A study on time gap analysis between early infant diagnosis (EID) and initiation of antiretroviral treatment (ART) among HIV-exposed infants from Ahmedabad, Gujarat, India
Journal Title: International Journal of Medical Science and Public Health - Year 2016, Vol 5, Issue 2
Abstract
Background: Effective pediatric HIV management requires early diagnosis and prompt initiation of antiretroviral treat - ment (ART) to ensure optimum quality care. ART initiation in the first 3 months of life can reduce mortality by 76%. Delay at any step from the collection of blood sample to the ART registration will lead to a delayed initiation of ART. Objective: To analyze the time gap in each step of HIV testing and ART initiation and analyze the median age of ART initiation among the HIV-exposed infants. Materials and Methods: This retrospective, cohort study was conducted from the record of Ahmedabad Municipal Corporation AIDS Control Society (AMCACS). A total 488 infants born to HIV-positive mothers were registered since 2010 in AMC ACS till June 2014. Time gap analysis for each process starting from HIV testing to ART initiation was carried out using Microsoft Excel. Result: Among all the infants (465) tested by either method, 32 (6.8%) of those who were reactive were followed up subsequently. Of them, three died and three were nonreactive by whole blood specimen (WBS) test, while another three cases were lost to follow-up. The median age for carrying out dry blood spot (DBS) test in this study was 8 weeks. The median time for DBS and WBS testing was 3 weeks and 1 week, respectively, whereas the median time from DBS to initiation of ART was 10 weeks. The median time from birth to ART initiation was 37 weeks. Conclusion: Time lag was present at all the stages from the commencement of DBS examination to ART initiation.
Authors and Affiliations
Kamleshkumar Jain, Venu Shah, Umesh N Oza, Kantilal N Sonaliya
Keywords
Related Articles
- EP ID EP159213
- DOI 10.5455/ijmsph.2016.1407201550
- Views 76
- Downloads 0
Mobile phone related-symptoms among primary care attendees in Al-Khobar city, Eastern Saudi Arabia
Background: Several studies have shown that use of mobile phones may cause adverse health problems such as headache, sleep disturbances, ear warming and other symptoms. Aims & Objective: To determine the prev...
A study on reasons for nonadherence to 99DOTS among HIV-tuberculosis coinfected patients in Davanagere district, Karnataka
Background: Ensuring the patient’s adherence is the critical challenge in tuberculosis (TB) treatment. To monitor the adherence to anti-TB drugs in HIV-TB coinfected patients, 99 directly observed treatment short (99DOTS...
A comparative randomized study to evaluate the effect of gabapentin alone and in combination with labetalol in attenuating the pressor response to direct laryngoscopy and intubation
Background: Direct laryngoscopy and intubation are associated with the pressor response which leads to increase in blood pressure (BP) and heart rate (HR) which may be tolerated by young healthy individuals but can prove...
Village health post (Ponkesdes) development into community nursing center-based Health Promotion Model, nursing center, and behavioral performance
Background: The vision of development in East Java is to realize a prosperous society and morals. To improve public health as one of the measures to achieve this vision will require proximity access and quality impro...
A cross-sectional study on the prevalence of work-related musculoskeletal disorders in the employees of pharmaceutical industry
Background: Work-related musculoskeletal disorders (WRMDs) are a group of painful disorders of muscles, tendons, and nerves. Carpal tunnel syndrome, tendonitis, thoracic outlet syndrome, and tension neck syndrome are exa...