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美国卫生与公众服务部（DHHS）关于暴露于HIV的婴儿喂养新指南的采用与实施中的实践差异

Practice Variability in Uptake and Implementation of New U.S. DHHS Guidelines for Feeding of HIV-Exposed Infants.

作者信息

Rozen Eisenberg Ilan, Campbell Jeffrey I, Clarke Diana, Cooper Ellen R, Pelton Stephen I, Vuppula Sharon S

机构信息

Section of Pediatric Infectious Diseases, Boston Medical Center, Boston, Massachusetts, USA.

出版信息

J Pediatric Infect Dis Soc. 2025 Jan 20;14(1). doi: 10.1093/jpids/piae133.

DOI:10.1093/jpids/piae133
PMID:39726301
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11744778/
Abstract

New U.S. guidelines support shared decision-making regarding breastfeeding for mothers living with HIV and their neonates. We surveyed Pediatric Infectious Diseases Society members about the implementation of these guidelines. We found heterogeneity in uptake, variability in clinical practice, and concerns about implementation. Future research should address these policy-practice gaps.

摘要

美国新指南支持为感染艾滋病毒的母亲及其新生儿在母乳喂养方面进行共同决策。我们就这些指南的实施情况对儿科传染病学会成员进行了调查。我们发现了在接受程度上的异质性、临床实践中的变异性以及对实施的担忧。未来的研究应解决这些政策与实践之间的差距。

相似文献

1
Practice Variability in Uptake and Implementation of New U.S. DHHS Guidelines for Feeding of HIV-Exposed Infants.美国卫生与公众服务部（DHHS）关于暴露于HIV的婴儿喂养新指南的采用与实施中的实践差异
J Pediatric Infect Dis Soc. 2025 Jan 20;14(1). doi: 10.1093/jpids/piae133.
2
Breastfeeding complexities and sociocultural barriers in the context of preventing perinatal transmission of HIV: A descriptive phenomenology in Northern Ghana.在预防艾滋病毒围产期传播背景下的母乳喂养复杂性与社会文化障碍：加纳北部的一项描述性现象学研究
PLoS One. 2025 Jul 1;20(7):e0327353. doi: 10.1371/journal.pone.0327353. eCollection 2025.
3
Lactation Support for Breastfeeding and Chestfeeding People with HIV: A Call for Research to Examine Telelactation Experience, HIV Knowledge, and Lactation Consultants' Attitudes Related to Infant Feeding with HIV.为感染艾滋病毒的母乳喂养和胸部喂养者提供泌乳支持：呼吁开展研究，以审视远程泌乳体验、艾滋病毒知识以及泌乳顾问对艾滋病毒感染婴儿喂养的态度。
Breastfeed Med. 2025 Feb;20(2):91-93. doi: 10.1089/bfm.2024.0312. Epub 2024 Nov 25.
4
Antiretrovirals for reducing the risk of mother-to-child transmission of HIV infection.用于降低艾滋病毒感染母婴传播风险的抗逆转录病毒药物。
Cochrane Database Syst Rev. 2011 Jul 6(7):CD003510. doi: 10.1002/14651858.CD003510.pub3.
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Antiretroviral therapy (ART) for treating HIV infection in ART-eligible pregnant women.用于治疗符合抗逆转录病毒治疗条件的孕妇艾滋病毒感染的抗逆转录病毒疗法。
Cochrane Database Syst Rev. 2010 Mar 17(3):CD008440. doi: 10.1002/14651858.CD008440.
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Integrating prevention of mother-to-child HIV transmission (PMTCT) programmes with other health services for preventing HIV infection and improving HIV outcomes in developing countries.在发展中国家，将预防母婴传播艾滋病毒（PMTCT）项目与其他预防艾滋病毒感染及改善艾滋病毒防治效果的卫生服务相结合。
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Antiretrovirals for reducing the risk of mother-to-child transmission of HIV infection.用于降低人类免疫缺陷病毒感染母婴传播风险的抗逆转录病毒药物。
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Interventions for preventing late postnatal mother-to-child transmission of HIV.预防产后晚期母婴传播艾滋病毒的干预措施。
Cochrane Database Syst Rev. 2009 Jan 21;2009(1):CD006734. doi: 10.1002/14651858.CD006734.pub2.
9
Antiretrovirals for reducing the risk of mother-to-child transmission of HIV infection.用于降低母婴传播HIV感染风险的抗逆转录病毒药物。
Cochrane Database Syst Rev. 2002(1):CD003510. doi: 10.1002/14651858.CD003510.
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Antiretrovirals for reducing the risk of mother-to-child transmission of HIV infection.用于降低母婴传播HIV感染风险的抗逆转录病毒药物。
Cochrane Database Syst Rev. 2002(2):CD003510. doi: 10.1002/14651858.CD003510.

