An infant who was born from a known HIV positive mother is brought to a pediatric OPD with the clinical features of cough, stridor and oral thrush. The HIV status of the infant was positive for antibody test and unknown for DNA/PCR test due to unavailability of the test. What is the appropriate management for the child according to IMNCI? a. Initiate ARV treatment b. Initiate PMTCT care c. Advise to stop breastfeeding d. Advise on HIV prevention

Question

An infant who was born from a known HIV positive mother is brought to a pediatric OPD with the clinical features of cough, stridor and oral thrush. The HIV status of the infant was positive for antibody test and unknown for DNA/PCR test due to unavailability of the test. What is the appropriate management for the child according to IMNCI? a. Initiate ARV treatment b. Initiate PMTCT care c. Advise to stop breastfeeding d. Advise on HIV prevention

Answer 1

The appropriate management for the child according to IMNCI (Integrated Management of Neonatal and Childhood Illness) would be to initiate ARV (antiretroviral) treatment. This is because the infant has been born from a known HIV positive mother and has clinical features of cough, stridor, and oral thrush, which are indicative of HIV infection. The HIV status of the infant is positive for the antibody test, although the DNA/PCR test is unknown due to unavailability. Therefore, it is crucial to initiate ARV treatment to manage the child's HIV infection and prevent further transmission of the virus.

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