Abstract
No abstract available.
Highlights
Owing to the high prevalence of HIV in southern Africa, the HIV status of all infants accessing any health care facility for any reason should be determined
Once an HIV diagnosis is made in the infant, ALL HIVinfected infants should urgently be referred to an antiretroviral therapy (ART) treatment site
When infants are diagnosed as HIV positive (i.e. by polymerase chain reaction (PCR)), mothers should be encouraged to continue or re-initiate breast-feeding
Summary
Owing to the high prevalence of HIV in southern Africa, the HIV status of all infants (and their mothers) accessing any health care facility (including consulting rooms of family practitioners, immunisation clinics, hospitals, etc.) for any reason should be determined. N Mother known to be HIV positive, infant’s status unknown – DNA PCR testing for infant as early as possible. N Mother’s HIV status unknown – rapid HIV test for mother or for infant if mother unavailable, followed by a DNA PCR for infant if either rapid test is positive. N Mother HIV negative during pregnancy – offer repeat rapid HIV testing for mother and/or infant.
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