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HIV+ mothers without ART: when and how should they wean?

Without antiretrovirals, breastfeeding contributes 28% to the risk of mother-to-child HIV transmission (MTCT). Antiretroviral drugs make achieving he WHO goal of near elimination of MTCT imaginable. But, in the meantime, what advice should be given to HIV+ mothers in those low-resource settings where antiretrovirals are still not available?

Published
21 hours ago
From
BMJ Group blogs
Time to include pregnant women in drug trials, says Drug and Therapeutics Bulletin

The lack of hard data on the safety and effectiveness of a wide range of drugs in pregnancy has hindered the treatment of pregnant women, contributing to a doubling of deaths amongst mums-to-be with an underlying health problem over the past 20 years, argues an editorial in the Drug and Therapeutics Bulletin (DTB). It's time to include pregnant women in drug trials so that they can get the medical treatment they need, says DTB.

Published
14 June 2013
From
EurekAlert!
Botswana-Baylor pediatric HIV/AIDS program celebrates 10th anniversary

Zero versus 6,000: Those numbers represent the number of children in Botswana who received lifesaving HIV/AIDS treatment before and after the Baylor College of Medicine International Pediatric AIDS Initiative at Texas Children’s Hospital opened its first clinic 10 years ago in the region of Africa hardest hit by the disease.

Published
11 June 2013
From
Baylor College of Medicine
New Method Promises Early In- Clinic Diagnosis of HIV in Infants

A new assay that detects as few as 3 copies of HIV DNA within 20 minutes and does not require complex equipment could speed HIV diagnosis in infants in rural clinics. The assays works with all major global HIV-1 subtypes.

Published
11 June 2013
From
International AIDS Society
Campaign approach increases enrolment of pregnant women on ART in South Africa

A targeted campaign among health workers, using quality-improvement (QI) health system methods, can significantly improve access to ART for pregnant women living with HIV in resource-poor settings, a

Published
04 June 2013
By
Carole Leach-Lemens
Programmatic and research considerations for hormonal contraception for women at risk of HIV and women living with HIV

In early 2012 WHO convened a meeting of experts to discuss research on use of hormonal contraception by women at high risk of HIV and those currently living with HIV. The conclusions and recommendations from the Consultation have already been published. However during the consultation multiple programmatic and research issues emerged, including priority knowledge gaps. This brief serves to highlight actions that programmes providing sexual and reproductive health and HIV-prevention services should undertake, in order to complement the Consultation’s recommendations. Directions for future research to address current gaps are noted.

Published
03 June 2013
From
World Health Organization
Nevirapine dose escalation for children may risk treatment failure

Full-dose nevirapine should be considered for HIV-positive children under two years of age in Africa, to simplify ART initiation and reduce the risk of suboptimal dosing, researchers reporting

Published
03 June 2013
By
Carole Leach-Lemens
Uganda: Need To Address Stigma Among HIV Positive Mothers

Many HIV-positive mothers are shunning PMTCT services for fear of revealing their serostatus. Ministry of Health statistics show that as of June 2012, only 68% pregnant women that tested HIV positive received anti-retroviral treatment (ARVs) for PMTCT and only 38% of their babies received ARVs prophylaxis after birth.

Published
31 May 2013
From
AllAfrica
FLORIDA: HIV-Infected Newborns a Concern

5 out of 457 babies exposed to the HIV virus in utero were born HIV-positive in the state of Florida last year although maternal transmission is preventable if doctors detect the infection early enough in pregnancy.

Published
29 May 2013
From
CDC National Prevention Information Network
Majority of Italian HIV specialists would prescribe PrEP

Seventy per cent of Italian HIV specialists who answered an online survey would prescribe pre-exposure prophylaxis (PrEP) to people in their care who ask for it, at least

Published
21 May 2013
By
Gus Cairns
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