Infant Feeding for Persons Living With and at Risk for HIV in the United States: Clinical Report

被引:7
作者
Abuogi, Lisa [1 ]
Noble, Lawrence [2 ,3 ]
Smith, Christiana [1 ]
机构
[1] Univ Colorado, Sch Med, Dept Pediat, Sect Infect Dis, Aurora, CO 80045 USA
[2] Icahn Sch Med Mt Sinai, Dept Pediat, New York, NY USA
[3] New York City Hlth Hosp Elmhurst, Elmhurst, NY USA
关键词
TO-CHILD TRANSMISSION; IMMUNODEFICIENCY-VIRUS TYPE-1; DAR-ES-SALAAM; BREAST-MILK; POSTNATAL TRANSMISSION; VIRAL LOAD; ANTIRETROVIRAL THERAPY; NEVIRAPINE PROPHYLAXIS; DOSE NEVIRAPINE; AFRICAN WOMEN;
D O I
10.1542/peds.2024-066843
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Pediatricians and pediatric health care professionals caring for infants born to people living with and at risk for HIV infection are likely to be involved in providing guidance on recommended infant feeding practices. Care team members need to be aware of the HIV transmission risk from breastfeeding and the recommendations for feeding infants with perinatal HIV exposure in the United States. The risk of HIV transmission via breastfeeding from a parent with HIV who is receiving antiretroviral treatment (ART) and is virally suppressed is estimated to be less than 1%. The American Academy of Pediatrics recommends that for people with HIV in the United States, avoidance of breastfeeding is the only infant feeding option with 0% risk of HIV transmission. However, people with HIV may express a desire to breastfeed, and pediatricians should be prepared to offer a family-centered, nonjudgmental, harm reduction approach to support people with HIV on ART with sustained viral suppression below 50 copies per mL who desire to breastfeed. Pediatric health care professionals who counsel people with HIV who are not on ART or who are on ART but without viral suppression should recommend against breastfeeding. Pediatric health care professionals should recommend HIV testing for all pregnant persons and HIV preexposure prophylaxis to pregnant or breastfeeding persons who test negative for HIV but are at high risk of HIV acquisition.
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页数:11
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共 100 条
[1]   Donor Human Milk for the High-Risk Infant: Preparation, Safety, and Usage Options in the United States [J].
Abrams, Steven A. ;
Landers, Susan ;
Noble, Lawrence M. ;
Poindexter, Brenda B. .
PEDIATRICS, 2017, 139 (01)
[2]  
[Anonymous], 2021, HIV diagnoses
[3]  
[Anonymous], Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-1-Infected Women for Maternal Health and Interventions to Reduce Perinatal HIV Transmission in the United States
[4]  
[Anonymous], 2018, Guideline: updates on HIV and infant feeding: the duration of breastfeeding
[5]  
[Anonymous], Preexposure prophylaxis for the prevention of HIV in the United States - 2017
[6]   Trends in Women With an HIV Diagnosis at Delivery Hospitalization in the United States, 2006-2014 [J].
Aslam, Maria Vyshnya ;
Owusu-Edusei, Kwame ;
Nesheim, Steven R. ;
Gray, Kristen Mahle ;
Lampe, Margaret A. ;
Dietz, Patricia Marie .
PUBLIC HEALTH REPORTS, 2020, 135 (04) :524-533
[7]   HIV-Infected Mothers Who Decide to Breastfeed Their Infants Under Close Supervision in Belgium: About Two Cases [J].
Bansaccal, Nordin ;
Van der Linden, Dimitri ;
Marot, Jean-Christophe ;
Belkhir, Leila .
FRONTIERS IN PEDIATRICS, 2020, 8
[8]  
Bedri A, 2008, LANCET, V372, P300, DOI 10.1016/S0140-6736(08)61114-9
[9]   Postnatal HIV transmission in breastfed infants of HIV-infected women on ART: a systematic review and meta-analysis [J].
Bispo, Stephanie ;
Chikhungu, Lana ;
Rollins, Nigel ;
Siegfried, Nandi ;
Newell, Marie-Louise .
JOURNAL OF THE INTERNATIONAL AIDS SOCIETY, 2017, 20
[10]  
Branson Bernard M., 2006, Morbidity and Mortality Weekly Report, V55, P1