UK Community Advisory Board (UK-CAB)
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    • UK-CAB 12 – Children and HIV – UK treatment guidelines

    28/01/2005 Alison Neathey
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    Meetings

    28 January 2005

    Programme

    Reading Material

    Programme

    08:45–09:00 Registration and coffee/tea
    09:00–09:15 Introductions, outline for the day
    09:30–11:00 Approaches to Paediatric HIV Care
    11:00–11:30 Break
    11:30–13:00 Introduction to guidelines.1

    1) Synopsis
    2) Introduction
    3) When to start treatment
    4) What to start with
    5) Issues concerning antiretroviral use
    13:00–14:00
    		 Lunch
    14:00–15:30
    		 Introduction to guidelines.2

    6) Changing or stopping therapy in the absence of virological failure
    7) Changing and stopping therapy for virological failure
    8) New therapies
    9) References
    10) Conflict of interest
    11) List of Tables
    15:30–15:45
    		 Break
    15:45–16:30 Conclusions for community input into guidelinesProgramme for 2005 and next meeting
    16:30 Meeting close

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    PowerPoint Slides form the meeting
    Paediatric_UKCAB-jan05.ppt [552k]
    BHIVA_guides_UKCAB-jan05.ppt [84k]
    UK_CAB-Pipeline_drugs.ppt [620k]

    Training for this meeting

    Training for this meeting will cover two subjects:

    i) children and HIV – with a focus on treatment and treatment related issues for HIV-positive children – speaker to be confirmed.

    ii) UK Treatment Guidelines – the BHIVA guidelines are being updated, so we can run an in-depth training session based on the existing guidelines and the changes that we expect in the next revision.

    This session will therefore cover the controversial aspects around the main questions: when to start? which drugs to use? when to change treatment? access to viral load and resistance tests etc etc.

    Five CAB members are already taking a lead in providing community input into the guidelines updates, and they can each present on their specialised area.
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    Reading Material

    The following links are to articles relating to different issues that affect children and HIV.

    The following articles are either from recent issues of HTB, or sections form a report form a meeting on paediatric care that i-Base organised in 2001.

    Higher nelfinavir concentrations improve response in children
    http://www.i-base.info/pub/htb/v5/htb5-4/Higher.html

    PK of once daily lopinavir/r in children
    http://www.i-base.info/pub/htb/v5/htb5-4/PK.html

    New tool for assessing risks of disease progression and death based on age, CD4 percentage and viral load in HIV-infected children
    https://i-base.info/htb/12355

    From Paediatric HIV Care:
    http://www.i-base.info/pub/paed/index.html

    Helping children take HAART: taste and formulations:
    http://www.i-base.info/pub/paed/help.html

    Simplifying adherence: use of PEG-tubes:
    http://www.i-base.info/pub/paed/gtubes.html

    Additional reading
    http://www.bhiva.org/chiva/index.html

    A recently updated set of paediatric guidelines from New York are also much more recent than anything available in the UK and are a good reference source:
    http://www.hivguidelines.org/clinical-guidelines/infants-children/pediatric-antiretroviral-therapy/

    Financial support

    The UK-CAB receives unrestricted funding from some pharmaceutical companies towards the direct costs of holding four meetings each year. This funding supports the travel and accommodation costs for members to attend from outside London, plus the cost of catering.

    The content, programme and agenda for meetings is decided by the UK-CAB steering group in consultation with the wider membership. Funding is unconnected to meeting content.

    We believe that manufacturers who currently develop and market medicines have a responsibility to actively engage with advocacy organisations and that HIV positive people and their advocates should be able to directly question manufacturers about the safety and efficacy of their products and proposals for future research.

    For a list of companies that support the UK-CAB please see the “about us” page.
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