Page 74 - AIDSBK23C

Page 74

Criteria for Uninfected with HIV, Definitive or Presumptive

A child aged <18 months born to an HIV-infected mother is categorized for surveillance
purposes as either definitively or presumptively uninfected with HIV if 1) the criteria for
definitive or presumptive HIV infection are not met and 2) at least one of the laboratory
criteria or other criteria are met.

Laboratory Criteria for Uninfected with HIV, Definitive

A child aged <18 months born to an HIV-infected mother is categorized for surveillance
purposes as definitively uninfected with HIV if 1) the criteria for definitive or
presumptive HIV infection are not met and 2) at least one of the laboratory criteria or
other criteria are met.

At least two negative HIV DNA or RNA virologic tests from separate specimens, both of
which were obtained at age >1 month and one of which was obtained at age >4 months.

OR

At least two negative HIV antibody tests from separate specimens obtained at age >6
months.

AND

No other laboratory or clinical evidence of HIV infection (i.e., no positive results from
virologic tests [if tests were performed] and no current or previous AIDS-defining
condition).

Laboratory Criteria for Uninfected with HIV, Presumptive

A child aged <18 months born to an HIV-infected mother is categorized for surveillance
purposes as presumptively uninfected with HIV if 1) the criteria for definitively
uninfected with HIV are not met and 2) at least one of the laboratory criteria are met.
Two negative RNA or DNA virologic tests, from separate specimens, both of which were
§§
obtained at age >2 weeks and one of which was obtained at age >4 weeks.

OR

One negative RNA or a DNA virologic test from a specimen obtained at age >8 weeks.

OR

One negative HIV antibody test from a specimen obtained at age >6 months.

OR