What are the concerns for pediatricians caring for babies that are rapid tested preliminary HIV positive at delivery?
The rapid test is quite accurate in diagnosing possible HIV exposure in the infant. The infant should be treated with a weight-appropriate dose of AZT as soon as possible. That dose should be repeated according to the hospital policy for treatment of HIV-exposed newborns until a confirmatory Western blot result is available. Click here for the Illinois Perinatal HIV Hotline’s neonatal treatment guidelines. There is no need for an EIA (Elisa Immunoassay) test; send the blood for a Western blot confirmation ONLY.