Mendez H, Jule J E
State University of New York Health Science Center, Brooklyn.
Obstet Gynecol Clin North Am. 1990 Sep;17(3):637-49.
The expanding epidemic of HIV infection in reproductive-age women, the availability of antiretroviral therapy for children, and recommendations for increased case identification activities augur a time when more and more pediatricians are going to be called on to care for HIV-exposed infants. This article outlines a comprehensive medical framework for the care of these children from the labor and delivery setting to the nursery, outpatient clinic, and the emergency room. It includes issues of infection control; medical, developmental, and psychosocial care; and laboratory evaluations. Finally, it address the need for long-term follow-up of all children born exposed to HIV.
育龄女性中感染艾滋病毒的情况不断蔓延,儿童抗逆转录病毒疗法的可及性,以及加强病例识别活动的建议,预示着将有越来越多的儿科医生被要求照顾接触过艾滋病毒的婴儿。本文概述了一个全面的医疗框架,用于从分娩过程到新生儿病房、门诊诊所和急诊室对这些儿童的护理。它包括感染控制问题;医疗、发育和心理社会护理;以及实验室评估。最后,它阐述了对所有出生时接触过艾滋病毒的儿童进行长期随访的必要性。