Neurodevelopmental surveillance of children participating in the STD/AIDS program
Autor(a) principal: | |
---|---|
Data de Publicação: | 2011 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Fisioterapia e Pesquisa |
Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/12287 |
Resumo: | Highly active antiretroviral therapy (HAART) is an effective way of preventing mother-to-child transmission of HIV. However, further studies investigate the effects of short and long term exposure to HAART in-utero and its consequence on child neuropsychomotor development (NPMD). The paper presents a report and discussion of results of an extension project whose objectives were to verify the NPMD of children participating of the STD/AIDS program, to orientate families according to their socioeconomic context and make referrals to specific health services. The NPMD surveillance was divided into three parts: (1) ambulatory evaluation; (2) home evaluation and orientations; (3) reporting health managers. DENVER II and PEDI tests were used and also a socioeconomic questionnaire. Fifteen children were on the program of which 12 uninfected, 1 HIV+ and 2 indeterminate. Twelve children were evaluated and the most impaired domain were language, personal-social and fine motor, respectively. Regarding to socioeconomic status, 73,3% were E level and 58,3% of mothers were analphabet or had primary school. Children born of infected mothers, besides the biological risks, usually are exposed to environment/social risks that can affect the NPMD. Thus, monitoring by a team of health professionals, in partnership with the child's family, becomes an important tool for identification and early intervention. |
id |
USP-9_950f0b64e59360b91104e097a3829eda |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/12287 |
network_acronym_str |
USP-9 |
network_name_str |
Fisioterapia e Pesquisa |
repository_id_str |
|
spelling |
Neurodevelopmental surveillance of children participating in the STD/AIDS program Vigilância do desenvolvimento neuropsicomotor de crianças de um programa DST/AIDS desenvolvimento infantilfatores de riscoambientecriançainfecções por HIVchild developmentrisk factorsenvironmentchildHIV infections Highly active antiretroviral therapy (HAART) is an effective way of preventing mother-to-child transmission of HIV. However, further studies investigate the effects of short and long term exposure to HAART in-utero and its consequence on child neuropsychomotor development (NPMD). The paper presents a report and discussion of results of an extension project whose objectives were to verify the NPMD of children participating of the STD/AIDS program, to orientate families according to their socioeconomic context and make referrals to specific health services. The NPMD surveillance was divided into three parts: (1) ambulatory evaluation; (2) home evaluation and orientations; (3) reporting health managers. DENVER II and PEDI tests were used and also a socioeconomic questionnaire. Fifteen children were on the program of which 12 uninfected, 1 HIV+ and 2 indeterminate. Twelve children were evaluated and the most impaired domain were language, personal-social and fine motor, respectively. Regarding to socioeconomic status, 73,3% were E level and 58,3% of mothers were analphabet or had primary school. Children born of infected mothers, besides the biological risks, usually are exposed to environment/social risks that can affect the NPMD. Thus, monitoring by a team of health professionals, in partnership with the child's family, becomes an important tool for identification and early intervention. A terapia anti-retroviral de alta potência (TARV) é uma forma eficaz de prevenção da transmissão do vírus HIV de mãe para filho. No entanto, os estudos ainda investigam os efeitos da exposição intraútero à TARV, dentre eles o atraso no desenvolvimento neuropsicomotor (DNPM). O presente estudo apresenta o relato de um projeto de extensão, cujos objetivos foram verificar o DNPM de crianças de um programa DST/AIDS, orientar as famílias considerando seu contexto socioeconômico e realizar encaminhamentos para serviços de saúde específicos. A vigilância do DNPM foi feita em três etapas: (1) avaliação em ambulatório; (2) avaliação e orientações em domicílio; (3) elaboração de relatórios aos gestores de saúde. Foram utilizados os testes DENVER II e o PEDI, além de um questionário socioeconômico. Participam do programa DST/AIDS 15 crianças, sendo 12 soro-revertidas, 1 soropositiva e 2 indefinidas. Doze crianças foram avaliadas, e os domínios mais comprometidos foram linguagem, pessoal-social e motor fino, respectivamente. Quanto ao nível econômico, 73,3% pertenciam ao nível E, e 58,3% das mães eram analfabetas ou cursaram apenas o primário. Crianças filhas de mães HIV positivo, além de fatores biológicos, geralmente estão expostas a fatores