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Informationen zum Autor Vivian Pribram, Specialist Dietitian, King's College Hospital, London, UK Klappentext Today over 40 million adults and children worldwide are infected with HIV, however knowledge of the disease has increased greatly and the prognosis is now good for those with access to anti-retroviral treatment. For many, HIV is now a long-term chronic condition and with decreased mortality, patient requirements and disease patterns have changed, making it increasingly apparent to health care professionals that the treatment of HIV should include optimum nutrition and healthy lifestyle interventions to help sufferers lead long and healthy lives. In this essential new book an international team of authors under the editorship of Specialist HIV Dietitian Vivian Pribram bring together the latest research to provide the practicing dietitian and nutritionist with a practical guide to the nutritional care of the HIV and AIDS patient. Students and other health care professionals working and studying this area will also find Nutrition and HIV an important and valuable resource. Zusammenfassung Written by a specialist dietitian for dietitians and related health professionals Contributions from an international team of authors Covers paediatric and adult care Includes international case studies . Inhaltsverzeichnis List of Contributors xiv Preface xviii Acknowledgements xix SECTION 1: INTRODUCTION 1 Introduction to Human Immunodeficiency Virus 3 Tanya Welz, Amanda Samarawickrama, Vivian Pribram, Bavithra Nathan, Lisa Hamzah and Emily Cheserem 1.1 Introduction 3 1.2 Current state of the epidemic 4 1.3 HIV transmission 5 1.4 About the virus 6 1.5 Diagnosis of HIV 8 1.6 Measurement of CD4 cells 8 1.7 Natural history of untreated HIV infection and AIDS 10 1.8 Staging and classification of HIV disease 10 1.9 Monitoring the HIV pandemic 12 1.10 Prevention 13 1.11 Effect of antiretroviral therapy on the HIV epidemic 14 1.12 Stigma 14 2 Introduction to Nutrition and HIV 18 Vivian Pribram 2.1 Introduction 18 2.2 Malnutrition, infectious disease and immune function 19 2.3 HIV infection and decreased nutritional status 21 2.4 Nutritional screening and assessment 22 2.5 Metabolic and morphological complications 23 2.6 Paediatric undernutrition and maternal and child health 24 2.7 Healthy eating and management of HIV for well-being and longevity 26 2.8 Management of co-morbidities and serious non-HIV conditions 27 2.9 End-of-life care and ethical issues 29 SECTION 2: PAEDIATRIC NUTRITION, MATERNAL AND CHILD HEALTH 3 Malnutrition, Infant Feeding, Maternal and Child Health 35 Theresa Banda, Vivian Pribram, Margaret Lawson, Catherine Mkangama and Gertrude Nyirenda 3.1 Introduction 35 3.2 Maternal health and nutrition 36 3.3 Mother-to-child transmission 41 3.4 Infant feeding in the context of HIV 43 3.5 Malnutrition in children with HIV 49 4 Paediatric Nutritional Screening, Assessment and Support 58 Lisa Cooke 4.1 Introduction 58 4.2 Nutritional assessment and screening 58 4.3 Dietary assessment - what to do 61 4.4 Nutritional support 68 5 Adherence, Symptom Management, Psychological Aspects and Multidisciplinary Care of Children with HIV 72 Daya Nayagam, Paul Archer, Susheela Sababady, Shema Doshi, and Ella Sherlock 5.1 Transmission of HIV in children and young people 72 5.2 Prevention of mother-to-child transmission (vertical transmission) 73 5.3 Clinical presentation of paediatric HIV infection 73 5.4 Failure to thrive 73 5.5 Central nervous...
