Por que o Brasil ainda registra elevados coeficientes de transmissão vertical do HIV? Uma avaliação da qualidade da assistência prestada a gestantes / parturientes infectadas pelo HIV e seus recém-nascidos

Vasconcelos, Ana Glória Godoi; Hamann, Edgar Merchán

doi:10.1590/s1519-38292005000400012

Cited by 30 publications

(34 citation statements)

References 7 publications

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“…The HIV VT rate found in this study (between 5.0% and 9.7%) is within the range reported by various other studies, from 0.1% to 27.2%, 8,13,15,16,18,19,21 and does not differ from the 6.8% estimated for Brazil and 7.6% for the Southeast Region in 2004. 17 Nonetheless, since the highest rates occur in pregnant women that do not undergo preventive interventions, which can reduce VT to less than 0.5%, 7 these levels are far from ideal.…”

Section: Discussionsupporting

confidence: 88%

Prevalência de HIV em gestantes e transmissão vertical segundo perfil socioeconômico, Vitória, ES

Vieira

Miranda²,

Vargas³

et al. 2011

Rev. Saúde Pública

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OBJECTIVE:To describe HIV prevalence in pregnant women and the rate of vertical transmission according to socioeconomic status of residential neighborhoods. METHODS:Ecological exploratory study, which used the Information System of Notifi able Diseases database on HIV-positive pregnant women and AIDS in children, reported from 2000 to 2006, in Vitória, Southeastern Brazil. For analysis of socioeconomic data the Urban Quality Index was utilized The HIV prevalence rate in pregnant women and vertical transmission rate were calculated. Spatial distribution was carried out by Terraview 3.2.0. To verify the association between urban quality and HIV prevalence in pregnant women, Poisson regression was used. RESULTS:A total of 137 HIV-positive women and 14 children infected by vertical transmission was reported. Seven children matched to HIV-positive mothers without notifi cation in the period analyzed. HIV prevalence among pregnant women in the period was 0.44%, and the vertical transmission rate was 9.7%. CONCLUSIONS:The prevalence of HIV infection among pregnant women and vertical transmission were associated with the urban quality of residential neighborhood. Neighborhoods with lower urban quality should be prioritized in actions to reduce vertical transmission.

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Section: Discussionsupporting

confidence: 88%

Prevalência de HIV em gestantes e transmissão vertical segundo perfil socioeconômico, Vitória, ES

Vieira

Miranda²,

Vargas³

et al. 2011

Rev. Saúde Pública

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“…The considerable frequency of diagnosis of HIV infection during current pregnancy (33%) observed in this series is similar to that described in other studies in Brazil (6,7,9,(14)(15)(16) due to the practice of routine serological testing. In the study of Stefani (17) , it was observed that 70% of pregnant women had the diagnosis of HIV in pregnancy or childbirth.…”

Section: Discussionsupporting

confidence: 89%

Clinical and epidemiological profile and reproductive outcome in hiv-infected pregnant women assisted at a university hospital maternity in vitória, brazil

Reis¹,

Passos²,

Barbosa³

et al. 2015

J Bras Doenças Sex Transm

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Introduction:The infection by the human immunodeficiency virus (HIV), as well as the acquired immune deficiency syndrome (Aids), a worldwide epidemic, may lead to serious consequences in terms of maternal and fetal morbidity and mortality. Objective: To describe the clinical and epidemiological profiles and the reproductive outcome in HIV-infected pregnant women. Methods: Cross-sectional study, with 109 pregnant women infected by HIV who had their termination in a university hospital maternity in Vitória, Espírito Santo, from November 2001 to May 2012. The data were extracted from medical and public records. Results: The most prominent findings among the cases were average maternal age of 28 years, non-white (76.1%), up to 8 years of elementary school (63.3%), housewives (59.4%) and marital status married/cohabitation (70.6%). The nulliparous were 24.1%, and 15.7% had 3 or more childbirths, 33% had a diagnosis of HIV infection during pregnancy, and 53.7% of pregnant women met the criteria for Aids. The cesarean occurred in 82.6% of cases, preterm birth in 17.4%, and low birth weight in 23.9% and perinatal death in 4.6% of the newborns. Conclusion: It has been observed, in this casuistry, a pregnant women profile of low socioeconomic level. Preterm birth and perinatal death were more common than in the general population, indicating the need for preventive actions for monitoring the HIV infected pregnant women in order to reduce these events.

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“…Vasconcelos 28 , ao avaliar a assistência prestada a parturientes HIV positivas e seus recém-nascidos em quatro capitais brasileiras, revelou que 90,1% dos bebês utilizaram a profilaxia com AZT solução oral. O fato de um dos serviços não disponibilizar a medicação indica uma fragilidade da assistência, uma vez que o tempo para iní-cio da terapia se constitui em fator de proteção essencial a não soropositividade para o HIV.…”

Section: Discussionunclassified

Avaliação das ações de prevenção da transmissão vertical do HIV e sífilis em maternidades públicas de quatro municípios do Nordeste brasileiro

et al. 2009

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Por que o Brasil ainda registra elevados coeficientes de transmissão vertical do HIV? Uma avaliação da qualidade da assistência prestada a gestantes / parturientes infectadas pelo HIV e seus recém-nascidos

Cited by 30 publications

References 7 publications

Prevalência de HIV em gestantes e transmissão vertical segundo perfil socioeconômico, Vitória, ES

Prevalência de HIV em gestantes e transmissão vertical segundo perfil socioeconômico, Vitória, ES

Clinical and epidemiological profile and reproductive outcome in hiv-infected pregnant women assisted at a university hospital maternity in vitória, brazil

Avaliação das ações de prevenção da transmissão vertical do HIV e sífilis em maternidades públicas de quatro municípios do Nordeste brasileiro

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