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Prevention of HIV Infection-Reply

Paul R. Gustafson, MD
JAMA. 1987;257(8):1046-1047. doi:10.1001/jama.1987.03390080036009.
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In Reply.—  In his letter, Dr Hopkins attempts to support the Centers for Disease Control's recommendations for voluntary HIV testing of high-risk persons1 by pointing out the utility of testing in specific small groups. It is suggested that a positive test result would prompt additional personal steps to be taken by those infected or their health care providers. Among these, delaying pregnancy and avoiding breast feeding would appear to be a prudent recommendation for seropositive women. Thus, women in high-risk populations who are pregnant or contemplating pregnancy should be counseled and encouraged to undergo serological testing.2 Knowledge of a patient's serological status would be useful in the case of a high-risk patient with a positive result on a purified protein derivative test or a patient needing immunosuppressive therapy. Immunosuppressive therapy, however, is rarely needed on an emergent basis and is usually required by only a small number of


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