HIV Testing for Children in Resource-Limited Settings: What Are We Waiting For?
HIV Testing for Children in Resource-Limited Settings: What Are We Waiting For?
By: Scott Kellerman, Shaffiq Essajee
Publication: PLoS Medicine7 (7) (July 2010): e1000285. doi:10.1371/journal.pmed.1000285.
Summary Points
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Expansion of prevention of mother-to-child transmission in resource-limited settings remains a challenge.
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In many countries, most HIV-exposed infants do not benefit from PMTCT programs, which results in a 30% or more transmission rate.
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Vertically infected infants not diagnosed in the context of PMTCT are rarely diagnosed until symptomatic with HIV, resulting in increased morbidity and mortality.
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Infant and pediatric testing programs are needed until PMTCT challenges are overcome or universal treatment of HIV-infected pregnant women becomes the norm.
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