Artigo Publicado em Periódico
Use of rapid test for the diagnosis of human immunodeficiency virus (HIV) infection in parturients
Fecha
2010-09Registro en:
R. Ci. méd. biol., Salvador, v. 9, n. 3, p. 204-211, 2010.
2236-5222
v.9, n.3
Autor
Capobiango, Jaqueline Dario
Baldy, José Luís da Silveira
Reiche, Edna Maria Vissoci
Morimoto, Helena Kaminami
Costa, Tatiana Inácio
Silva, Cristina Mara da
Matsuo, Tiemi
Capobiango, Jaqueline Dario
Baldy, José Luís da Silveira
Reiche, Edna Maria Vissoci
Morimoto, Helena Kaminami
Costa, Tatiana Inácio
Silva, Cristina Mara da
Matsuo, Tiemi
Institución
Resumen
Abstract:
The diagnosis of human immunodeficiency virus (HIV) in parturient women is used to prevent or change the course of HIV
perinatal transmission through the zidovudine prophylaxis regimen. The aims of this study were to determine the
prevalence of the HIV infection using the rapid test, to evaluate its acceptance for the diagnosis of HIV infection, and to
determine the risk factors for HIV infection in parturients. Interview and a rapid test for anti-HIV were carried out on
4,341 parturients attended at two main public maternities (Maternity of the University Hospital and Municipal Maternity
“Lucilla Ballalai”), in the city of Londrina, Paraná, Brazil, from May, 2000, to September, 2001. The rapid test was positive
in 23 (0.52%) parturients evaluated. Of them, the seropositivity in the conventional (screening and confirmatory) tests
was obtained in 19 (0.44%; 95% CI: 0.27 – 0.70). The rate of the rapid test acceptance was 99.7%. Among HIV-infected.
parturient it was found higher frequency (52.6%) of intravenous drug-user sexual partner (Odds ratio 51.63, 95% CI: 18.67-
143.51, p< 0.0001) when compared with HIV-uninfected parturients, and also with a diagnosed seropositive partner
(42.1%) when compared with HIV-uninfected parturients (Odds ratio 1011.88, 95% CI: 201.87-5766.26, p<0.0001). However,
15.8% of the HIV-infected parturient denied the existence of any risk factor for HIV infection. The results of this study
emphasize the useful of the rapid test to diagnose the HIV infection in all parturient.