학술논문
The updated South African National Guideline for the Prevention of Mother to Child Transmission of Communicable Infections (2019).
Document Type
Article
Author
Source
Subject
*BREASTFEEDING promotion
*VERTICAL transmission (Communicable diseases)
*INFECTIOUS disease transmission
*ANKYLOGLOSSIA
*MEDICAL personnel
*HIV prevention
*NON-nucleoside reverse transcriptase inhibitors
*HIV seroconversion
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Language
ISSN
1608-9693
Abstract
South Africa has made great strides in reducing the vertical transmission of human immunodeficiency virus (HIV) in the first two months of life from 23% (2003) to 0.7% (2019), despite a persistently high antenatal HIV prevalence of around 30%. Infant post-exposure prophylaxis to be provided at birth The delivery VL will determine the infant's HIV transmission risk category. However, in a small percentage of children the maternal antibodies persist beyond 18 months of age, potentially resulting in false-positive HIV diagnoses and inappropriate initiation of lifelong ART.[22] Therefore, HIV PCR testing is now recommended as confirmatory testing in all HIV-positive HIV rapid or ELISA tests in children under two years of age. Prophylaxis for infants of breastfeeding mothers with an elevated human immunodeficiency viru... An elevated maternal HIV VL during breastfeeding can occur either at the time of a new HIV diagnosis or because of an unsuppressed VL on ART. [Extracted from the article]