415. Growing up with HIV.  Analysis of Transition from Paediatric to Adult Services
Session: Poster Abstract Session: Pediatric HIV
Thursday, October 3, 2013
Room: The Moscone Center: Poster Hall C
Background:

HAART has increased survival of pediatric HIV patients to adolescence and adult life. There are many challenges to consider in this transition from pediatric to adolescence and adult life in patients living with HIV/AIDS, such as beginning of sexual life, possible pregnancy, lost of adherence and follow up, among others. In this study we describe clinical, epidemiological and social characteristics exhibited by a cohort of teenagers in the transition moment from pediatric to adult HIV care services.

Methods:

A descriptive, observational study was performed. We reviewed clinical records of teenagers transferred to adult services during 2001-2012 and adolescents in a current transition plan (15-19 years) follow-up at the Clinic for children with HIV, National Autonomous University of Mexico/ General Hospital of Mexico. Information in regards of socio demographic, clinical, laboratory and antiretroviral (ART) history were obtained. Patients were divided in 3 groups according to the year of transfer: 1) 2000-2006, 2) 2007-2012 3) patients in current transition.

Results:

Thirty eight adolescents were included, 33/38 were due to perinatal HIV transmission. As we can see in the table, over the time more patients in our clinic are reaching this transition period with better immunological and viral conditions, the average age was 17.9 years, 15/38 were sexually life active and only 11/38 were working, most of them were at school, and 60% were adhered to ART treatment.

 

Group 1 (n=6)

 

Group 2 (n=14)

Group 3 (n=18)

Follow up in pediatric clinic (years)

5.4

11.9

12.6

Number of ARV schemes

1

2

2

CD4+ (copies/mL)

269

516

730

Undetectable viral load

16 %

42 %

94 %

Conclusion:

This study described, that in our clinic, over the time, more HIV/AIDS pediatric patients are surviving through adolescent-adult life and an integrated approach in HIV/AIDS care clinics allow them to maintain better clinical and social conditions for this transition. It is important to develop strategies to help these group of patents to make a better transition from child to adult units, which may varies in each country

Noris Pavia-Ruz, MD, MSc1, Maria Del Rocio Muñoz-Hernandez, MD1, Lucia Patricia Tovar-Larrea, Bs2, Angelica Neri-Macias, Bs1 and Jose Ignacio Santos-Preciado, MD1, (1)Clinica Para Niños Con VIH/SIDA, Facultad de Medicina,Depto. de Medicina Experimental, Universidad Nacional Autonoma de Mexico, Mexico DF, Mexico, (2)Clinica Para Niños Con VIH/SIDA, Hospital General de Mexico, Mexico DF, Mexico

Disclosures:

N. Pavia-Ruz, None

M. D. R. Muñoz-Hernandez, None

L. P. Tovar-Larrea, None

A. Neri-Macias, None

J. I. Santos-Preciado, None

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