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Repeat antibody test at 18 months of age or 3 months after cessation of BF or whichever is later
If breastfeeding beyond 18 months, final diagnosis of HIV status can only be assessed at the end of breastfeeding
If breastfeeding ends before 18 months, final diagnosis of HIV status with antibody testing can only be assessed at 18 months
Antibody testing should be undertaken at least 3 months after cessation of breastfeeding (to allow for development of HIV antibodies)
For infants <18 months of age, positive antibody testing requires NAT to confirm infection
If infant is >18 months, negative antibody testing confirms infant is uninfected; positive antibody testing confirms infant is infected
Regular and periodic monitoring should be ensured while waiting for NAT to be available or for antibody testing to be conducted at 18 months
If infant presents with signs and symptoms of HIV disease, it should be managed as described previously
