Resum
The magnitude of the problem is described worldwide and in Chile It is highlighted that globally measures to prevent HIV transmission in both adults and pregnant women and the growing increase in people accessing ART HIV infection in adults but especially in children has been halted and even reduced However in Chile in the last years there has been an increase in total cases especially in the age of procreation Exception is infection in VT infected children that has decreased to lt It describes a how HIV exposed infected newborns and children already infected with HIV can be detected and which flow chart to follow b HIV VTPPs components c how to certify HIV infection in newborns and children under months of age due to the presence of maternal passive antibodies which may last up to months the HIV DNA PCR technique should be used d the study evaluation and preventive and therapeutic management of HIV exposed newborns and already infected children With regard to HIV infection in children and adolescents in Chile the creation in of the Committee on Pediatric HIV AIDS which works together with MINSAL in the Pediatric HIV AIDS Care Programme stands out The Committee consists of representatives from all regions of the country and its main objectives have been to detect for newborns children exposed to HIV children of HIV mothers and children already infected with HIV and to follow up assessment study preventive and therapeutic management of them up to the age of years the age at which they are transferred to the Adult HIV Programme In Chile the identification of HIV infected children has been increasingly earlier in life so has their access to ART In the exposed newborn the HIV DNA PCR technique began to be applied in lowering the HIV certification age from more than months to to months HIV VTPPs began to apply in down VIH VT from gt before that year to in With the promulgation of the HIV Prevention Norm by MINSAL in HIV VT has declined to lt today With the identification of infected children increasingly earlier in life in less severe clinical and immunological stages improvement in preventive and therapeutic measures with greater access to ART has been achieved to prolong survival and decrease lethality of children infected with HIV VT are in adolescence or adulthood and some women have had uninfected children thanks to HIV VTPPs use