Reporting of HIV-infected pregnant women: estimates from a Brazilian study
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/145033 |
Resumo: | OBJECTIVE: To estimate the coverage of the reporting of cases of HIV-infected pregnant women, to estimate the increase in the coverage of the reporting with the routine search of data in other Brazilian health information systems, and to identify missed opportunities for identification of HIV-infected pregnant women in Brazilian maternity hospitals. METHODS: This is a descriptive study on the linkage of Brazilian databases with primary data from the “Nascer no Brasil” study and secondary database collection from national health information systems. The “Nascer no Brasil” is a national-based study carried out in 2011–2012 with 23,894 pregnant women, which identified HIV-infected pregnant women using prenatal and medical records. We searched for cases of HIV-infected pregnant women identified in the “Nascer no Brasil” study in the Information System of Notifiable Diseases, the Control System for Laboratory Tests of the National CD4+/CD8+ Lymphocyte Count and HIV Viral Load Network, and the Logistics Control System for Medications. We used the OpenRecLink software for the linkage of databases. We estimated the notification coverage, with the respective confidence interval, of the evaluated Brazilian health information systems. RESULTS: We estimated the coverage of the reporting of HIV-infected pregnant women in the Information System of Notifiable Diseases as 57.1% (95%CI 42.9–70.2), and we located 89.3% of the HIV-infected pregnant women (95%CI 81.2–94.2) in some of the Brazilian health information systems researched. The search in other national health information systems would result in an increase of 57.1% of the reported cases. We identified no missed opportunities for the diagnosis of HIV+ in pregnant women in the maternity hospitals evaluated by the “Nascer no Brasil” study. CONCLUSIONS: The routine search for information in other Brazilian health information systems, a procedure carried out by the Ministry of Health for cases of AIDS in adults and children, should be adopted for cases of HIV in pregnancy. |
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Reporting of HIV-infected pregnant women: estimates from a Brazilian studyNotificação da infecção pelo HIV em gestantes: estimativas a partir de um estudo nacionalGestantes. Infecções por HIVdiagnóstico. Cuidado Pré-Natal. Sistemas de Informação em Saúde. Serviços de Vigilância Epidemiológica.Pregnant Women. HIV Infectionsdiagnosis. Prenatal Care. Health Information Systems.OBJECTIVE: To estimate the coverage of the reporting of cases of HIV-infected pregnant women, to estimate the increase in the coverage of the reporting with the routine search of data in other Brazilian health information systems, and to identify missed opportunities for identification of HIV-infected pregnant women in Brazilian maternity hospitals. METHODS: This is a descriptive study on the linkage of Brazilian databases with primary data from the “Nascer no Brasil” study and secondary database collection from national health information systems. The “Nascer no Brasil” is a national-based study carried out in 2011–2012 with 23,894 pregnant women, which identified HIV-infected pregnant women using prenatal and medical records. We searched for cases of HIV-infected pregnant women identified in the “Nascer no Brasil” study in the Information System of Notifiable Diseases, the Control System for Laboratory Tests of the National CD4+/CD8+ Lymphocyte Count and HIV Viral Load Network, and the Logistics Control System for Medications. We used the OpenRecLink software for the linkage of databases. We estimated the notification coverage, with the respective confidence interval, of the evaluated Brazilian health information systems. RESULTS: We estimated the coverage of the reporting of HIV-infected pregnant women in the Information System of Notifiable Diseases as 57.1% (95%CI 42.9–70.2), and we located 89.3% of the HIV-infected pregnant women (95%CI 81.2–94.2) in some of the Brazilian health information systems researched. The search in other national health information systems would result in an increase of 57.1% of the reported cases. We identified no missed opportunities for the diagnosis of HIV+ in pregnant women in the maternity hospitals evaluated by the “Nascer no Brasil” study. CONCLUSIONS: The routine search for information in other Brazilian health information systems, a procedure carried out by the Ministry of Health for cases of AIDS in adults and children, should be adopted for cases of HIV in pregnancy.OBJETIVO: Estimar a cobertura de notificação de casos de infecção pelo HIV em gestantes, o aumento na cobertura de notificação a ser obtido pela busca rotineira de dados em outros sistemas de informação nacionais, e identificar oportunidades perdidas de identificação de gestantes HIV+ em maternidades brasileiras. MÉTODOS: Estudo descritivo, de relacionamento de base de dados de estudo nacional com coleta primária de dados (estudo “Nascer no Brasil”), e de base de dados secundários de sistemas de informação nacionais. O estudo “Nascer no Brasil” é um estudo de base nacional, realizado em 2011–2012, com 23.894 puérperas, que identificou gestantes infectadas pelo HIV, utilizando registros em cartão de pré-natal e prontuário. Casos de gestantes com infecção pelo HIV identificadas no estudo “Nascer no Brasil” foram pesquisadas no Sistema de Informação de Agravos de Notificação, Sistema de Controle de Exames Laboratoriais da Rede Nacional de Contagem de Linfócitos CD4+/CD8+ e Carga Viral, e Sistema de Controle Logístico de Medicamentos. Utilizou-se o software OpenRecLink para relacionamento das bases de dados. Foi estimada a cobertura de notificação, com respectivo intervalo de confiança, dos sistemas de informação nacionais avaliados. RESULTADOS: A cobertura de notificação de HIV em gestantes no Sistema de Informação de Agravos de Notificação foi estimada em 57,1% (IC95% 