妊娠期艾滋病管理的最新进展。

IF 1.4 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-07-02 DOI:10.1097/GRF.0000000000000887

Jemma Benson, Cassandra Pierre, Naima T Joseph

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引用次数: 0

摘要

孕妇感染人体免疫缺陷病毒仍然是全球范围内一个重要的公共卫生问题。围产期传播率为 15%至 40%，但通过适当的产前管理可将传播率降至 1%以下。以前的建议包括以蛋白酶抑制剂为基础的抗逆转录病毒疗法、婴儿预防、对未控制的病毒血症实施剖宫产以及使用配方奶粉喂养婴儿。然而，最近的更新包括基于整合酶抑制剂的一线治疗方案和支持父母选择安全哺乳。在本综述中，我们总结并提供了人类免疫缺陷病毒感染者孕期护理的最新建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Updates in the Management of HIV During Pregnancy.

Human immunodeficiency virus in pregnant people remains a significant public health issue worldwide. The rate of perinatal transmission is 15% to 40% but can be decreased to less than 1% with appropriate antenatal management. Previous recommendations included a protease inhibitor-based antiretroviral therapy, infant prophylaxis, performance of cesarean section for uncontrolled viremia, and the use of formula for infant feeding. However, recent updates include first line of integrase inhibitor-based regimens and supporting parental choices for safe lactation. In this review, we summarize and provide updated recommendations for the care of people living with human immunodeficiency virus during pregnancy.

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来源期刊

Clinical obstetrics and gynecology 医学-妇产科学

CiteScore

2.70

自引率

0.00%

发文量

186

审稿时长

3 months

期刊介绍： Each issue of Clinical Obstetrics and Gynecology is a complete symposium on one or two timely topics of interest in obstetrics and gynecology. For each quarterly issue, two prominent guest editors solicit contributions on key clinical topics of interest to practicing physicians. Procedures, current clinical problems, medical and surgical treatments, and effective diagnostic aids are all carefully reviewed in original articles. The result is an instructive resource that dispenses trustworthy clinical guidance that enhances your understanding of key areas of your practice.