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However, as vertical HIV transmission risk decreases there is increasing recognition of adverse health impacts suffered by HIV-exposed but uninfected (HEU) infants, including vulnerability to developing lower respiratory tract infections (LRTIs) and tuberculosis (TB) due to socioeconomic status and adverse environmental conditions such as maternal ill health and lack of breastfeeding. With this strategy, transmission should be less than 1% in women who either know their status, or are diagnosed early in pregnancy and are retained in care on an effective regimen.

To prevent vertical transmission of human immunodeficiency virus (HIV) from mother to child and to improve long-term outcomes for HIV-infected pregnant women, the current standard of care is to initiate lifelong suppressive antiretroviral therapy (ART). We discuss the impact of tuberculosis and other lower respiratory tract infections on the health of HIV-infected infants and children. The reasons for this increased risk are not limited to socioeconomic status or adverse environmental conditions-there is emerging evidence that these HIV-exposed but uninfected infants may have particular immune deficits that could increase their vulnerability to respiratory pathogens. There is also increasing recognition of the impact of in utero exposure to HIV on the general health of exposed but uninfected infants. As the vertical transmission risk of HIV decreases and access to antiretroviral therapy increases, the epidemiology of these infections is changing, but HIV-infected infants and children still carry a disproportionate burden of these infections. In addition, Pneumocystis jirovecii and cytomegalovirus are important opportunistic pathogens. In high human immunodeficiency virus (HIV)-burden settings, HIV-infected children carry a high burden of lower respiratory tract infection from common respiratory viruses, bacteria and Mycobacterium tuberculosis. Jazler 2.8.1.0 Free Download Newest Version for Windows.Pneumonia remains the most common cause of hospitalization and the most important cause of death in young children.

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