Surveillance of ARV safety in pregnancy and breastfeeding: towards a new framework.
Francoise RenaudLynne M MofensonCharlotte BakkerHelen DolkValeriane LeroyAngelina NamibaLeyla SahinRoger ShapiroAmy L SlogroveClaire ThorneMarissa VicariDaniel Low-BeerMeg DohertyPublished in: Journal of the International AIDS Society (2022)
Looking ahead, critical steps to safely introduce new ARVs include (1) adopting harmonized standards for measuring adverse maternal, birth and infant outcomes; (2) establishing surveillance centres of excellence in areas with high HIV prevalence with harmonized data collection and optimized electronic health records linking maternal/infant data; and (3) creating targets and evaluation goals for reporting progress on implementation and quality of surveillance in pregnancy. The platform will be leveraged to ensure that appropriate contributions and strategic actions by relevant stakeholders are implemented.
Keyphrases
- electronic health record
- pregnancy outcomes
- adverse drug
- public health
- clinical decision support
- birth weight
- preterm birth
- pregnant women
- antiretroviral therapy
- gestational age
- hiv positive
- healthcare
- risk factors
- quality improvement
- hiv infected
- human immunodeficiency virus
- hiv testing
- hepatitis c virus
- preterm infants
- hiv aids
- high throughput
- global health
- emergency department
- men who have sex with men
- body mass index
- south africa
- adipose tissue
- skeletal muscle
- metabolic syndrome
- insulin resistance