Primary Care for HIV-Infected Patients in Resource-Limited Settings

  • Authors: Charles van der Horst, MD; F. Parker Hudson, MD (More Info)
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 9/4/18 (What's New)

Summary

  • WHO guidelines recommend that pregnant and breastfeeding women should start ART as soon as possible after HIV diagnosis regardless of gestational age, CD4+ cell count, or WHO HIV clinical stage (Management Guidelines)[WHO ART]
  • In settings where health authorities have determined that breastfeeding will give infants born to HIV-infected mothers the greatest chance of HIV-free survival, HIV-infected mothers should be counseled to breastfeed their infants exclusively for the first 6 months of life (Management Guidelines)[WHO Breastfeeding 2010]
  • Breastfeeding should be discontinued only when a nutritionally adequate and safe diet without breast milk can be provided

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