de risco ambientais que contribuem para alterações do DNPM. Desta forma, o acompanhamento por uma equipe de profissionais de saúde, em parceria com a família da criança, torna-se uma importante ferramenta para a identificação e intervenção precoce. Universidade de São Paulo. Faculdade de Medicina2011-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/1228710.1590/S1809-29502011000400013Fisioterapia e Pesquisa; Vol. 18 No. 4 (2011); 371-376 Fisioterapia e Pesquisa; Vol. 18 Núm. 4 (2011); 371-376 Fisioterapia e Pesquisa; v. 18 n. 4 (2011); 371-376 2316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/fpusp/article/view/12287/14064Copyright (c) 2017 Fisioterapia e Pesquisainfo:eu-repo/semantics/openAccessRamos, Aline DupratMorais, Rosane Luzia de Souza2012-05-13T16:08:21Zoai:revistas.usp.br:article/12287Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2012-05-13T16:08:21Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Neurodevelopmental surveillance of children participating in the STD/AIDS program Vigilância do desenvolvimento neuropsicomotor de crianças de um programa DST/AIDS |
title |
Neurodevelopmental surveillance of children participating in the STD/AIDS program |
spellingShingle |
Neurodevelopmental surveillance of children participating in the STD/AIDS program Ramos, Aline Duprat desenvolvimento infantil fatores de risco ambiente criança infecções por HIV child development risk factors environment child HIV infections |
title_short |
Neurodevelopmental surveillance of children participating in the STD/AIDS program |
title_full |
Neurodevelopmental surveillance of children participating in the STD/AIDS program |
title_fullStr |
Neurodevelopmental surveillance of children participating in the STD/AIDS program |
title_full_unstemmed |
Neurodevelopmental surveillance of children participating in the STD/AIDS program |
title_sort |
Neurodevelopmental surveillance of children participating in the STD/AIDS program |
author |
Ramos, Aline Duprat |
author_facet |
Ramos, Aline Duprat Morais, Rosane Luzia de Souza |
author_role |
author |
author2 |
Morais, Rosane Luzia de Souza |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Ramos, Aline Duprat Morais, Rosane Luzia de Souza |
dc.subject.por.fl_str_mv |
desenvolvimento infantil fatores de risco ambiente criança infecções por HIV child development risk factors environment child HIV infections |
topic |
desenvolvimento infantil fatores de risco ambiente criança infecções por HIV child development risk factors environment child HIV infections |
description |
Highly active antiretroviral therapy (HAART) is an effective way of preventing mother-to-child transmission of HIV. However, further studies investigate the effects of short and long term exposure to HAART in-utero and its consequence on child neuropsychomotor development (NPMD). The paper presents a report and discussion of results of an extension project whose objectives were to verify the NPMD of children participating of the STD/AIDS program, to orientate families according to their socioeconomic context and make referrals to specific health services. The NPMD surveillance was divided into three parts: (1) ambulatory evaluation; (2) home evaluation and orientations; (3) reporting health managers. DENVER II and PEDI tests were used and also a socioeconomic questionnaire. Fifteen children were on the program of which 12 uninfected, 1 HIV+ and 2 indeterminate. Twelve children were evaluated and the most impaired domain were language, personal-social and fine motor, respectively. Regarding to socioeconomic status, 73,3% were E level and 58,3% of mothers were analphabet or had primary school. Children born of infected mothers, besides the biological risks, usually are exposed to environment/social risks that can affect the NPMD. Thus, monitoring by a team of health professionals, in partnership with the child's family, becomes an important tool for identification and early intervention. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-12-01 |
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/fpusp/article/view/12287 10.1590/S1809-29502011000400013 |
url |
https://www.revistas.usp.br/fpusp/article/view/12287 |
identifier_str_mv |
10.1590/S1809-29502011000400013 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/12287/14064 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Fisioterapia e Pesquisa; Vol. 18 No. 4 (2011); 371-376 Fisioterapia e Pesquisa; Vol. 18 Núm. 4 (2011); 371-376 Fisioterapia e Pesquisa; v. 18 n. 4 (2011); 371-376 2316-9117 1809-2950 reponame:Fisioterapia e Pesquisa instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Fisioterapia e Pesquisa |
collection |
Fisioterapia e Pesquisa |
repository.name.fl_str_mv |
Fisioterapia e Pesquisa - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revfisio@usp.br |
_version_ |
1787713734382190592 |