HIV screening of pregnant women and newborns / Leslie M. Hardy, editor ; Committee on Prenatal and Newborn Screening for HIV Infection, Institute of Medicine.

Format:

Book

Contributor:

Institute of Medicine (U.S.). Committee on Prenatal and Newborn Screening for HIV Infection.

Hardy, Leslie M.

Language:

English

Subjects (All):

AIDS (Disease) in pregnancy--Diagnosis.

AIDS (Disease) in pregnancy.

AIDS (Disease) in infants--Diagnosis.

AIDS (Disease) in infants.

HIV (Viruses)--Diagnosis.

HIV (Viruses).

Medical screening.

Physical Description:

1 online resource (146 pages)

Edition:

1st ed.

Place of Publication:

Washington, D.C. : National Academy Press, 1991.

Language Note:

English

Summary:

Proposals for screening pregnant women and newborns for HIV infection have provoked much controversy. This volume analyzes the possible goals of such screening programs and assesses whether these goals can be achieved. It also provides guidance to policymakers in developing and implementing sound screening policy.

Contents:

HIV Screening of Pregnant Women and Newborns

Copyright

PREFACE

CONTENTS

EXECUTIVE SUMMARY

1 INTRODUCTION

2 DESCRIBING THE EPIDEMIC OF HIV INFECTION AND AIDS AMONG WOMENAND CHILDREN IN THE UNITED STATES

EPIDEMIOLOGY OF HIV INFECTION AND AIDS AMONG WOMEN

EPIDEMIOLOGY OF HIV INFECTION AND AIDS AMONG CHILDREN

3 SCREENING FOR HIV INFECTION

TECHNICAL CHARACTERISTICS OF A SCREENING TEST AND THE HIV TESTING ALGORITHM

FORMAT OF A SCREENING PROGRAM

4 NEWBORN SCREENING FOR HIV INFECTION

EARLY THERAPEUTIC INTERVENTION FOR ASYMPTOMATIC HIV-INFECTED CHILDREN

LIMITATIONS IN HIV DIAGNOSTIC TECHNOLOGY FOR INFANTS

AGGRESSIVE MEDICAL MANAGEMENT OF HIV-SEROPOSITIVE INFANTS

OTHER CONSIDERATIONS FOR NEWBORN HIV SCREENING

REEVALUATING NEWBORN HIV SCREENING POLICY

5 PRENATAL SCREENING FOR HIV INFECTION

EFFECTS ON VERTICAL HIV TRANSMISSION

EFFECTS ON HORIZONTAL HIV TRANSMISSION

INFORMED REPRODUCTIVE DECISION MAKING

EARLY DIAGNOSIS OF HIV INFECTION AND THERAPEUTIC INTERVENTION DURING PREGNANCY

ADDITIONAL BENEFITS OF PRENATAL HIV SCREENING

UNIVERSAL VERSUS SELECTIVE PRENATAL HIV SCREENING

6 FORMULATING PRENATAL HIV SCREENING POLICY

ESTABLISHING AN EPIDEMIOLOGICAL BASIS FOR PRENATAL SCREENING

PILOT STUDIES OF NEW SCREENING PROGRAMS

IMPLEMENTATION OF PRENATAL HIV SCREENING POLICY

7 ELEMENTS OF A PRENATAL HIV SCREENING PROGRAM

EDUCATION AND COUNSELING

PARTNER INVOLVEMENT

CONFIDENTIALITY

PARTNER NOTIFICATION

SERVICES FOR HIV-INFECTED WOMEN AND CHILDREN

HEALTH CARE PROVIDER EDUCATION AND TRAINING

LABORATORY SERVICES

PROGRAM EVALUATION

References

APPENDIX A THE CONFERENCE: PROGRAM AND SUMMARY

CONFERENCE PROGRAM

CONFERENCE SUMMARY PRENATAL AND NEWBORN SCREENING FOR HIV INFECTION:OPPORTUNITIES FOR PREVENTION AND TREATMENT?.

HIV INFECTION AND AIDS IN WOMEN AND CHILDREN: DIAGNOSIS AND TREATMENT

HIV Diagnostic Technology

Medical Management and Treatment of HIV Infection in Children

Medical Management of HIV-Infected Pregnant Women

PRINCIPLES AND PITFALLS OF MASS POPULATION SCREENING

WHO SHOULD BE SCREENED?

CONSENT AND COUNSELING

HIV SCREENING POLICY IMPLEMENTATION

ECONOMIC CONSIDERATIONS IN SCREENING FOR PERINATAL HIV INFECTION

Current Costs of Pediatric AIDS Care

Developing Early Medical Intervention Services for HIV-Infected Children

Paying for Services for HIV-Infected Children

EVALUATING THE EFFECTIVENESS OF HIV SCREENING

Methodological Issues in Cost-Effectiveness Analysis of Prenatal and Newborn HIV Screening

A Cost-Effectiveness Analysis of Prenatal HIV Screening

Program Design and Evaluation

THE ADVOCATES' VOICES: THOUGHTS ON PRENATAL AND NEWBORN HIV SCREENING

HIV SCREENING: ARE HUMAN RIGHTS THREATENED?

APPENDIX B COST AND PROBABILITY ASSUMPTIONS USED IN COST-EFFECTIVENESS ANALYSIS OF PRENATAL HIV SCREENING

COST ASSUMPTIONS

PROBABILITY ASSUMPTIONS

APPENDIX C COST ESTIMATES: EARLY INTERVENTION FOR HIV INFECTION

PART 1:

Counseling and Testing

Medical Surveillance, Prophylaxis, and Treatment

PART 2:

APPENDIX D COMMITTEE BIOGRAPHICAL NOTES.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references (p. 61-68).

ISBN:

9786610211807

9781280211805

1280211806

9780309565097

030956509X

9780585155647

058515564X

OCLC:

940509879