MCQs in Tropical Medicine

Rob Skelly DTM+H FRCP

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Vertical transmission of HIV

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It is unfortunately true that breast feeding increases the risk of vertical transmission of HIV. It is generally agreed, however, that in most of the developing world the benefits of breast feeding (reduced malnutrition, reduced mortality from gastroenteritis) outweigh the risk of HIV.
High titres of p24 and low CD4 counts also predict poor maternal outcome.