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CD COUNTS
Jul 16, 2006

How dangerous is it when CD counts level fall to 645 in a child of 19 years infected with HIV. Should the child start medication or just take control measures in diet??

Response from Dr. Sherer

A 'child' of 19 years is biologically an adult, and should be managed with ART according to adult guidelines. The current HHS Guidelines advise starting ART when the CD4 cell count is below 350, and/or when the viral load exceeds 100,000 copies/ml.

Hence ART is not indicated in the case you cite on the basis of the CD4 cell count. Regular follow up and monitoring should occur every 3 months in the meantime.


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