照顾感染人类免疫缺陷病毒的孕妇
1Department of Obstetrics and Gynecology, State University of New York Health Science Center, Brooklyn 11203.
JAMA
|November 20, 1987
概括
具有获得性免疫缺陷综合征 (艾滋病) 高风险的孕妇应接受人类免疫缺陷病毒 (HIV) 查. 本综述为临床医生提供有关咨询和管理艾滋病毒感染孕妇的基本信息.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 有建议用于查艾滋病毒感染高风险的孕妇.
- 临床医生可能对感染艾滋病毒的患者有有限的经验.
- 适当的咨询和护理对于HIV阳性孕妇至关重要.
研究的目的:
- 为照顾艾滋病毒感染孕妇的临床医生提供必要的信息.
- 概述适当的咨询和医疗/感染控制措施.
- 审查对血清阳性孕妇的产前,产后和产后护理.
主要方法:
- 关于怀孕期间艾滋病毒的文献评论.
- 综合了CDC和ACOG的指导方针.
- 讨论临床管理和咨询策略.
主要成果:
- 强调需要对无症状艾滋病毒感染的孕妇提供全面护理.
- 解决临床医生的潜在知识差距.
- 强调量身定制的医疗和感染控制协议的重要性.
结论:
- 有效的咨询和管理对于艾滋病毒感染的孕妇至关重要.
- 这篇文章是确保在整个怀孕和产后期间获得最佳护理的资源.
- 遵守最新的建议可以确保母亲和孩子获得更好的结果.
相关概念视频
Retrovirus Life Cycles
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the retrovirus to...
Transmission-based Precautions II: Airborne and Protective Environment
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Standard Precaution
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Sexually Transmitted Infections
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
Cryptococcal Meningitis
Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
Inhibitors of Virion Maturation and Assembly
As part of their replication cycle, certain viruses synthesize long precursor proteins called polyproteins within infected host cells. In human immunodeficiency virus (HIV), two major polyproteins are produced: Gag and Gag-Pol. The Gag polyprotein supplies the structural components of the virus, while Gag-Pol includes essential viral enzymes such as reverse transcriptase, integrase, and protease. After synthesis, these polyproteins move to the host cell membrane, where they assemble into an...