本文引用的文献

1
From Guidelines to Practice: A Programmatic Model for Implementation of the Updated Infant Feeding Recommendations for People Living with HIV.从指南到实践：为感染艾滋病毒者实施最新婴儿喂养建议的计划模型
J Pediatric Infect Dis Soc. 2024 Jul 20;13(7):381-385. doi: 10.1093/jpids/piae045.
2
Infant Feeding for Persons Living With and at Risk for HIV in the United States: Clinical Report.美国 HIV 感染者和 HIV 风险人群的婴儿喂养：临床报告。
Pediatrics. 2024 Jun 1;153(6). doi: 10.1542/peds.2024-066843.
3
2023 updated guidelines on infant feeding and HIV in the United States: what are they and why have recommendations changed.2023 年美国婴幼儿喂养和 HIV 指南更新：内容是什么，以及推荐发生变化的原因。
Top Antivir Med. 2023 Dec 5;31(5):576-586.
4
Breastfeeding in the United States Among Women With HIV: Con Viewpoint.美国 HIV 感染女性母乳喂养：反对观点。
Clin Infect Dis. 2024 Jun 14;78(6):1629-1631. doi: 10.1093/cid/ciad778.
5
Development and Implementation of an Interdisciplinary Model for the Management of Breastfeeding in Women With HIV in the United States: Experience From the Children's Hospital Colorado Immunodeficiency Program.在美国，建立并实施针对感染 HIV 的女性母乳喂养管理的跨学科模式：科罗拉多儿童医院免疫缺陷项目的经验。
J Acquir Immune Defic Syndr. 2023 Aug 15;93(5):395-402. doi: 10.1097/QAI.0000000000003213.
6
Breastfeeding Among People With Human Immunodeficiency Virus in North America: A Multisite Study.北美人类免疫缺陷病毒感染者母乳喂养状况的多中心研究
Clin Infect Dis. 2023 Nov 17;77(10):1416-1422. doi: 10.1093/cid/ciad235.
7
Providers Have a Responsibility to Discuss Options for Infant Feeding With Pregnant People With Human Immunodeficiency Virus in High-Income Countries.在高收入国家，卫生保健提供者有责任与感染人类免疫缺陷病毒的孕妇讨论婴儿喂养选择。
Clin Infect Dis. 2023 Feb 8;76(3):535-539. doi: 10.1093/cid/ciac761.
8
Support for Establishing Best Practices for Breastfeeding in the Current HIV/ART Era.支持在当前艾滋病毒/抗逆转录病毒治疗时代建立母乳喂养最佳实践。
J Pediatric Infect Dis Soc. 2022 Mar 24;11(3):90-91. doi: 10.1093/jpids/piab128.
9
Experience and Outcomes of Breastfed Infants of Women Living With HIV in the United States: Findings From a Single-Center Breastfeeding Support Initiative.美国 HIV 感染者母乳喂养婴儿的经验和结果：来自单一母乳喂养支持计划的发现。
J Pediatric Infect Dis Soc. 2022 Jan 27;11(1):24-27. doi: 10.1093/jpids/piab116.
10
"In the United States, we say, 'No breastfeeding,' but that is no longer realistic": provider perspectives towards infant feeding among women living with HIV in the United States.“在美国，我们说，‘不要母乳喂养’，但这已经不现实了”：美国艾滋病毒感染者妇女的婴儿喂养提供者观点。
J Int AIDS Soc. 2019 Jan;22(1):e25224. doi: 10.1002/jia2.25224.