Importance of Adherence

It is estimated that for human immunodeficiency virus infants, transmission occurred during dig out in 65% of cases. human immunodeficiency virus transmittance in infants whitethorn have a prolonged course which progresses to support in 8 to 10 years, or an aggressive course with archean conversion to help and increased risk of infection and mortality. proterozoic infection results in increased risk of rapid schooling of AIDS; it is due to utero HIV transmission rather than intrapartum or postpartum transmission. This loafer be defined with a confirmatory virologic test within 48 hours following delivery. Zidovudine prophylaxis is recommended for infants to get over perpendicular transmission risk; dosage begins 8 hours following birth and continues for 6 weeks. Early detection is important; tests usher out now directly detect HIV, with test specificity of up to 94.9%. trey virologic tests at birth, one month, and four months must be performed and if each(prenominal) are negative, there is a 95% chance of no infection. However, a negative ELISA test at 18 months is needed to rule out infection (Kirst & Crawford-Faucher, 2002).

Problems With Non-detection of Infant's HIV Status

Non-compliance of mothers, can result in the development of pneumocystis carinii pneumonia in HIV infants, with a high mortality rate. It may be the first exponent of perinatal HIV infection. The peak incidence of this pneumonia is found at three to six months of age. All newborns of HIV mo

Current estimates are that over 160,000 women who are of vaginal birth age in the United States, may be HIV infected.

In 1995, it was reported that 16,000 US infants were HIV infected, perinatally; the leading example of death for young children is AIDS. The rates of HIV children developing AIDS declined from 1992 to 1995, by 66%. This was due to the management of HIV, with decreased vertical transmission of HIV during pregnancy; Perinatal HIV infection risk varies from 1 to 33% depending on management and course of the maternal disease state. Care for the HIV-infected mother must besides be adhered to since rates of children being orphaned due to AIDS are increased by non-adherence (80,000 orphaned children were estimated for the year 2000) (Krist & Crawford-Faucher, 2002).

Kirst, A. H., & Crawford-Faucher, A. (2002). instruction of newborns overt to maternal HIV infection. American Family Physician, 65(10), 2049-2056.

thers need to tempt P carinii pneumonia prophylaxix at six weeks, and it must continue until HIV infection is ruled out. When mothers fail to keep clinic appointments for their HIV exposed infants, the infants also run the increased risk of developing tuberculosis, which is relate with H
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