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

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

Author Hoffmann, Izabel Cristina Google Scholar
dos Santos, Wendel Mombaque Google Scholar
de Mello Padoin, Stela Maris Google Scholar
Barros, Sonia Maria Oliveira de Autor UNIFESP Google Scholar
Abstract CONTEXT 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.
Keywords HIV
Infectious disease transmission, vertical
Women's health
Child health
Hospital records
xmlui.dri2xhtml.METS-1.0.item-coverage Sao Paulo
Language English
Date 2016
Published in Sao Paulo Medical Journal. Sao Paulo, v. 134, n. 6, p. 508-512, 2016.
ISSN 1516-3180 (Sherpa/Romeo, impact factor)
Publisher Associacao Paulista Medicina
Extent 508-512
Origin http://dx.doi.org/10.1590/1516-3180.2016.0139140616
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000393227700006
SciELO ID S1516-31802016000600508 (statistics in SciELO)
URI https://repositorio.unifesp.br/handle/11600/56755

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