Screening

Your Organizational Guidance

ebpracticenet urges you to prioritize the following organizational guidance:

Richtlijn zorg voor patiënten met hiv in de eerste lijnPublished by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2023GPC sur la prise en charge des patients vivant avec le VIHPublished by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2023

Universal prenatal screening for HIV is recommended, as history and risk-factor-based screening can lead to missed diagnoses. Nonetheless, the following key risk factors, if present, increase the possibility of maternal exposure to infection, and should be elicited during the first prenatal assessment:

  • History of past or current injection drug use

  • History of past or current sexually transmitted infections

  • History of unprotected sexual encounters during pregnancy (including receptive anal intercourse and penile-vaginal intercourse)

  • History of multiple sexual partners or transactional sex.

Early diagnosis and treatment of maternal HIV infection can greatly reduce the risk of perinatal transmission.

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