early infant diagnosis of hiv in india—early results and sero-positivity determinants婴儿早期诊断艾滋病毒在早上,印度结果和sero-positivity决定因素.pdfVIP

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early infant diagnosis of hiv in india—early results and sero-positivity determinants婴儿早期诊断艾滋病毒在早上,印度结果和sero-positivity决定因素.pdf

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early infant diagnosis of hiv in india—early results and sero-positivity determinants婴儿早期诊断艾滋病毒在早上,印度结果和sero-positivity决定因素

Vol.2, No.3, 318-325 (2012) Open Journal of Preventive Medicine /10.4236/ojpm.2012.23046 Early infant diagnosis of HIV in India—Early results and sero-positivity determinants 1* 2 1 1 2 Urvish Joshi , Umesh Oza , Anand Solanki , Sheetal Vyas , Heena Modi 1Department of Community Medicine, AMC MET Medical College, Ahmedabad, India; * Corresponding Author: doc.urvish@ 2Ahmedabad Municipal Corporation AIDS Control Society, Ahmedabad, India Received 10 June 2012; revised 16 July 2012; accepted 9 August 2012 ABSTRACT use in national program. Earliest pregnancy-HIV detection, HIV-testing for emergency deliveries, Introduction: PMTCT under NACP-III cover ex- intra-partum sdNVP to both mother and baby, posed children born to sero-positive mothers. ART-linkage of eligible mothers and following Baby’s sero-status could be confirmed only at infant feeding guidelines remain cornerstone of 18 months. Under EID, by DBS and/or WB col- PMTCT success. lection, DNA-PCR can be performed earlier, with subsequent ART-linkage and 18-months-con- Keywords: PMTCT; Early-Infant-Diagnosis (EID); firmation. In Ahmedabad, with 55,000 annual pre- Dried-Blood-Spot (DBS); HIV Sero-Positivity gnancy-HIV-testing, sero-prevalence is 0.27%. Determinants; Vertical Transmission Methodology: Entry-points in EID are at 6 weeks, 6 months or 1