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Prophylaxis and tre...
Prophylaxis and treatment of HIV infection in pregnancy, Swedish guidelines 2024
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- Naver, Lars (författare)
- Karolinska Institutet
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Albert, Jan (författare)
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Carlander, Christina (författare)
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visa fler...
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- Gisslén, Magnus, 1962 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Institute of Biomedicine, Department of Infectious Medicine
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- Pettersson, Kristina (författare)
- Karolinska Institutet
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Soeria-Atmadja, Sandra (författare)
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Sonnerborg, Anders (författare)
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- Westling, Katarina (författare)
- Karolinska Institutet
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- Yilmaz, Aylin, 1974 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Institute of Biomedicine, Department of Infectious Medicine
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Pettersson, Karin (författare)
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(creator_code:org_t)
- 2024
- 2024
- Engelska.
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Ingår i: INFECTIOUS DISEASES. - 2374-4235 .- 2374-4243. ; 56:8, s. 657-668
- Relaterad länk:
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- In May 2024, the Swedish Reference Group on Antiviral Therapy updated the guidelines on management of HIV infection in pregnancy. The most important recommendations and revisions were: (i) ART during pregnancy should be started as early as possible and continue after delivery; (ii) Suppressive ART should normally not be modified; (iii) The treatment target of HIV RNA <20 copies/ml remains; (iv) Dolutegravir/emtricitabine/tenofovir DF is the first-line drug combination also in pregnant women and women planning pregnancy; (v) There is no evidence of an increased risk of neural tube defects associated with dolutegravir; (vi) Mode of delivery for women with effective ART and HIV RNA <200 copies/ml should follow standard obstetric procedures; (vii) Caesarean section is recommended if HIV RNA >= 200 copies/ml; (viii) Scalp electrode, foetal blood sampling and/or vacuum delivery should be used on strict indications, but does not necessitate intensified infant prophylaxis; (ix) Management and mode of delivery in case of premature or full-term rupture of membranes should follow standard obstetric procedures; (x) Recommended infant antiretroviral prophylaxis has been updated; (xi) The duration of infant antiretroviral prophylaxis (gestational age >= 35 weeks and mother on effective ART and HIV RNA <200 copies/ml) has been changed from 4 to 2 weeks; (xii) Infants born to women with HIV RNA >= 200 copies/ml should receive 4 weeks of combination prophylaxis; (xiii) Fertility evaluation and assisted reproduction should be offered to women on suppressive ART according to the same principles as for other women; (xiv) Women living with HIV should still be advised against breastfeeding; (xv) Women who nevertheless opt to breastfeed should be offered intensified support and follow-up.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Infectious Medicine (hsv//eng)
Nyckelord
- HIV-1
- pregnancy
- mother-to-child transmission
- prophylaxis
- guidelines
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Naver, Lars
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Albert, Jan
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Carlander, Chris ...
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Gisslén, Magnus, ...
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Pettersson, Kris ...
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Soeria-Atmadja, ...
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visa fler...
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Sonnerborg, Ande ...
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Westling, Katari ...
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Yilmaz, Aylin, 1 ...
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Pettersson, Kari ...
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- Av lärosätet
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Göteborgs universitet
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Karolinska Institutet