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31 sty 2024 · People who have not been tested for HIV during pregnancy or labor should be offered expedited testing during the immediate postpartum period. Postpartum HIV testing should be done using the antigen/antibody immunoassay to screen for established and acute HIV; results should be obtained in <1 hour.
Facilities should use a U.S. Food and Drug Administration-approved HIV screening test, with results available preferably within 1 hour and no longer than 12 hours; the most sensitive screening test available should be used to allow for detection of early or acute HIV.
1 maj 2023 · The window period is time between HIV infection and the point when a test will give an accurate result for a certain percentage of samples. Different types of tests have different window periods. 4th generation antibody/antigen (Ab/Ag) tests: 45 days to detect 99% of samples.
9 wrz 2022 · In each pregnancy, HIV testing is recommended as early as possible and again during the third trimester. Expedited HIV testing during labor is required for patients without documented negative HIV status and is recommended for patients with risk factors for HIV infection.
31 sty 2024 · Viral load should be monitored in pregnant patients with HIV at the initial clinic visit with a review of prior viral load levels, 2 to 4 weeks after initiating or changing ART, monthly until undetectable, and at least every 3 months thereafter.
HIV-Related Laboratory Monitoring Schedule for Pregnant People With HIV. This table provides concensus opinion and recommendations regading drug interactions between Antiretroviral Agents and Hormonal Contraceptives with clinical comments.
Why is timely and accurate HIV testing critical during pregnancy? Acute HIV in pregnancy is associated with increased risk of perinatal transmission. Consequently, timely diagnosis of acute HIV is essential to allow maximal time for interventions (e.g. maternal ART initiation) to reduce transmission risk.
