NATIONAL GUIDELINES | 2010 | 2014 |
Pre-ART test | HIV Presumptive clinical signs Positive serological test after 18 months or positive PCR under 18 months CD4 rate, hemogram, transaminases (ALAT) | HIV Presumptive clinical signs Positive serological test after 18 months or positive PCR, CD4 rate, hemogram, transaminases (ALAT) |
ART eligibilitycriteria | WHO stage III or IV OMS | Under 5 years Treat all |
CD4 rate < 20% | after 5 years WHO Stage III or IV Or CD4 rate < 350 cell/mm3 | |
First-line regimens | Mother receiving NVP in PMTCT d4T/3TC/NVP AZT/3TC + EFV | Under 3 years ABC/3TC + LOP/r siâge 3 ans |
Puis en 2011 AZT/3TC/NVP | From 3 to 10 years ABC/3TC + EFV si 3 - 9 ans | |
Mother receiving not NVP in PMTCT ABC/3TC + Lop/r | Up to 10 years TDF/3TC/EFV si plus de 10 ans | |
Second-line regimens | AZT/3TC + NFV ABC/3TC + LOP/r | ABC/3TC + LOP/r |