Rapid HIV diagnostic test in undocumented pregnant women applied at an inner-city teaching hospital.

Abstract:

:A significant number of Brazilian gestational-age women are still not tested for HIV, representing a high risk of transmission to their newborns. The current study sought to identify the number of pregnant women with no previous testing or undocumented for HIV referred to the Gynecology and Obstetrics Department of a Regional Teaching Hospital and included diagnosis of HIV infection determined by a rapid test and perinatal transmission in pregnancy. Medical records of all pregnant women admitted to hospital from January 2001 to December 2005 were reviewed. Pregnant women without HIV results were submitted to a rapid HIV test. Those who tested positive were further tested by ELISA and confirmed by indirect immunofluorescence assay (IIA) or Western blot (WB). The viral load from babies born to HIV-infected mothers was assessed by bDNA. Of the 16,424 pregnant women analyzed (6.6%), 1,089 were undocumented for HIV. Eleven women were positive in rapid testing and 10 were confirmed by ELISA, IIA or WB, with 0.9% seropositivity. Mother/infant pairs received zidovudine monotherapy prophylaxis and infant viral load was lower than 50 copies/mL. A higher number of pregnant women previously tested for HIV during antenatal care was verified, compared to that obtained nationwide.

authors

Prestes-Carneiro LE,Miguel NA,Ascêncio EL,Amâncio M,Alcântara VL,Portelinha-Filho JA

doi

10.1590/s0036-46652009000500007

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

273-6

issue

5

eissn

0036-4665

issn

1678-9946

pii

S0036-46652009000500007

journal_volume

51

pub_type

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