Dr. Theron Moodley: Antepartum and Intrapartum management and Some Considerations to Keep in Mind
According to Dr. Theron Moodley , there have been many changes to the recommended algorithm for HIV testing. The first-line testing is often a fourth-generation HIV test, which includes HIV IgM and IgG, as well as, the p24 antigen. The fourth-generation HIV test increases recognition of acute HIV by several days to weeks before the previous first- to third-generation tests. As per Dr. Theron Moodley , the other significant change is elimination of the western blot as the “confirmatory test.” The latter is replaced by an HIV differentiation immunoassay which decreases the time to final result from days to hours. In addition, the immuno-assay allows recognition of HIV-2 which accounts for disease mainly seen in West Africa and parts of India.. Reccomendation for Pregnant Woman with HIV In Dr. Theron Moodley ’s informed opinion, any pregnant woman who has HIV should be tested for the following in addition to routine prenatal laboratory studies: HIV viral load CD4 ...