Transitioning HIV-infected children and adolescents into adult care: an Italian real-life experience

J Assoc Nurses AIDS Care. 2015 Sep-Oct;26(5):652-9. doi: 10.1016/j.jana.2015.05.003. Epub 2015 May 28.

Abstract

As young people living with HIV age, transition to adult care is increasingly required. The aim of our study was to describe how a care transition program was developed in an HIV adult clinic in Genoa, Italy. This is a descriptive study including 45 HIV-infected patients who participated in the transition process from a pediatric unit to an adult Infectious Diseases Unit, which started in 2000. A dedicated day, patient-customized environment, psychological support, and all health services in one site were provided. In 2014, a survey form was created to investigate the efficacy of the transition. At survey compilation time, 38 patients (84.4%) were retained in care, 2 were lost to follow-up, 2 were transferred to another adult clinic, and 3 had died. We highlight the importance of planning the transition process and the role of the interprofessional team to guarantee a successful transition for HIV-infected children and adolescents.

Keywords: HIV; adolescent; antiretroviral therapy; children; transition in care; vertical HIV transmission.

MeSH terms

  • Adolescent
  • Adult
  • Anti-HIV Agents / therapeutic use*
  • Child
  • Child, Preschool
  • Continuity of Patient Care / organization & administration*
  • Female
  • HIV Infections / psychology
  • HIV Infections / therapy*
  • HIV Infections / transmission
  • Health Services Accessibility
  • Humans
  • Infectious Disease Transmission, Vertical / statistics & numerical data
  • Italy
  • Life Change Events
  • Male
  • Medication Adherence
  • Surveys and Questionnaires
  • Transition to Adult Care / organization & administration*

Substances

  • Anti-HIV Agents