Pediatrics – Infectious Diseases
Pediatric AIDS Program – Pediatric Immunodeficiency Clinic
Our providers are subspecialty trained clinicians who use state-of-the-art methods to provide specialized HIV testing and evaluation for children and adolescents at risk for HIV infection. Our team of highly trained physicians and staff, including physicians, a primary nurse or nurse practitioner, social worker, nutritionist, neuro-developmentalist and neuropsychologist, are sensitive to the special issues surrounding the possible diagnosis of HIV/AIDS. Our team is equipped to provide psychological support and counseling in an environment of strict confidentiality. We treat children of all ages, from babies born to HIV-infected mothers to adolescents, and provide prenatal care to expecting mothers with HIV. All providers who work in the clinic program are specialists who are well qualified and experienced in caring for children with HIV disease. We can provide primary care or consultations for those who already have a primary care provider.
In addition to consultative and primary care, the Pediatric Immunodeficiency Clinic also has access to the most advanced therapies for the treatment of HIV disease. We offer a number of clinical trials sponsored by the AIDS Clinical Trials Group of the National Institutes of Health, as well as others through individual pharmaceutical companies and our Expanded Access programs. Our HIV dedicated pharmacist attends clinic and is available for consultation with both providers and families.
Our perinatal consultations benefit from our collaboration with members of the obstetrics department with specific expertise in HIV, as well as a neonatologist with both expertise in the care of HIV infected babies, as well as developmental pharmacology. This allows us to offer state-of-the-art antiretroviral therapy to even the smallest premature babies.
Pregnant mothers with HIV are followed throughout the prenatal period, and members of our team staff the HOPE Clinic which provides specialized obstetrical care for HIV-infected mothers. After birth, we perform a full course of diagnostic testing and evaluation of the baby.
We have representatives in the clinic from the Center for Community Health, Education and Research (CCHER) and have affiliation with the Latino Health Institute. We have links to housing advocates from the AIDS Action Committee and have legal assistance provided by the Greater Boston Legal Advocates as well as from our own department of Pediatrics, Child Advocacy Group.
For at-risk adolescents, our ACT-NOW team (Adolescent Care Team) provides HIV testing and follow-up, including those with other sexually transmitted infectious diseases.
We can provide case management and mental health counseling referral. In addition, BMC’s SPARK Center, a medically-therapeutic childcare facility and day program for children with complex medical needs, maintains close ties with our clinic staff thereby allowing optimal care to be delivered to the children and families we both serve.
The clinic meets on Monday and Wednesday mornings each week. Two Tuesday evening sessions per month are also scheduled to accommodate patients who go to school or who have families who work. Adolescent patients are also seen in our ASI Clinic held on the fourth Wednesday afternoon each month. The ASI Clinic is also located on the 5th floor of the Ambulatory Care Center.