Paediatric HIV – treat all — RACP Paediatrics MCQ

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ModerateIDPaediatric HIV – treat allRACP Paediatrics

A 2-year-old adopted from sub-Saharan Africa is HIV+. CD4 18%, VL 150,000. When should ART start?

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Correct answer: D — Vertical transmission

WHO and Australian guidelines: immediate ART for all children with HIV regardless of CD4/clinical stage ('treat all'). Early ART reduces mortality.

Reference: Australian Therapeutic Guidelines – 2024