%0 Thesis
%9 Master Essay
%A Fitzpatrick, Julia
%D 2015
%F pittir:25121
%I University of Pittsburgh
%T A protocol and recommendations for the screening and management of Cytomegalovirus Retinitis in people living with HIV/AIDS in Southeast Asia
%U http://d-scholarship-dev.library.pitt.edu/25121/
%X The purpose of this essay is to explore income tiered protocols for the prevention, treatment, and management of cytomegalovirus (CMV) retinitis in people living with HIV/AIDS (PLWHA) in key resource-constrained countries of Southeast Asia. The early detection, diagnosis, and treatment of CMV retinitis in these regions are of public health importance, as CMV retinitis is a leading cause of vision loss and permanent blindness among PLWHA. A thorough review of the literature was conducted in PubMed and Google Web to investigate CMV disease, CMV retinitis, seroprevalence of CMV, and available information related to the screening and management of CMV retinitis in key PEPFAR countries of Southeast Asia. The information gathered from the literature review was analyzed and income-level protocols were developed that included the assessments to be performed, screening sites, clinicians, supplies/medications, exam frequency, and evaluation tools. Local, regional, country, and international recommendations were provided to address the need to scale-up awareness, policies, supplies, and funding for CMV retinitis in vulnerable populations in Southeast Asia.