Antiretroviral therapy in HIV-infected pregnant women and their infants: current interventions and challenges.

Advances in antiretroviral therapy for human immunodeficiency virus (HIV)-infected pregnant women have improved maternal health and successfully reduced perinatal transmission from 25% to less than 5%. Maternal treatment is individualized and based on physical and laboratory evaluations. Three categ...

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Detalles Bibliográficos
Publicado en:Journal of Perinatal & Neonatal Nursing Vol. 16; no. 2; pp. 1 - 26
Autor principal: Shannon M
Formato: pictorial practice guidelines review tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Sep2002
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Advances in antiretroviral therapy for human immunodeficiency virus (HIV)-infected pregnant women have improved maternal health and successfully reduced perinatal transmission from 25% to less than 5%. Maternal treatment is individualized and based on physical and laboratory evaluations. Three categories of drugs are currently approved for use in HIV disease including: (11 nucleoside and nucleotide reverse transcriptase inhibitors; (2) non-nucleoside reverse transcriptase inhibitors; and (3) protease inhibitors. Treatment decisions during pregnancy are complex and require consideration of the physiologic changes of pregnancy, drug interactions, possible maternal and fetal side effects, and psychosocial issues that influence adherence to the chosen therapy. Copyright © 2002 by Aspen Publishers, Inc.