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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.

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。

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本文引用的文献

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Breastfeeding in the United States Among Women With HIV: Con Viewpoint.
Clin Infect Dis. 2024 Jun 14;78(6):1629-1631. doi: 10.1093/cid/ciad778.
6
Breastfeeding Among People With Human Immunodeficiency Virus in North America: A Multisite Study.
Clin Infect Dis. 2023 Nov 17;77(10):1416-1422. doi: 10.1093/cid/ciad235.
8
Support for Establishing Best Practices for Breastfeeding in the Current HIV/ART Era.
J Pediatric Infect Dis Soc. 2022 Mar 24;11(3):90-91. doi: 10.1093/jpids/piab128.

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