HIV Paediatric case study films for teaching in Africa
Each of the videos starts with images taken on the first day we filmed with a child. We then present a history, with the relevant information provided by the guardian or gleaned from the child’s personal medical record. This is followed by images of any examination done, and results of any tests ordered.
The videos throughout pose questions about potential diagnosis and treatment. Answers are not in the films themselves, but in accompanying notes (DOWNLOAD) which can be updated to accommodate changes in guidelines and treatment, or adapted to different settings. Notes covering all the cases can be downloaded from the individual film pages.
Some of the films are built around a single visit to the hospital. But most of them follow the children from periods of a few months up to a year. Additional visits almost always pose further clinical questions, as well as showing the impact of treatment and management over time.
Another eight case study films are currently being edited. They are being used on courses given by PENTA (Paediatric European Network for the Treatment of AIDS).
Daniel has all the opportunistic infections associated with HIV. He has TB, candida and severe malnutrition. But his rapid tests come back negative and a DNA/PCR gets lost at the lab. What do you do?
Masha is started on ART, but very late are many missed opportunities. TB and adherence both threaten her recovery. This case looks at early infant diagnisis, TB, Meningitis, ART initiation and adherence.
Shukran is one of three children brought in with Stevens-Johnson syndrome. He is HIV positve, the others are negative. In an over-crowded hospital, how can you help these acutely sick children survive?