Abstract | PURPOSE: To evaluate the prevalence of toxoplasmosis, rubella, cytomegalovirus, hepatitis B&C and syphilis (Torchs) in a cohort pregnant women and to identify the sociodemographic, clinical and laboratory factors. METHODS: A total of 1,573 HIV-infected pregnant women from a Brazilian metropolitan region were studied between 1998 and 2013. The results of serological tests were available for 704 (44.8%) pregnant women. Pregnant women were considered to be Torchs positive ( Gtp) when they had positive results for at least one of these infections, and to be Torchs negative (Gtn) when they had negative results for all of them. Maternal covariables were: age, marital status, educational level, time and mode of infection, CD4 lymphocyte count, viral load at delivery, and use of antiretroviral therapy (ARV). Neonatal covariables were: HIV infection, prematurity, low birth weight, neonatal complications, abortion and neonatal death. Odds ratios with 95% confidence interval were used to quantify the association between maternal and neonatal variables and the presence of Torchs. RESULTS: Among 704 pregnant women, 70 (9.9%; 95%CI 7.8-12.4) had positive serological tests for any Torchs factor. The individual prevalence rates were: 1.5% (10/685) for toxoplasmosis; 1.3% (8/618) for rubella; 1.3% (8/597) for cytomegalovirus; 0.9% (6/653) for hepatitis B and 3.7% (20/545) for hepatitis C; and 3.8% (25/664) for syphilis. The HIV Vertical HIV transmission was 4.6% among Gtp pregnant women and 1.2% among Gtn women. Antiretroviral therapy (ARV), vertical transmission, low birth weight and neonatal complications were significantly associated with Torchs positivity in univariate analysis. CONCLUSIONS: The Torchs prevalence found in the study was high for some infections. These findings emphasize the need to promote serological Torchs screening for all pregnant women, especially HIV-infected women, so that an early diagnosis can be made and treatment interventions can be implemented to prevent vertical HIV transmission.
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Authors | Marcelle Marie Martins Maia, Eura Martins Lage, Bárbara Cecília Borges Moreira, Elayne Alayne Braga de Deus, Joanna Gonçalves Faria, Jorge Andrade Pinto, Victor Hugo Melo |
Journal | Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia
(Rev Bras Ginecol Obstet)
Vol. 37
Issue 9
Pg. 421-7
(Sep 2015)
ISSN: 1806-9339 [Electronic] Brazil |
Vernacular Title | Prevalência de infecções congênitas e perinatais em gestantes HIV positivas da região metropolitana de Belo Horizonte. |
PMID | 26352945
(Publication Type: Journal Article)
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Topics |
- Adult
- Brazil
(epidemiology)
- Female
- Fetal Diseases
(epidemiology, microbiology, parasitology)
- HIV Seropositivity
- Humans
- Infant, Low Birth Weight
- Infant, Newborn
- Infections
(congenital, epidemiology)
- Infectious Disease Transmission, Vertical
- Pregnancy
- Pregnancy Complications, Infectious
- Prevalence
- Urban Health
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