Table 4. Descriptions of WHO Option A, B, and B+.
WHO option | Woman-Treatment(if CD4≤350) | Woman-Prophylaxis(if CD4>350) | Breastfeeding Infant |
WHO option A Requires CD4 | Triple ART | AZT from 14 weeks’ gestation, sdNVP andAZT/3TC at onset of labor, and AZT/3TCfor 7 days postpartum | Daily NVP from birth to 1 week after all exposure to breast milk has ended |
WHO option B Requires CD4 | Triple ART | Triple ARV from 14 weeks’ gestation until 1 weekafter all exposure to breast milk has ended | Daily NVP from birth to 6 weeks |
WHO option B+ CD4 not required | Triple ART for life | Triple ART for life | Daily NVP from birth to 6 weeks |
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Abbreviations: AZT (zidovudine), ART (antiretroviral therapy), ARV (antiretroviral); sdNVP (single dose nevirapine), NVP (nevirapine).
World Health Organization (2012) Programmatic Update. Use of Antiretroviral Drugs for Treating Pregnant Women and Preventing HIV Infection in Infants. Executive Summary. Geneva, Switzerland: World Health Organization.
Schouten EJ, Jahn A, Midiani D, Makombe SD, Mnthambala A, et al. (2011) Prevention of mother-to-child transmission of HIV and the health-related Millennium Development Goals: time for a public health approach. Lancet 378∶282–284.