MONDAY, May 20, 2024 -- In an American Academy of Pediatrics clinical report published online May 20 in Pediatrics, recommendations are presented for breastfeeding among people living with and at risk for HIV.Lisa Abuogi, M.D., from the University of Colorado School of Medicine in Aurora, and colleagues examined feeding practices for infants born to people living with and at risk for HIV infection.The authors note that care team members should be aware of the HIV transmission risk via breastfeeding and the recommendations for feeding infants with perinatal HIV exposure.

2024年5月20日星期一，美国儿科学会（American Academy of Pediatrics）于5月20日在《儿科学》（Pediatrics）网站上发布了一份临床报告，其中提出了对艾滋病毒感染者和高危人群进行母乳喂养的建议。来自科罗拉多大学奥罗拉分校医学院的医学博士丽莎·阿布吉（LisaAbuogi）及其同事研究了艾滋病毒感染者和高危人群所生婴儿的喂养方式。作者指出，护理团队成员应该意识到通过母乳喂养传播艾滋病毒的风险以及喂养围产期艾滋病毒暴露婴儿的建议。

The estimated risk for HIV transmission via breastfeeding is less than 1 percent from a parent with HIV who is receiving antiretroviral treatment (ART) and is virally suppressed. The only infant feeding option with 0 percent risk for HIV transmission is avoidance of breastfeeding. However, people with HIV may want to breastfeed; a family-centered, nonjudgmental, harm reduction approach should be offered to people with HIV on ART with sustained viral suppression below 50 copies per mL who want to breastfeed.

据估计，接受抗逆转录病毒治疗（ART）并受到病毒抑制的艾滋病毒感染者父母通过母乳喂养传播艾滋病毒的风险不到1%。艾滋病毒传播风险为0%的唯一婴儿喂养选择是避免母乳喂养。然而，艾滋病毒感染者可能希望母乳喂养；应该为艾滋病毒感染者提供一种以家庭为中心的，非判断性的，减少伤害的方法，这种方法可以持续抑制每毫升50拷贝以下的病毒，并且需要母乳喂养。

Recommendations against breastfeeding are advised for people with HIV who are not on ART or who are on ART but without viral suppression. HIV testing is recommended for all pregnant persons, and HIV preexposure prophylaxis is recommended to pregnant or breastfeeding persons at high risk for HIV acquisition.'Pediatric health care professionals should be prepared to provide infant feeding counseling and a family-centered, culturally sensitive, harm reduction approach for people with HIV on ART with sustained viral suppression who desire to breastfeed,' the authors write.Abstract/Full TextWhatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox..

对于未接受抗逆转录病毒治疗或接受抗逆转录病毒治疗但未接受病毒抑制的艾滋病毒感染者，建议不要母乳喂养。建议对所有孕妇进行艾滋病毒检测，并建议对艾滋病毒感染高危孕妇或母乳喂养者进行艾滋病毒暴露前预防。”作者写道，儿科医疗保健专业人员应该做好准备，为希望母乳喂养的艾滋病毒感染者提供婴儿喂养咨询和以家庭为中心，对文化敏感，减少伤害的ART治疗方法。摘要/全文无论您感兴趣的主题是什么，请订阅我们的新闻稿，以便在收件箱中获得Drugs.com的最佳信息。。