Postpartum Morbidity Associated With Advanced HIV Disease

Louis, Judette; Buhari, Mudathiru A.; Allen, D. M.; Gonik, Bernard; Jones, Theodore B.

doi:10.1155/idog/2006/79512

Cited by 11 publications

(6 citation statements)

References 13 publications

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“…Considering the potential advantages of RAL noted above, it remains to be determined whether its ability to rapidly reduce VL in late pregnancy will reduce the need for Caesarean delivery and the rate of perinatal transmission for women who present near term with high VL. This would benefit HIV-infected women, particularly those with low CD4 cell counts, considering the increased risk of postpartum complications related to Caesarean delivery ( 35 , 36 ). An important factor to consider, however, is the availability of rapid HIV quantitative test to follow the VL and allow for a safe vaginal delivery.…”

Section: Discussionmentioning

confidence: 99%

A Case Series of Third‐Trimester Raltegravir Initiation: Impact on Maternal HIV‐1 Viral Load and Obstetrical Outcomes

Boucoiran

Tulloch

Pick

et al. 2015

Canadian Journal of Infectious Diseases and Medical Microbiolog

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The use of antiretroviral therapy (ART) has led to a marked reduction in the incidence of perinatal transmission of HIV. With ART, it is possible for the viral load to be reduced to undetectable levels during pregnancy. However, some patients (eg, those with poor adherence or those who acquired HIV during pregnancy) may still exhibit high viral loads by the third trimester. The purpose of this study was to examine the effect of raltegravir in a combination ART regimen in a series of 11 cases in which women presented with high viral loads in the third trimester of pregnancy.

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Section: Discussionmentioning

confidence: 99%

A Case Series of Third‐Trimester Raltegravir Initiation: Impact on Maternal HIV‐1 Viral Load and Obstetrical Outcomes

Boucoiran

Tulloch

Pick

et al. 2015

Canadian Journal of Infectious Diseases and Medical Microbiolog

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“…En el presente estudio encontramos una incidencia de complicaciones infecciosas en mujeres VIH reactivas de 14%, similar a lo descrito por Moodliar et al (19) y por Louis et al (20) . Sin embargo no encontramos asociación significativa entre el estado de infección por el VIH y la presencia de CI, a diferencia de estudios previos (21,22) .…”

Section: Discussionunclassified

“…Igualmente en el caso de fiebre sin foco aparente (25)(26)(27) ; y de infección de herida operatoria (18)(19)(20)(21)(22)(23)(24)(25) .…”

Section: Discussionunclassified

Asociación entre el estado de infección por VIH y complicaciones infecciosas poscesárea electiva

Tejaja

Huayanay

Gutiérrez

et al. 2014

Rev Peru Med Exp Salud Publica

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Objetivos. Determinar la asociación entre VIH y complicaciones infecciosas (CI) después de una cesárea electiva. Materiales y métodos. Estudio de cohortes no concurrentes; se revisaron las historias clínicas de 237 cesáreas electivas en gestantes VIH reactivas atendidas en el Instituto Nacional Materno Perinatal de Perú, realizadas entre 2004 a 2012. Estas fueron pareadas por cirujano y fecha de cesárea con 237 gestantes VIH no reactivas. Se recogieron datos sociodemográficos, clínicos, características de la cesárea y relacionados a la infección por el VIH. Las CI se evaluaron según las recomendaciones del NHI Consensus Development Task Force. Se realizó el análisis bivariado con un nivel de significación del 5% y el cálculo del Odds Ratio (OR) con intervalo de confianza (IC) al 95%. Se construyó un modelo de regresión logística condicional. Resultados. El 13,9% de mujeres VIH positivas presentaron CI y 9,7% del grupo control (OR: 1,5 IC95% [0,9-2,7]); las expuestas (mujeres con VIH) tuvieron mayor probabilidad de tener una infección del tracto urinario (ITU) que las no expuestas (ORa: 4,5 IC95% [1,[4][5][6][7][8][9][10][11][12][13][14]5]). Se encontró asociación entre CI y el tipo de incisión (ORa: 2,3 IC95% [1,1-4,5]) y el tiempo de hospitalización (6 frente a 3 días, p<0,001). Conclusiones. Las mujeres VIH positivas sin tratamiento antirretroviral tuvieron mayor riesgo de CI; aunque no se observó mayor riesgo global de CI en expuestas después de una cesárea electiva. El principal factor de riesgo asociado a una CI poscesárea electiva en mujeres VIH positivas fue el tipo de incisión. Palabras clave: VIH; Embarazo; Cesárea; Complicaciones postoperatorias; Complicaciones infecciosas del embarazo; (fuente: DeCS BIREME). ASSOCIATION BETWEEN HIV INFECTION STATUS AND INFECTIOUS COMPLICATIONS AFTER AN ELECTIVE C-SECTION ABSTRACT Objectives:To determine the connection between HIV and infectious complications (IC) after an elective C-section. Materials and methods.A non-concurrent cohort study was conducted, in which the clinical records of 237 elective C-sections on HIV-positive pregnant women who gave birth at the Instituto Nacional Materno Perinatal (National Maternal Perinatal Institute) between 2004 and 2012 were revised. The records were matched by surgeon and C-section date, with 237 HIV-negative pregnant women. Socio-demographic and clinical data were collected, along with characteristics of the C-section and data related to the HIV infection. IC were evaluated according to the NIH Consensus Development Task Force. The descriptive analysis and the bivariate analysis were carried out with a significance level of 5% for the hypothesis tests and the calculation of the Odds Ratio (OR) with a confidence interval (CI) at 95%. A conditional logistic regression model was built. Results. IC were present in 13.9% of HIV-positive women and 9.7% of the control group (OR: 1.5 CI95% [0.9-2.7]); those who were exposed (women with HIV) were more likely to have a urinary tract infection (UTI) than those who were not exposed (OR...

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“…Algumas comorbidades estão associadas ao risco de endometrite puerperal, como síndrome da imunodeficiência adquirida e diabetes. 19,32,35 As comorbidades mais prevalentes em nosso estudo foram infecção pelo HIV, sífilis e hipertensão. Entretanto, 91% das pacientes não apresentavam quaisquer comorbidades.…”

Section: Discussionunclassified

Fatores relacionados a infecções de sítio cirúrgico após procedimentos obstétricos

Petter

Farret²,

Scherer

et al. 2013

Sci Med

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Postpartum Morbidity Associated With Advanced HIV Disease

Cited by 11 publications

References 13 publications

A Case Series of Third‐Trimester Raltegravir Initiation: Impact on Maternal HIV‐1 Viral Load and Obstetrical Outcomes

A Case Series of Third‐Trimester Raltegravir Initiation: Impact on Maternal HIV‐1 Viral Load and Obstetrical Outcomes

Asociación entre el estado de infección por VIH y complicaciones infecciosas poscesárea electiva

Fatores relacionados a infecções de sítio cirúrgico após procedimentos obstétricos

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