® HIV-1/2 Antibody - Oral fluid or - Fingerprick blood sampling. - 20 minutes to results | STD testing * - Full & comprehensive - diagnostic test - to look for current infections | |
Watch for | HIV Symptoms | STD Symptoms | |
If infected | HIV Treatment | STD Treatment | Abortion |
References