🗞️ Medical Articles Source: U.S. Department of Health and Human Services (DHHS) Topic: Updated pediatric HIV guidelines recommend dolutegravir-based therapy for neonates The DHHS has released updated Pediatric HIV Guidelines, recommending dolutegravir (DTG)-based antiretroviral therapy as the preferred initial regimen for full-term neonates weighing ≥2 kg. The update also introduces revised recommendations on breastfeeding, infant HIV prophylaxis, and diagnostic testing for HIV-exposed infants. Key changes include birth HIV nucleic acid testing for nearly all exposed infants, continued HIV testing throughout breastfeeding with a final test 3 months after breastfeeding ends, and support for breastfeeding when the parent has maintained viral suppression (<50 copies/mL) for at least 3 months before delivery. The guidelines continue to emphasize INSTI-based regimens because of their strong efficacy and safety. Clinical takeaway: Dolutegravir-based therapy is now the preferred initial ART for eligible neonates, while updated guidance strengthens recommendations on breastfeeding, infant prophylaxis, and HIV testing to improve outcomes in HIV-exposed children. Link: https://clinicalinfo.hiv.gov/en/guidelines/pediatric-arv/whats-new @HakimApps_Guideline
https://t.me/HakimApps_Guideline/2828