HIV in preg Flashcards
1
Q
When to start cART for everyone
A
- 2nd trimester
2
Q
cART in 1st trimester if
A
- RNA > 100 000
- CD4 <200
3
Q
Risk of HIV in baby
A
No cART- 20-30%
w cART- 0.27%
4
Q
Late booker
A
- Start cART immediately
- Add raltegravir if viral load > 100 000
5
Q
Delivery options
A
- RNA <50 - SVD
- 50-399 - Consider CS
- > 400- CS
6
Q
Mx in labour
A
- IV zidovudine if RNA 50-1000 or more
7
Q
Treatment for baby
A
- Low risk- Zidivudine only
- High risk- Combined PEP
8
Q
Testing for BF baby
A
48h
2w
Every 4 weeks till 8w after BF
18 months
24 months
9
Q
Test non BF baby
A
48h
2w
6w
12w
18months
24months
