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Time of HIV diagnosis in infants after weaning from breast milk

Athena P. Kourtis, Caroline C. King, Julie A. Nelson, Denise J. Jamieson, Charles van der Horst

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Abstract

Of 28 infants diagnosed with HIV infections after the recommended time of breastfeeding cessation in a large clinical trial (the Breastfeeding, Antiretrovirals and Nutrition Study), 19 (68%) were first detected more than 6 weeks (and up to 168 days) after recommended weaning. The current WHO recommendation for HIV testing of infants is at 6 weeks or more after weaning; these data argue for repeat HIV testing of infants up to 6 months after breastfeeding cessation, so that no infant HIV infections are missed.

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What this paper is about

Of 28 infants diagnosed with HIV infections after the recommended time of breastfeeding cessation in a large clinical trial (the Breastfeeding, Antiretrovirals and Nutrition Study), 19 (68%) were first detected more than 6 weeks (and up to 168 days) after recommended weaning. The current WHO recommendation for HIV testing of infants is at 6 weeks or more after weaning; these data argue for repeat HIV testing of infants up to 6 months after breastfeeding cessation, so that no infant HIV infections are missed.

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Available abstract

Of 28 infants diagnosed with HIV infections after the recommended time of breastfeeding cessation in a large clinical trial (the Breastfeeding, Antiretrovirals and Nutrition Study), 19 (68%) were first detected more than 6 weeks (and up to 168 days) after recommended weaning. The current WHO recommendation for HIV testing of infants is at 6 weeks or more after weaning; these data argue for repeat HIV testing of infants up to 6 months after breastfeeding cessation, so that no infant HIV infections are missed.

Key concepts: Breastfeeding, Weaning, Medicine, Breast milk, Breast feeding, Pediatrics, Human immunodeficiency virus (HIV), Pregnancy

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