Guidelines for Paediatric Management of Infants Born to HIV+ Pregnant Women

 

Reviewed by Simon Rowley &
Lesley Voss (Paediatric ID)
Apr 2011
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Prenatal Period Post-Delivery Testing Treatment
Prophylaxis People to Contact Follow Up Other Related Documents

Prenatal Period

Post Delivery

Testing

Time Tests FBC Clinical Review
T Cell Subsets PCR HIV Antibody
(Western Blot)
Day 1
(Cord blood)
No longer required from cord blood +
(Pre-treatment)
+
Week 1   +   + +
Week 4-8   +   +
(Post-treatment)
+
4-6 months   + +   +
12 months +   +   +
18 months
(if still seropositive at 12 months)
+   +   +

Treatment

Antiretrovirals

The firstline choice for all babies is:

Possible additions to therapy following discussion between the neonatologist and paediatric ID team are -

Prophylaxis:

Immunisations

People to be Contacted

  1. Neonatologists – Dr Simon Rowley (or in his absence, the on-call Level 2 specialist) should be contacted during normal working hours.
  2. Virologist - Dr K Croxson, Department of Virology and Immunology, LabPlus Building 31, Auckland Hospital, ext 6130, loc 93-4197, should be informed that the bloods are being sent.

Follow Up

Dr Rowley will follow these babies at the Neonatal Outpatient Clinic until 18 months, unless they are infected when care will be transferred to Dr L Voss, Starship Children’s Hospital.

Arranging Discharge Medication

Index of Related Documents