Late diagnosis and HIV infection in children attending a service of specialized care for pediatric AIDS in Brazil

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. Resul...

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Main Authors: Carolina Frizzera Dias, Sandra Fagundes Moreira-Silva, Marcela Alice Reis, Luciana Ribeiro Patrício, Camila Fátima Biancardi Gavioli, Angélica Espinosa Miranda
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2014-01-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822014000100093&lng=en&tlng=en
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author Carolina Frizzera Dias
Sandra Fagundes Moreira-Silva
Marcela Alice Reis
Luciana Ribeiro Patrício
Camila Fátima Biancardi Gavioli
Angélica Espinosa Miranda
author_facet Carolina Frizzera Dias
Sandra Fagundes Moreira-Silva
Marcela Alice Reis
Luciana Ribeiro Patrício
Camila Fátima Biancardi Gavioli
Angélica Espinosa Miranda
author_sort Carolina Frizzera Dias
collection DOAJ
description 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.
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spelling doaj.art-843485c98b4b4c46bbb800e5c7de596b2022-12-22T02:30:17ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492014-01-01471939610.1590/0037-8682-1737-2013S0037-86822014000100093Late diagnosis and HIV infection in children attending a service of specialized care for pediatric AIDS in BrazilCarolina Frizzera DiasSandra Fagundes Moreira-SilvaMarcela Alice ReisLuciana Ribeiro PatrícioCamila Fátima Biancardi GavioliAngélica Espinosa MirandaIntroduction: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822014000100093&lng=en&tlng=enHIVAIDSChildrenLate diagnosis
spellingShingle Carolina Frizzera Dias
Sandra Fagundes Moreira-Silva
Marcela Alice Reis
Luciana Ribeiro Patrício
Camila Fátima Biancardi Gavioli
Angélica Espinosa Miranda
Late diagnosis and HIV infection in children attending a service of specialized care for pediatric AIDS in Brazil
Revista da Sociedade Brasileira de Medicina Tropical
HIV
AIDS
Children
Late diagnosis
title Late diagnosis and HIV infection in children attending a service of specialized care for pediatric AIDS in Brazil
title_full Late diagnosis and HIV infection in children attending a service of specialized care for pediatric AIDS in Brazil
title_fullStr Late diagnosis and HIV infection in children attending a service of specialized care for pediatric AIDS in Brazil
title_full_unstemmed Late diagnosis and HIV infection in children attending a service of specialized care for pediatric AIDS in Brazil
title_short Late diagnosis and HIV infection in children attending a service of specialized care for pediatric AIDS in Brazil
title_sort late diagnosis and hiv infection in children attending a service of specialized care for pediatric aids in brazil
topic HIV
AIDS
Children
Late diagnosis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822014000100093&lng=en&tlng=en
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