Anesthetic Considerations for the HIV+ Patient. Veronica Y. Amos PhD CRNA October 2014. Prevalence. In 2011, an estimated 1.1 million persons in the U.S. were living with HIV infection 1 in 6 (15.8%) are unaware they are HIV positive. Incidence.
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Veronica Y. Amos PhD CRNA
Viral RNA needs to become DNA in order to start the replication process. Reverse transcriptase allows the RNA to borrow material from the cell and to "write backwards" a chain of viral DNA.HIV Takes Control of T Cells
- Bronchitis, sinusitis, pneumonia (PCP)
- TB, myobacteria and fungal infections
- Airway obstruction (Kaposi’s sarcoma)
- Acute and chronic disease
Risk factors for vertical transmission include prolonged preterm rupture of membranes (>4 hrs), chorioamnionitis, presence of STD, lack of maternal antiviral therapy, and obstetrical invasive procedures such as cervical cerclage and amniocentesis