18 year old G1P0 woman at 22 weeks gestation has a positive chlamydia DNA assay of the endocervix and positive HIV ELISA test. She denies lower abdominal pain and is afebrile. Her abdomen is non tender and gravid. The gonococcal culture is negative.
NEXT STEP IN THERAPY :-
Oral Erythromycin, Azithromycin or Amoxicillin
NEXT DIAGNOSTIC STEP FOR HIV:-
Either Western blot confirmation or PCR confirmation
OPTIMAL TREATMENT OF HIV INFECTION IN PREGNANCY :-
Assessment of stage of HIV infection, initiation of highly active antiretroviral therapy(HAART), offer elective cesarean DELIVERY & oral zidovudine to the neonate