Mother-to-child transmission of HIV infection in Manaus, State of Amazonas, Brazil
Main Author: | |
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Publication Date: | 2011 |
Other Authors: | , , , , |
Format: | Article |
Language: | eng |
Source: | Revista da Sociedade Brasileira de Medicina Tropical |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000500001 |
Summary: | INTRODUCTION: Reduction in the vertical transmission of HIV is possible when prophylactic measures are implemented. Our objective was to determine demographic characteristics of HIV-infected pregnant women and the rate of mother-to-child transmission of HIV in Manaus, Amazonas, Brazil. METHODS: A descriptive study was conducted using notification, and investigating data from the Notifiable Diseases Data System in the Brazilian State of Amazonas, between 2007 and 2009. RESULTS: During the study period, notification was received of 509 HIV-positive pregnant women. The vertical transmission was 9.9% (95% CI: 7.2-12.6%). The mean age of women was 27 years (SD: 5.7), and the majority (54.8%) had not completed elementary school (eighth grade). Diagnosis of HIV seropositivity was made prior to pregnancy in 115 (22.6%) women, during prenatal care in 302 (59.3%), during delivery in 70 (13.8%), and following delivery in 22 (4.3%). Four hundred four of these women (79.4%) had had prenatal care, with 79.4% of patients receiving antiretroviral during pregnancy and 61.9% of the newborn infants receiving prophylaxis. In the final multivariate logistic regression model, living in urban area [OR = 0.7 (95% CI: 0.35-0.89)] and having had prenatal care [OR = 0.1 (95% CI: 0.04-0.24)] remained as protective factors against vertical HIV transmission in this population. CONCLUSIONS: The relevance of adequate compliance with the measures already established as being effective in guaranteeing a reduction in HIV transmission within the maternal and infant population should be emphasized. |
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Mother-to-child transmission of HIV infection in Manaus, State of Amazonas, BrazilVertical transmissionHIVAIDSPregnancyProphylaxisINTRODUCTION: Reduction in the vertical transmission of HIV is possible when prophylactic measures are implemented. Our objective was to determine demographic characteristics of HIV-infected pregnant women and the rate of mother-to-child transmission of HIV in Manaus, Amazonas, Brazil. METHODS: A descriptive study was conducted using notification, and investigating data from the Notifiable Diseases Data System in the Brazilian State of Amazonas, between 2007 and 2009. RESULTS: During the study period, notification was received of 509 HIV-positive pregnant women. The vertical transmission was 9.9% (95% CI: 7.2-12.6%). The mean age of women was 27 years (SD: 5.7), and the majority (54.8%) had not completed elementary school (eighth grade). Diagnosis of HIV seropositivity was made prior to pregnancy in 115 (22.6%) women, during prenatal care in 302 (59.3%), during delivery in 70 (13.8%), and following delivery in 22 (4.3%). Four hundred four of these women (79.4%) had had prenatal care, with 79.4% of patients receiving antiretroviral during pregnancy and 61.9% of the newborn infants receiving prophylaxis. In the final multivariate logistic regression model, living in urban area [OR = 0.7 (95% CI: 0.35-0.89)] and having had prenatal care [OR = 0.1 (95% CI: 0.04-0.24)] remained as protective factors against vertical HIV transmission in this population. CONCLUSIONS: The relevance of adequate compliance with the measures already established as being effective in guaranteeing a reduction in HIV transmission within the maternal and infant population should be emphasized.Sociedade Brasileira de Medicina Tropical - SBMT2011-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000500001Revista da Sociedade Brasileira de Medicina Tropical v.44 n.5 2011reponame:Revista da Sociedade Brasileira de Medicina Tropicalinstname:Sociedade Brasileira de Medicina Tropical (SBMT)instacron:SBMT10.1590/S0037-86822011000500001info:eu-repo/semantics/openAccessSoeiro,Claudia Marques de OliveiraMiranda,Angélica EspinosaSaraceni,ValeriaLucena,Noaldo Oliveira deTalhari,SinésioFerreira,Luiz Carlos de Limaeng2011-10-25T00:00:00Zoai:scielo:S0037-86822011000500001Revistahttps://www.sbmt.org.br/portal/revista/ONGhttps://old.scielo.br/oai/scielo-oai.php||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br1678-98490037-8682opendoar:2011-10-25T00:00Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT)false |
