Guidelines
Infant of Mother with Unknown HIV Status

Infant of Mother with Unknown HIV Status

Reminders

If HIV infection has not been ruled out: AVOID infant feeding of breast milk until MATERNAL HIV negative status is confirmed and ongoing risk factors are ruled out

Initial Management

  • Self-identifies as at risk for HIV

  • Engaged in sex work

  • Injection drug use

  • Sex partner of person infected with HIV or using injection drugs

  • Sexually transmitted infection during pregnancy

  • From a population with a high prevalence of HIV

    • e.g. recent incarceration or from an HIV-endemic country

Additional Information

To be done within 90 MINUTES of birth

  • Complete blood count (CBC) with differential

  • Aspartate aminotransferase (AST)

  • Alanine aminotransferase (ALT)

  • Bilirubin, total unconjugated and conjugated

  • Urea

  • Creatinine (Cr), serum

  • Saliva swab CMV

  • Infant Diagnostic HIV PCR: Send 2mL in one EDTA tube (lavender top) (PHSA Lab Serology Screening Requisition #00073506 Request Infant Diagnostic HIV PCR under Other Tests)

  • Oak Tree Clinic staff (604-875-2250) are available to provide telephone advice Monday-Friday 08:30-16:30

  • After 16:30 and on weekends, contact BC Children's Hospital (604-875-2161) and ask for the Pediatric Infectious Disease specialist on call

Algorithm Overview

INFANT born to mother with unknown HIV status, or ongoing HIV risk since last HIV test: Initial management