If HIV infection has not been ruled out: AVOID infant feeding of breast milk until MATERNAL HIV negative status is confirmed and ongoing risk factors are ruled out
Universal precautions for blood and body fluid
Wash injection site prior to IM injection or blood sampling
Mother with unknown HIV status and no identified HIV risk factors
Mother with HIV risk factors since last HIV test
HIV risk factors
Self-identifies as at risk for HIV
Engaged in sex work
Injection drug use
Sex partner of person infected with HIV or using injection drugs
Sexually transmitted infection during pregnancy
From a population with a high prevalence of HIV
Medications
Laboratory
To be done within 90 MINUTES of birth
Complete blood count (CBC) with differential
Aspartate aminotransferase (AST)
Alanine aminotransferase (ALT)
Bilirubin, total unconjugated and conjugated
Urea
Creatinine (Cr), serum
Saliva swab CMV
Infant Diagnostic HIV PCR: Send 2mL in one EDTA tube (lavender top) (PHSA Lab Serology Screening Requisition #00073506 Request Infant Diagnostic HIV PCR under Other Tests)
Questions and Consults
Oak Tree Clinic staff (604-875-2250) are available to provide telephone advice Monday-Friday 08:30-16:30
After 16:30 and on weekends, contact BC Children's Hospital (604-875-2161) and ask for the Pediatric Infectious Disease specialist on call
Additional Resources
Pre-printed order sets
Guide for interpreting test results
Oak Tree Clinic website