dc.title.none.fl_str_mv |
Mother-to-child transmission of HIV infection in Manaus, State of Amazonas, Brazil |
title |
Mother-to-child transmission of HIV infection in Manaus, State of Amazonas, Brazil |
spellingShingle |
Mother-to-child transmission of HIV infection in Manaus, State of Amazonas, Brazil Soeiro,Claudia Marques de Oliveira Vertical transmission HIV AIDS Pregnancy Prophylaxis |
title_short |
Mother-to-child transmission of HIV infection in Manaus, State of Amazonas, Brazil |
title_full |
Mother-to-child transmission of HIV infection in Manaus, State of Amazonas, Brazil |
title_fullStr |
Mother-to-child transmission of HIV infection in Manaus, State of Amazonas, Brazil |
title_full_unstemmed |
Mother-to-child transmission of HIV infection in Manaus, State of Amazonas, Brazil |
title_sort |
Mother-to-child transmission of HIV infection in Manaus, State of Amazonas, Brazil |
author |
Soeiro,Claudia Marques de Oliveira |
author_facet |
Soeiro,Claudia Marques de Oliveira Miranda,Angélica Espinosa Saraceni,Valeria Lucena,Noaldo Oliveira de Talhari,Sinésio Ferreira,Luiz Carlos de Lima |
author_role |
author |
author2 |
Miranda,Angélica Espinosa Saraceni,Valeria Lucena,Noaldo Oliveira de Talhari,Sinésio Ferreira,Luiz Carlos de Lima |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Soeiro,Claudia Marques de Oliveira Miranda,Angélica Espinosa Saraceni,Valeria Lucena,Noaldo Oliveira de Talhari,Sinésio Ferreira,Luiz Carlos de Lima |
dc.subject.por.fl_str_mv |
Vertical transmission HIV AIDS Pregnancy Prophylaxis |
topic |
Vertical transmission HIV AIDS Pregnancy Prophylaxis |
description |
INTRODUCTION: Reduction in the vertical transmission of HIV is possible when prophylactic measures are implemented. Our objective was to determine demographic characteristics of HIV-infected pregnant women and the rate of mother-to-child transmission of HIV in Manaus, Amazonas, Brazil. METHODS: A descriptive study was conducted using notification, and investigating data from the Notifiable Diseases Data System in the Brazilian State of Amazonas, between 2007 and 2009. RESULTS: During the study period, notification was received of 509 HIV-positive pregnant women. The vertical transmission was 9.9% (95% CI: 7.2-12.6%). The mean age of women was 27 years (SD: 5.7), and the majority (54.8%) had not completed elementary school (eighth grade). Diagnosis of HIV seropositivity was made prior to pregnancy in 115 (22.6%) women, during prenatal care in 302 (59.3%), during delivery in 70 (13.8%), and following delivery in 22 (4.3%). Four hundred four of these women (79.4%) had had prenatal care, with 79.4% of patients receiving antiretroviral during pregnancy and 61.9% of the newborn infants receiving prophylaxis. In the final multivariate logistic regression model, living in urban area [OR = 0.7 (95% CI: 0.35-0.89)] and having had prenatal care [OR = 0.1 (95% CI: 0.04-0.24)] remained as protective factors against vertical HIV transmission in this population. CONCLUSIONS: The relevance of adequate compliance with the measures already established as being effective in guaranteeing a reduction in HIV transmission within the maternal and infant population should be emphasized. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000500001 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822011000500001 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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10.1590/S0037-86822011000500001 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina Tropical - SBMT |
publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina Tropical - SBMT |
dc.source.none.fl_str_mv |
Revista da Sociedade Brasileira de Medicina Tropical v.44 n.5 2011 reponame:Revista da Sociedade Brasileira de Medicina Tropical instname:Sociedade Brasileira de Medicina Tropical (SBMT) instacron:SBMT |
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SBMT |
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Revista da Sociedade Brasileira de Medicina Tropical |
repository.name.fl_str_mv |
Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT) |
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