42,9–70,2), e 89,3% das gestantes HIV+ (IC95% 81,2–94,2) foram localizadas em algum dos sistemas de informação nacionais pesquisados. A busca em outros sistemas de informação nacionais resultaria em aumento de 57,1% dos casos notificados. Não foram identificadas oportunidades perdidas de diagnóstico de gestantes HIV+ nas maternidades avaliadas pelo estudo “Nascer no Brasil”. CONCLUSÕES: A busca rotineira de informação em outros sistemas de informação nacionais, procedimento utilizado pelo Ministério da Saúde para casos de Aids em adultos e em crianças, deve ser adotado para os casos de infecção pelo HIV na gestação.Universidade de São Paulo. Faculdade de Saúde Pública2018-04-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/14503310.11606/S1518-8787.2018052017439Revista de Saúde Pública; Vol. 52 (2018); 43Revista de Saúde Pública; Vol. 52 (2018); 43Revista de Saúde Pública; v. 52 (2018); 431518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/145033/139198https://www.revistas.usp.br/rsp/article/view/145033/139199https://www.revistas.usp.br/rsp/article/view/145033/148346Copyright (c) 2018 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessDomingues, Rosa Maria Soares MadeiraSaraceni, ValériaLeal, Maria do Carmo2018-07-20T11:44:52Zoai:revistas.usp.br:article/145033Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-07-20T11:44:52Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Reporting of HIV-infected pregnant women: estimates from a Brazilian study Notificação da infecção pelo HIV em gestantes: estimativas a partir de um estudo nacional |
title |
Reporting of HIV-infected pregnant women: estimates from a Brazilian study |
spellingShingle |
Reporting of HIV-infected pregnant women: estimates from a Brazilian study Domingues, Rosa Maria Soares Madeira Gestantes. Infecções por HIV diagnóstico. Cuidado Pré-Natal. Sistemas de Informação em Saúde. Serviços de Vigilância Epidemiológica. Pregnant Women. HIV Infections diagnosis. Prenatal Care. Health Information Systems. |
title_short |
Reporting of HIV-infected pregnant women: estimates from a Brazilian study |
title_full |
Reporting of HIV-infected pregnant women: estimates from a Brazilian study |
title_fullStr |
Reporting of HIV-infected pregnant women: estimates from a Brazilian study |
title_full_unstemmed |
Reporting of HIV-infected pregnant women: estimates from a Brazilian study |
title_sort |
Reporting of HIV-infected pregnant women: estimates from a Brazilian study |
author |
Domingues, Rosa Maria Soares Madeira |
author_facet |
Domingues, Rosa Maria Soares Madeira Saraceni, Valéria Leal, Maria do Carmo |
author_role |
author |
author2 |
Saraceni, Valéria Leal, Maria do Carmo |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Domingues, Rosa Maria Soares Madeira Saraceni, Valéria Leal, Maria do Carmo |
dc.subject.por.fl_str_mv |
Gestantes. Infecções por HIV diagnóstico. Cuidado Pré-Natal. Sistemas de Informação em Saúde. Serviços de Vigilância Epidemiológica. Pregnant Women. HIV Infections diagnosis. Prenatal Care. Health Information Systems. |
topic |
Gestantes. Infecções por HIV diagnóstico. Cuidado Pré-Natal. Sistemas de Informação em Saúde. Serviços de Vigilância Epidemiológica. Pregnant Women. HIV Infections diagnosis. Prenatal Care. Health Information Systems. |
description |
OBJECTIVE: To estimate the coverage of the reporting of cases of HIV-infected pregnant women, to estimate the increase in the coverage of the reporting with the routine search of data in other Brazilian health information systems, and to identify missed opportunities for identification of HIV-infected pregnant women in Brazilian maternity hospitals. METHODS: This is a descriptive study on the linkage of Brazilian databases with primary data from the “Nascer no Brasil” study and secondary database collection from national health information systems. The “Nascer no Brasil” is a national-based study carried out in 2011–2012 with 23,894 pregnant women, which identified HIV-infected pregnant women using prenatal and medical records. We searched for cases of HIV-infected pregnant women identified in the “Nascer no Brasil” study in the Information System of Notifiable Diseases, the Control System for Laboratory Tests of the National CD4+/CD8+ Lymphocyte Count and HIV Viral Load Network, and the Logistics Control System for Medications. We used the OpenRecLink software for the linkage of databases. We estimated the notification coverage, with the respective confidence interval, of the evaluated Brazilian health information systems. RESULTS: We estimated the coverage of the reporting of HIV-infected pregnant women in the Information System of Notifiable Diseases as 57.1% (95%CI 42.9–70.2), and we located 89.3% of the HIV-infected pregnant women (95%CI 81.2–94.2) in some of the Brazilian health information systems researched. The search in other national health information systems would result in an increase of 57.1% of the reported cases. We identified no missed opportunities for the diagnosis of HIV+ in pregnant women in the maternity hospitals evaluated by the “Nascer no Brasil” study. CONCLUSIONS: The routine search for information in other Brazilian health information systems, a procedure carried out by the Ministry of Health for cases of AIDS in adults and children, should be adopted for cases of HIV in pregnancy. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-04-05 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/145033 10.11606/S1518-8787.2018052017439 |
url |
https://www.revistas.usp.br/rsp/article/view/145033 |
identifier_str_mv |
10.11606/S1518-8787.2018052017439 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/145033/139198 https://www.revistas.usp.br/rsp/article/view/145033/139199 https://www.revistas.usp.br/rsp/article/view/145033/148346 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 52 (2018); 43 Revista de Saúde Pública; Vol. 52 (2018); 43 Revista de Saúde Pública; v. 52 (2018); 43 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1787713238793715712 |