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Recomendations for Follow-Up of Infected Women and
Perinatally Exposed Infants
1. Following pregnancy, HIV infected
women should be provided ongoing HIV related medical care, including immunological
monitoring, antiretroviral therapy, and prophylaxis for and treatment of opportunistic
infections and other HIV related conditions. HIV infected women should receive gynecologic
care, including regular Pap smears, reproductive counseling, information on how to prevent
sexual transmission of HIV and other STD's and treatment of gynecologic conditions
according to published recommendations.
2. HIV infected women who are substance abusers should be assessed for substance abuse
treatment readiness and referred appropriately.
3. HIV infected women (or the guardians of their children) should be informed of the
importance of follow-up for their children. These children should receive follow-up care
to determine their infection status, to initiate prophylactic therapy to prevent PCP
according to most recent recommendations, to determine the need for antiretroviral and
other prophylactic therapy and to initiate regular pediatric care. HIV infected children
and other children living in households with HIV infected persons should be vaccinated
according to published Recommendations of the Advisory Committee on Immunization
Practices (ACIP).
4. In situations where a mother is known to be HIV positive and does not have custody
of one or more of her biological children, there should be legal provisions (mechanisms)
to notify the children's guardian of the need for HIV testing and care.
5. In situations where a child is known to be HIV positive and no longer resides with
their biological mother (i.e., as in foster care), there should be legal provisions
(mechanisms) to notify the child's biological mother of the need for HIV testing and care.
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