Accepted
at 7:16 p.m. Jun, 01, 2024
by
Ahmed7
Type of change:
Updated content
Rationale for change
Amboss breaks it down into < or > 50 copies/mL for viral load and tx in infants. i.e., <50 is AZT only, >50 cART (this card and another said 1000 was the cutoff point)
Source: AMBOSS - https://next.amboss.com/us/article/mf0V52#Zb0eb49072256bba8aefb93ac978aab6d
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Note: Some newer guidelines suggest therapy for only ≥ 4 weeks
Pregnancy | Viral load (copies/mL) | Route of delivery | Antiretroviral therapy (ART) |
---|---|---|---|
≤ 50 | Vaginal delivery | IV zidovudine not recommended | |
> 50 - ≤ 1000 | |||
> 1000 OR unknown viral load OR poor adherence to ARV treatment | C-section at 38 weeks | IV zidovudine 3 hours prior to delivery | |
Newborn | Viral load (copies/mL) | Antiretroviral therapy (ART) | |
≤ 50 | Zidovudine within 12 hours after birth for 4 weeks | ||
> 50 | Combo ART therapy: 3-drug combo regimen for 6 weeks |
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