Una regla de predicción clínica permite descartar fracturas de tobillo y pie

López, María Marcela; Wurcel, Victoria

doi:10.51987/evidencia.v7i6.5399

Cited by 1 publication

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“…A questionnaire with demographic, socioeconomic, maternal, obstetric and neonatal characteristics was implemented. Characteristics included: area of residence; civil status; education; socioeconomic status using AMAI 8x7; 15 occupation; tobacco and alcohol consumption during pregnancy; drug use during pregnancy (cannabis, cocaine, amphetamines, etc. ); number of sexual partners during pregnancy; engagement in oral sex, anal sex or both; use of condoms during pregnancy; HIV diagnosis time; AIDS criteria during pregnancy; 16 type of resolution; premature rupture of membranes; dystocia during childbirth; use of forceps; ART prophylaxis for the neonate; preterm birth; weight of neonates; breastfeeding and mixed breastfeeding; and coinfections such as human papilloma virus (HPV), active tuberculosis and hepatitis B and C virus.…”

Section: Methodsmentioning

confidence: 99%

Maternal and neonatal risk factors associated with increased mother-to-child transmission of HIV-1 in Mexico: Results of a case–control study

et al. 2022

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Background Maternal, obstetric and neonatal factors that increase the possibility of mother-to-child HIV transmission (MTCT) are known as mechanisms of transmission. Our aim was to determine the risk factors associated with MTCT in Mexico. Methods We conducted a case–control study from March to December 2015. Cases were 60 mothers with HIV infection who transmitted HIV to their children, and controls were 120 mothers with HIV infection whose children tested negative for HIV. Data were extracted from medical records and a self-reported questionnaire for each participant. To determine associations with MTCT, odds ratios (ORs) and 95% confidence intervals (CI) were obtained with the chi-squared test and a logistic-regression modeling. Results A total of 180 patients were included. HIV diagnosis for cases occurred after pregnancy in 88% of the patients, during pregnancy in 9%, and before pregnancy in 3% of patients. Among the controls, 38% of patients were diagnosed before pregnancy, 32% during pregnancy, and 30% after pregnancy. In multivariate analysis, the risk factors associated with MTCT were: absence of antiretroviral treatment during pregnancy (OR 5.21; 95% CI 1.24–16.11; p = 0.019); vaginal delivery (OR 3.2; 95% CI 1.27–8.26; p = 0.014); forceps-assisted delivery (OR 13.4; 95% CI 1.91–93.66; p = 0.009); breastfeeding (OR 6.23; 95% CI 2.27–17.05; p = <0.001) and the practice of mixed breastfeeding (OR 4.6; 95% CI 1.56–13.73; p = 0.006). Conclusions MTCT is preventable with early diagnosis; treatment initiation before pregnancy and avoidance breastfeeding could decrease the risk of transmitting HIV to their children.

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Section: Methodsmentioning

confidence: 99%