巴西sao PAULO - SP妇产医院携带艾滋病毒孕妇的流行病学概况

Leandra do Nascimento, Maria Fernanda Chiattone, Marcia Eugenia del Llano Archondo, Clarice Yakabe
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摘要

目的:获得性免疫缺陷综合征(AIDS)是一种对公共卫生构成挑战的大流行疾病。本研究旨在追踪在巴西圣保罗- SP市北部一家高度复杂的妇产医院治疗的感染艾滋病毒的孕妇的流行病学概况。方法:通过主动检索医院感染控制中心(SCIH) 2019 - 2021年住院患者病历和HIV病例通报表获得数据。结果:研究期间,在妇产医院就诊的艾滋病毒阳性孕妇中,大多数年龄在21 - 31岁之间,40%为单身,39%为自愿结合,60%仅完成小学教育,大多数为失业,58.5%自称为棕色人种,35%在怀孕期间被诊断为艾滋病毒。其中,坚持治疗的占89.4%,分娩方式以阴道分娩为主,体现了对抗逆转录病毒治疗(ART)预防的坚持。几乎所有新生儿都接受了抗逆转录病毒预防治疗。结论:早期诊断和治疗对婴儿的健康出生至关重要。本研究获得的数据使我们能够更好地了解在产科病房接受治疗的艾滋病毒阳性孕妇的概况,从而制定孕期和产后援助计划。
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PERFIL EPIDEMIOLÓGICO DE GESTANTES PORTADORAS DO VÍRUS HIV EM MATERNIDADE DE SÃO PAULO - SP, BRASIL
OBJECTIVE: Acquired immunodeficiency syndrome (AIDS) is a pandemic disease that poses a public health challenge. This study aimed to trace the epidemiological profile of pregnant women with the HIV virus treated at a high complexity Maternity Hospital in the north of the city of São Paulo – SP, Brazil. METHODS: Data were obtained through an active search in the medical records of hospitalized patients and in the HIV case notification forms, from the Hospital Infection Control Service (SCIH) in the period from 2019 to 2021. RESULTS: The results showed that the majority of the HIV positive pregnant women seen at the maternity hospital during the study period were young, between 21 and 31 years old, 40% were single and 39% said they were in a consensual union, 60% completed only elementary school, most were unemployed, 58.5% declared themselves to be brown, and 35% were diagnosed with HIV during pregnancy. Of the total, 89.4% adhered to treatment and the main route of delivery was vaginal delivery, which demonstrates the adherence to antiretroviral therapy (ART) prophylaxis. Almost all neonates received antiretroviral prophylaxis. CONCLUSION: Early diagnosis and treatment are essential for the healthy birth of the baby. The data obtained in this study allow us to better understand the profile of HIV-positive pregnant women treated at the maternity ward, and thus to develop assistance programs in the gestation and postpartum period.
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