Vertical transmission of HIV to neonates in a reference hospital in Northeastern Brazil from 2013 to 2017
Rev. Inst. Med. Trop. São Paulo (Online)
; 65: e34, 2023. tab, graf
Article
en En
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LILACS-Express
| LILACS
| ID: biblio-1441025
Biblioteca responsable:
BR1.1
ABSTRACT
ABSTRACT The aim of this study was to estimate the rate of Mother-to-child Transmission (MTCT) of HIV to neonates in a reference university hospital in Sao Luis city, the capital of Maranhao State (MA), evaluating MTCT-associated factors. A retrospective cohort study based on data from the Notifiable Diseases Data System (SINAN) was carried out and included all HIV-exposed neonates notified from 2013 to 2017 by the university hospital. The study population comprised 725 HIV-exposed neonates, of whom 672 neonates were exposed and uninfected, and 53 were exposed and infected. The estimated rate of MTCT in the period of 2013 to 2017 was 7.3%. Most pregnant women were ≥ 20 years old (86.9%), reported ≥ 8 years of schooling (53.2%), reported full-time or independent paid work (46.9%) and were residents in other cities of the state (61.7%). Regarding healthcare, 86.3% received prenatal care, 74.6% received Antiretroviral Therapy (ART) as prophylaxis during pregnancy, 81.8% received ART prophylaxis during childbirth and 78.1% underwent cesarean section. Among the neonates, 92.8% received ART prophylaxis and 94.3% were not breastfed. Despite these variables, the 7.3% MTCT rate found in this study makes it clear that the interventions recommended by the Ministry of Health were not fully adopted.
Texto completo:
1
Colección:
01-internacional
Base de datos:
LILACS
Tipo de estudio:
Observational_studies
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Risk_factors_studies
País/Región como asunto:
America do sul
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Brasil
Idioma:
En
Revista:
Journal of the São Paulo Institute of Tropical Medicine
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Rev Inst Med Trop Sao Paulo
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Rev. Inst. Med. Trop. São Paulo (Online)
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Rev. Inst. Med. Trop. Säo Paulo
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Revista do Instituto de Medicina Tropical de São Paulo (Impresso)
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Revista do Instituto de Medicina Tropical de São Paulo (Online)
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Revista do Instituto de Medicina Tropical de Säo Paulo (Impresso)
Asunto de la revista:
Medicina Tropical
Año:
2023
Tipo del documento:
Article
País de afiliación:
Brasil