Acute care

Acute Care presents a syndromic approach to the most common adult illnesses including most opportunistic infections. Clear instructions are provided so the health worker knows which patients can be managed at the first-level facility and which require referral to the district hospital or further assessment by a more senior clinician. Preparing health workers to treat the common, less severe opportunistic infections will allow them to stabilize many clinical stage 3 and 4 patients prior to ARV therapy without referral to hospital.

The acute care guidelines teach health workers when to suspect HIV infection and TB and how to recommend testing and counselling in the context of clinical care. HIV education and prevention are provided for all patients. If a patient is found to be HIV positive, this module then links with the Chronic HIV Care module.

Comparable acute care guidelines are already available for children in IMCI (Integrated Management of Childhood Illness). An adaptation for high HIV prevalence settings is available.


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