Linguagem oral e escrita de crianças soropositivas para o HIV: um acompanhamento longitudinal

Abstract

Introduction:The incidence of disorders the Central Nervous System (CNS) in HIV-infected may range from 30 to 90% in pediatric patients, with age, intensity and immunological impairment being important factors. Purpose: Evaluate reading and writing of children with HIV and compare with the phonological development and with clinical markers and immunovirological of AIDS. Methods: This is a longitudinal study in which 26 children, 12 boys and 14 girls, who had acquired HIV infection by vertical transmission, were assessed regarding the phonological aspects of oral language and reassessed five years later regarding the phonological aspects, and reading and writing skills. The data obtained were assessed according clinical staging of AIDS, viral load and CD4 count, at the two time points. Results: There is a relationship between the phonological development and the academic performance in reading and writing of children with HIV and we did not detect relation between the phonological aspects and assessed regarding reading and writing skills with clinical staging and to the immunovirological markers of AIDS. Conclusion: HIV-infected children represent a risk group for alterations of oral and written language that do not depend of the severity and clinical picture or the immunovirological profile of AIDS. Moreover, observed relationship between changes in phonological development and further development of reading and writing corroborates the hypothesis of phonological deficit as one of the causes of difficulties in the literacy process.

Sentimentos e significados: hiv na impossibilidade de amamentar

“…In addition, efficient treatment to control the disease and improve the quality of life is shown, as well as to decrease the transmission rate of the virus. 5 Between 2000 and 2017, 108,134 infected pregnant women were reported in Brazil, which reflects an alert situation and requires specific care. Approximately 65% of vertical transmission (VT) occurs during labor or delivery itself; 35% occur in the intrauterine environment, often in the last weeks of pregnancy, and the rate of VT during breastfeeding is between 7% and 22%, renewing itself with each exposure.…”

“…Approximately 65% of vertical transmission (VT) occurs during labor or delivery itself; 35% occur in the intrauterine environment, often in the last weeks of pregnancy, and the rate of VT during breastfeeding is between 7% and 22%, renewing itself with each exposure. [2][3][4][5][6] It is described that one of the policies adopted by the World Health Organization (WHO) for TV prophylaxis are programs that recommend the use of antiretrovirals by mothers, the use of injectable Zidovudine (AZT) for women in labor and delivery and AZT oral solution for the newborn. In this regard, the WHO also recommends that mothers not breastfeed their children and not donate milk.…”