[Structured treatment interruption in HIV-infected adolescents]

Arch Pediatr. 2009 Jul;16(7):1011-5. doi: 10.1016/j.arcped.2009.03.004. Epub 2009 Apr 14.
[Article in French]

Abstract

Structured treatment interruption in HIV is now being debated. There are 2 cases in which it may be discussed: when the initial treatment was started early and when there is no compliance to treatment [Yeni P, et al. Les nouvelles recommandations de prise en charge des personnes infectées par le VIH 2006. Paris: Flammarion médecine-sciences; 2006]. Noncompliant behavior is one of the characteristics of chronic illness during adolescence. In HIV infection, however, the prognosis is negatively influenced because the resulting resistance to the antiretroviral therapy can further reduce therapeutic options. Therefore, it is important in such a critical period to consider both what is consciously and unconsciously at stake and what responsible action could be taken when a specialist is faced with spontaneous (unplanned) treatment interruption. We report here examples of follow-up care, interruption, and resumption of treatment in 4 female adolescents.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adolescent
  • Anti-HIV Agents / administration & dosage*
  • Drug Resistance, Multiple, Viral
  • Female
  • Follow-Up Studies
  • France
  • HIV Infections / diagnosis
  • HIV Infections / drug therapy*
  • HIV Infections / psychology
  • HIV Infections / transmission
  • Humans
  • Male
  • Patient Care Team
  • Patient Compliance* / psychology
  • Prognosis
  • Referral and Consultation
  • Viral Load

Substances

  • Anti-HIV Agents