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      Orphan Status may be Protective Factor Against Severe Toxicity of HIV Therapy in Children from Resource-limited Settings (case report)

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          Abstract

          Background: Orphan status is usually a risk factor for many diseases and results in social exclusion and worse outcomes than children with parents. Methods: The case reports of severe toxicity where death was averted by close monitoring in an orphanage in Phnom Penh, Cambodia are presented. Results: Close monitoring of adherence of antiretroviral therapy (ARV) is possible only in close facility, e.g. orphanage, where regular DOT (directly observed therapy) and DOTOX (directly observed toxicity) is possible. Conclusions: Three cases of severe toxicity: two bone marrow severe suppression and one cardiomyopathy are presented. Deaths were averted by close observation and early interventions.

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          Author and article information

          Journal
          Clinical Social Work and Health Intervention
          cswhi
          Journal of Clinical Social Work and Health Intervention
          2222386X
          20769741
          October 30 2018
          October 29 2018
          October 30 2018
          October 29 2018
          : 9
          : 3
          : 71-73
          Article
          10.22359/cswhi_9_3_10
          fc4d57fa-1595-4e4d-a227-890b8f746cf5
          © 2018

          This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

          Psychology, Social & Behavioral Sciences

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