Prevention of Parent to Child Transmission of HIV: Single Centre Experience of 14 years at Tertiary Care Hospital in Delhi, India
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 8
Abstract
Introduction: Prevention of Parent To Child Transmission (PPTCT) of HIV/AIDS is an integral component of AIDS control programme. PPTCT is an ongoing programme since last 15 years. Aim: The aim of the study was to evaluate the reduction in the burden of disease in newborn and infants by prevention of parents to child transmission of HIV/AIDS. Materials and Methods: This retrospective study was conducted at Department of Obstetrics and Gynecology in a tertiary care hospital of Delhi from May 2002 to May 2015. The data was collected from records of maternal details registered at PPTCT clinic as well as list of infants undergoing Early Infant Diagnosis (EID) recorded in the standard format as per instructions from National AIDS Control Organization (NACO) of India. The Programme performance was assessed against performance indicators stated by NACO, India. Results: Evaluation was done by dividing study period into two halves of seven years each. Out of 2,52,447 new antenatal case registration, overall, 43% received pretest of which, 91% were tested. Antenatal seropositivity rate varied from 0.1%-0.25%. Of 243 seropositive antenatal women 187 partners tested positive. While 25 women opted for MTP, 15 had still births. There were 17 neonatal deaths at 3-12 months attributable to respiratory infections and diarrheal diseases. Operative delivery rates declined from 50% to 31% over the years. Most women opted for breast feeding. The lost to follow up rate of newborns was quite high with details of only 43.5% being available at 18 months of infant’s age. A total of three infants tested HIV positive at 18 months of age. Conclusion: The study highlights the practical aspects of policy implementation and operational issues involved in low resource country.
Authors and Affiliations
AG Radhika, Sonia Chawla, Sruthi Bhaskaran
Keywords
Related Articles
- EP ID EP360661
- DOI 10.7860/JCDR/2017/26432.10423
- Views 47
- Downloads 0
Defusing a Time Bomb – Embolization of a Uterine Arteriovenous Malformation with Venous Aneurysms
Uterine Arteriovenous Malformation (AVM) is a rare disease and is usually an acquired disorder which can remain asymptomatic or cause life-threatening bleeding. Prompt diagnosis and management in the appropriate clinical...
A Comparative Study of the Quality of Apical Seal in Resilon/Epiphany SE Following Intra canal Irrigation With 17% EDTA, 10% Citric Acid, And MTAD as Final Irrigants – A Dye Leakage Study Under Vacuum
Introduction: Adequate apical sealing ability of the root canal filling material is an essential requisite for a successful endodontic therapy. Various endodontic irrigants are used for the removal of smear layer before...
Comparison of Normal Resident Flora on the Face of Medical Students who use and who do not use Cosmetics
Introduction: Normal flora of the skin plays a beneficial role in preventing the pathogenic organisms from colonizing the skin and causing infection. It is possible that the facial cosmetics may cause a change in the nor...
Management of Accidental and Iatrogenic Foreign Body Injuries to Heart- Case Series
Accidental and iatrogenic foreign body injuries to heart require immediate attention and its timely management is cornerstone to the life of an individual. We describe in detail five cases of Accidental and iatrogenic fo...
Clinical and Radiographic Outcome of Herbal Medicine Versus Standard Pulpotomy Medicaments in Primary Molars: A Systematic Review
Introduction: Various medicaments has been used for many years as a pulpotomy medicament that has its own advantages and disadvantages. Recently, there has been the use of herbal medicine as a pulpotomy medicament due to...