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Old 03-17-2014
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Default treatment of HIV to reduce transmission to new born

in MTB 3 it say that zidovudine monotherapy is no longer used to prevent transmission while in uworld (3678) it says that the best way to prevent transimission is by giving zidovudine to pregnant women and to the baby in first 6 weeks of life ??
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Old 03-17-2014
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I don't remember what does it say, you can check the errata of step 3 (which is extensive)

but these are the indications:
The indications are very clear, you give 3drug combination to every pregnant female if she is HIV positive, and after birth you continue for 6 weeks with AZD alone to the newborn.
if she has high viral copy count above 1000ul you consider C-section instead of normal vaginal delivery.


The mother continues or stops the 3 drug combination according to her CD4 count above or below 350-500
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Old 03-17-2014
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Quote:
Originally Posted by modesty View Post
I don't remember what does it say, you can check the errata of step 3 (which is extensive)

but these are the indications:
The indications are very clear, you give 3drug combination to every pregnant female if she is HIV positive, and after birth you continue for 6 weeks with AZD alone to the newborn.
if she has high viral copy count above 1000ul you consider C-section instead of normal vaginal delivery.


The mother continues or stops the 3 drug combination according to her CD4 count above or below 350-500


yes that is what i know as well , 3 drug combination , but in uworld question , the right choice was one that is giving the patient only zidovudine only and that si what made me confused
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was it comparison type of question ? if yes then its correct
AZT alone has the highest reduction of risk of transmission
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Old 03-19-2014
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Originally Posted by MedicalExaminer View Post
was it comparison type of question ? if yes then its correct
AZT alone has the highest reduction of risk of transmission
yes it was comparing zidovudine and c-section , and the right choice was zidovudine , while actually zidovudine has not to be used alone according to kaplan , it has to be 3 drugs combination
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