Journal article
Recommendations for human immunodeficiency virus screening, prophylaxis, and treatment for pregnant women in the United States
American journal of obstetrics and gynecology, Vol.197(3), pp.S26-S32
09/01/2007
DOI: 10.1016/j.ajog.2007.03.087
PMID: 17825647
Abstract
In the United States, current human immunodeficiency virus (HIV) testing guidelines recommend an opt-out approach for pregnant women, whereby HIV testing is incorporated routinely into the standard panel of prenatal tests with the option to decline. Current recommendations for the initiation of treatment of HIV infection in pregnant women are the same as those for nonpregnant women. However, the special circumstances of pregnancy raise additional issues that are related to potential drug toxicity to the mother and fetus, which affect the choice of antiretroviral drugs to be used. For HIV-infected pregnant women who do not require therapy for their own health, antiretroviral drugs are recommended for prevention of mother-to-child transmission. Highly active antiretroviral therapy is recommended for all women with HIV RNA levels of ≥1000 copies/mL, along with consideration of elective cesarean delivery. For women with HIV RNA levels of <1000 copies/mL, a 3-part zidovudine prophylaxis regimen (prenatal, intrapartum, and neonatal) should be used alone or in combination with other antiretroviral drugs.
Details
- Title: Subtitle
- Recommendations for human immunodeficiency virus screening, prophylaxis, and treatment for pregnant women in the United States
- Creators
- Denise J. Jamieson - National Center for Chronic Disease Prevention and Health PromotionJill Clark - Northrop GrummanAthena P. Kourtis - National Center for Chronic Disease Prevention and Health PromotionAllan W. Taylor - National Center for HIV/AIDS Viral Hepatitis STD and TB PreventionMargaret A. Lampe - National Center for HIV/AIDS Viral Hepatitis STD and TB PreventionMary Glenn Fowler - MUJHU Research CollaborationLynne M. Mofenson - National Institutes of Health
- Resource Type
- Journal article
- Publication Details
- American journal of obstetrics and gynecology, Vol.197(3), pp.S26-S32
- Publisher
- Mosby, Inc
- DOI
- 10.1016/j.ajog.2007.03.087
- PMID
- 17825647
- ISSN
- 0002-9378
- eISSN
- 1097-6868
- Language
- English
- Date published
- 09/01/2007
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446269202771
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