Purpose of review
Awareness of updates on the recommendations for the treatment and prevention of HIV in children and adolescents is of vital importance for pediatricians to support HIV elimination efforts in the USA.
Recent findings
Children with HIV infection have access to potent antiretroviral regimens in combined and easier to administer formulations. For youth with HIV, simpler and long-acting treatment regimens are available. For infants born to persons with HIV that have low risk of perinatal transmission, an abbreviated regimen is recommended. Breastfeeding is supported for individuals on HIV treatment who remain virally suppressed. For adolescents and young adults at significant risk of HIV, pre-exposure prophylaxis is recommended.
Summary
Early treatment remains paramount for best outcomes in children and adolescents living with HIV, aided by innovative drugs and delivery methods. These advances should strive to equally benefit both the pediatric and adult populations. Despite progress, youth still comprise a significant portion of new HIV cases. Inclusive prevention strategies led by pediatricians are essential for HIV elimination in adolescents and young adults.