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When a pregnant patient presents with symptoms suggestive of acute HIV, a plasma HIV RNA assay should be performed in conjunction with an HIV serologic screening test to diagnose acute HIV. An HIV-1/2 Ag/Ab combination immunoassay is the recommended serologic test.
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.
9 wrz 2022 · Recommendation in Universal HIV Screening in Pregnancy updated: Using an FDA-approved HIV-1/2 Ag/Ab combination immunoassay and following the standard HIV testing algorithm, clinicians should screen all patients early in pregnancy, regardless of reported exposure, risk, or symptoms.
1 cze 2024 · The perinatal transmission of HIV has significant morbidity and mortality implications for the child, with associated lifelong health care costs. Pregnancy presents an emotionally and physically vulnerable time for pregnant women as well as an opportunity to engage them in health promotion.
This systematic review to support the 2019 updated US Preventive Services Task Force guideline on screening for HIV infection in pregnant women summarizes
1 sty 2021 · Women living with HIV who become pregnant or who acquire the virus during pregnancy are at risk of both maternal and perinatal morbidity and mortality mainly if the virus is poorly controlled. Furthermore, there is a risk of vertical transmission to the fetus during pregnancy labour and postpartum through breastfeeding.
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.