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Humanized NOG Mice for Intravaginal HIV Exposure and Treatment of HIV Infection
Published on: January 31, 2020
Evaluation and treatment of the human immunodeficiency virus-1-exposed infant
Insights
Pediatricians play a vital role in preventing mother-to-child transmission of human immunodeficiency virus type 1 (HIV-1). They identify exposed infants, provide antiretroviral prophylaxis, and offer crucial family support.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Effective interventions can reduce perinatal human immunodeficiency virus type 1 (HIV-1) transmission to 2% or less in developed countries.
- The role of pediatricians is crucial in managing HIV-1 exposed infants whose maternal diagnosis was delayed.
Purpose of the Study:
- To outline the key responsibilities of pediatricians in preventing mother-to-child transmission of HIV-1.
- To detail the comprehensive care required for HIV-1 exposed infants.
Main Methods:
- Identifying HIV-1 exposed infants born to undiagnosed mothers.
- Prescribing antiretroviral prophylaxis for infants to minimize HIV-1 acquisition risk.
- Promoting strategies to prevent HIV-1 transmission via human milk.
Main Results:
- Pediatricians are central to identifying at-risk infants and initiating preventative treatment.
- Early monitoring for HIV-1 status and antiretroviral toxicity is essential.
- Chemoprophylaxis for Pneumocystis pneumonia and family support are integral components of care.
Conclusions:
- Pediatricians are instrumental in the prevention of mother-to-child HIV-1 transmission through timely identification, prophylaxis, and ongoing care.
- Comprehensive management by pediatricians includes monitoring for infection and treatment side effects, alongside essential family support and counseling.
Abstract:
In developed countries, care and treatment are available for pregnant women and infants that can decrease the rate of perinatal human immunodeficiency virus type 1 (HIV-1) infection to 2% or less. The paediatrician has a key role in the prevention of mother-to-child transmission of HIV-1 by identifying HIV-exposed infants whose mothers' HIV infection was not diagnosed before delivery, prescribing antiretroviral prophylaxis for these infants to decrease the risk of acquiring HIV-1 infection, and promoting avoidance of HIV-1 transmission through human milk. In addition, the paediatrician can provide care for HIV-exposed infants by monitoring them for early determination of HIV-1 infection status and for possible short- and long-term toxicities of antiretroviral exposure, providing chemoprophylaxis for Pneumocystis pneumonia, and supporting families living with HIV-1 infection by providing counselling to parents or caregivers.
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