Late diagnosis and HIV infection in children attending a service of specialized care for pediatric AIDS in Brazil.
| Autor: | Frizzera Dias C, Moreira-Silva SF, Reis MA, Ribeiro Patrício L, Biancardi Gavioli CF, Miranda AE |
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| Jazyk: | angličtina |
| Zdroj: | Revista da Sociedade Brasileira de Medicina Tropical [Rev Soc Bras Med Trop] 2014 Jan-Feb; Vol. 47 (1), pp. 93-6. |
| DOI: | 10.1590/0037-8682-1737-2013 |
| Abstrakt: | Introduction: This study describes the frequency of late diagnosis and HIV among children attending a pediatric AIDS clinic. Methods: Cross-sectional study in children exposed to HIV from 2005-2008. A questionnaire was given that included questions on demographics and clinical information. Results: Two-hundred twenty-one (97.8%) children were exposed to HIV during pregnancy/childbirth. A total of 193 (87.3%) children had late enrolment in the service and late access to HIV serology. The frequency of HIV was 21.3% (95% confidence interval [CI] 15.9%-26.7%). Protective factors were earlier diagnosis [odds ratio (OR)=0.17 (0.08-0.37)] and receiving complete prophylaxis [OR=0.29 (0.09-0.97)]; being born by vaginal delivery was a risk factor [OR=4.45 (1.47-13.47)]. Conclusions: There was a high frequency of late diagnosis in this patient cohort. Earlier diagnosis is an important measure for controlling HIV among children. |
| Databáze: | MEDLINE |
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