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Education, counseling, and behavior modification along with the consistent and correct use of condoms in risk situations remain the cornerstones of HIV prevention efforts. Avoidance of shared needle use by injection drug users (IDUs) is critical. If possible, breast-feeding should be avoided by HIV-positive women, as the virus can be transmitted to infants via this route. In societies where withholding of breast-feeding is not feasible, treatment of the mother, if possible, greatly decreases the chances of transmission. Recent studies have demonstrated the important role of medically supervised adult male circumcision in the prevention of acquisition of heterosexually transmitted HIV infection in men. In addition, pre-exposure prophylaxis with cART in men who have sex with men and in heterosexual men and women engaging in risk behaviors, has proven to be an effective means of prevention. Finally, treatment of the HIV-infected partner in heterosexual discordant couples has proved highly effective in preventing transmission of HIV to the uninfected partner.

For a more detailed discussion, see Fauci AS, Lane HC: Human Immunodeficiency Virus Disease: AIDS and Related Disorders, Chap. 226, p. 1215, in HPIM-19.

Outline

Section 7. Infectious Diseases