Introduction:The main route of human immunodeficiency virus (HIV) infection in children is from mother to child. The preventive measures established for the Aids Clinical Trial Group protocol 076 (ACTG 076) significantly reduces HIV vertical transmission rates. This study aims to evaluate the implementation of the ACTG 076 protocol in the maternity units of State of Sergipe, Brazilian northeast. Methods: This is a descriptive, retrospective study with a quantitative approach, with HIV positive women and children exposed, attending a Maternity reference for high-risk pregnancies. Data were obtained from patient records registered in the years 1994 to 2010. Results: Amongst the 110 pregnant women and exposed newborns, the ACTG 076 protocol was fully utilized in only 31.8% of the participants. During the prenatal period, zidovudine (ZDV) was taken by 79.1% of the pregnant women. Only 49.1% of HIV seropositive patients used ZDV during delivery. Two (1.8%) children were considered infected and 50 (45.5%) do not have a conclusive diagnosis to date. Conclusions: There were significant deficiencies in the prevention of mother-to-child transmission of HIV, including lack of compliance with the three phases of the ACTG 076 protocol; inadequacies in prenatal care; inappropriate mode of delivery and lack of adequate follow up of exposed children.
Resumo Embora possam ser aplicados em diversas situações além das neoplasias, os cuidados paliativos nem sempre encontram respaldo técnico e científico por parte dos médicos. Por meio de pesquisa exploratória, descritiva, transversal e de abordagem quantitativa, objetivou-se avaliar o conhecimento sobre cuidados paliativos entre médicos residentes do Hospital Universitário da Universidade Federal de Sergipe. Para isso, foi criado um questionário a partir dos instrumentos da literatura. O perfil da amostra foi composto predominantemente por mulheres (67%), profissionais com até 29 anos (59%) e até quatro anos de formados (60%). A maioria dos médicos (78%) afirmou não ter recebido informações suficientes sobre cuidados paliativos durante a graduação. Após análise de todas as questões, apenas 7% da amostra apresentou avaliação excelente (acerto em mais de 80% das questões).
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