Evaluation and management of the infant exposed to HIV-1 in the United States.

Abstract:

:The pediatrician plays a key role in the prevention of mother-to-child transmission of HIV-1 infection. For infants born to women with HIV-1 infection identified during pregnancy, the pediatrician ensures that antiretroviral prophylaxis is provided to the infant to decrease the risk of acquiring HIV-1 infection and promotes avoidance of postnatal HIV-1 transmission by advising HIV-1-infected women not to breastfeed. The pediatrician should perform HIV-1 antibody testing for infants born to women whose HIV-1 infection status was not determined during pregnancy or labor. For HIV-1-exposed infants, the pediatrician monitors the infant for early determination of HIV-1 infection status and for possible short- and long-term toxicity from antiretroviral exposures. Provision of chemoprophylaxis for Pneumocystis jiroveci pneumonia and support of families living with HIV-1 by providing counseling to parents or caregivers are also important components of care.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Havens PL,Mofenson LM,American Academy of Pediatrics Committee on Pediatric AIDS.

doi

10.1542/peds.2008-3076

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

175-87

issue

1

eissn

0031-4005

issn

1098-4275

pii

123/1/175

journal_volume

123

pub_type

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