A five-year review of vertical HIV transmission in a specialized service: cross-sectional study

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dc.citation.issue6
dc.citation.volume134
dc.contributor.authorHoffmann, Izabel Cristina
dc.contributor.authordos Santos, Wendel Mombaque
dc.contributor.authorde Mello Padoin, Stela Maris
dc.contributor.authorBarros, Sonia Maria Oliveira de [UNIFESP]
dc.coverageSao Paulo
dc.date.accessioned2020-07-31T12:47:19Z
dc.date.available2020-07-31T12:47:19Z
dc.date.issued2016
dc.description.abstractCONTEXT AND OBJECTIVE: Healthcare professionals need to instill the process of prevention, control and treatment of people infected with HIV into care practice. Through maintaining preventive treatment among HIV-infected pregnant women, it has been demonstrated that prophylactic antiretroviral therapy, scheduled cesarean section and the prohibition of breastfeeding significantly reduce vertical HIV transmission. This study aimed to assess the rates of vertical HIV transmission in a specialized service and identify the factors associated with it. DESIGN AND SETTING: Cross-sectional study developed at the University Hospital of Santa Maria (RS), Brazil. METHODS: A cross-sectional study was conducted on a sample of 198 notification forms and medical records of HIV-positive pregnant women and exposed children. RESULTS: The vertical transmission rate was 2.4%, and three children had been infected by vertical HIV transmission. The statistically significant risk factor was the use of injectable drugs. Delayed reporting of pregnancy, absence of antiretroviral therapy during pregnancy, lack of proper prenatal care, incapacity to perform viral load detection tests and CD4+ T cell counts and obstetric and maternal clinical complications were reported. CONCLUSIONS: The vertical transmission rate was high and the recommended intervention measures were not adopted in full. Adequate prophylactic measures need to be implemented in HIV-positive pregnant women prenatally and during the antenatal, delivery and postpartum periods.en
dc.description.affiliationUniv Fed Santa Maria, Univ Hosp, Santa Maria, RS, Brazil
dc.description.affiliationUniv Fed Santa Maria, Dept Nursing, Santa Maria, RS, Brazil
dc.description.affiliationUniv Fed Santa Maria, Santa Maria, RS, Brazil
dc.description.affiliationUniv Fed Sao Paulo Unifesp, Dept Nursing, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespDepartment of Nursing, Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil
dc.description.sourceWeb of Science
dc.format.extent508-512
dc.identifierhttp://dx.doi.org/10.1590/1516-3180.2016.0139140616
dc.identifier.citationSao Paulo Medical Journal. Sao Paulo, v. 134, n. 6, p. 508-512, 2016.
dc.identifier.doi10.1590/1516-3180.2016.0139140616
dc.identifier.fileS1516-31802016000600508.pdf
dc.identifier.issn1516-3180
dc.identifier.scieloS1516-31802016000600508
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/56755
dc.identifier.wosWOS:000393227700006
dc.language.isoeng
dc.publisherAssociacao Paulista Medicina
dc.relation.ispartofSao Paulo Medical Journal
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHIVen
dc.subjectInfectious disease transmission, verticalen
dc.subjectWomen's healthen
dc.subjectChild healthen
dc.subjectHospital recordsen
dc.titleA five-year review of vertical HIV transmission in a specialized service: cross-sectional studyen
dc.typeinfo:eu-repo/semantics/article
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