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Miscellanea
Images in paediatrics
A digital picture is worth a thousand words in a different dialect: improving adherence to antiretroviral medication
  1. Penelope A Bryant1,
  2. Louise Bordun2,
  3. Tom G Connell1,3
  1. 1Infectious Diseases Unit, Department of General Medicine, The Royal Children's Hospital, Parkville, Victoria, Australia
  2. 2Pharmacy Department, The Royal Children's Hospital, Parkville, Victoria, Australia
  3. 3Murdoch Children's Research Institute, The Royal Children's Hospital, Parkville, Victoria, Australia
  1. Correspondence to Dr Penelope A Bryant, Infectious Diseases Unit, Department of General Medicine, The Royal Children's Hospital, Flemington Road, Parkville, VIC 3052, Australia; penelope.bryant{at}rch.org.au

https://doi.org/10.1136/archdischild-2013-304223

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    A 4-year-old HIV-positive girl who had recently migrated from Kenya presented with chronic otitis media and poor growth. Her viral load was 139 000 copies/ml with CD4 lymphocytes 1050×109/ml (15%). After resistance testing and education through a Swahili interpreter, she started abacavir 150 mg am/300 mg pm, lamivudine 75 mg am/150 mg pm and lopinavir/ritonavir 100/25 three tablets twice daily (with translated fact sheets and colour-coded medicine bottles). After 4 weeks her viral load …

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    Footnotes

    • Contributors All the authors contributed to the manuscript. PB: designed the visual aid, drafted and gave final approval to the manuscript. LB: designed the visual aid, edited and gave final approval to the manuscript. TC: designed the visual aid, edited and gave final approval to the manuscript.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.