retrospective study on hiv infected pregnant women and their babies in the western part of romania

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ORAL PRESENTATION Open Access Retrospective study on HIV infected pregnant women and their babies in the Western part of Romania VoichițaLăzureanu 1* , Teodora Moisil 2 , Virgil Musta 1 , Rodica Costa 3 From The 9th Edition of the Scientific Days of the National Institute for Infectious Diseases Prof Dr Matei Bals Bucharest, Romania. 23-25 October 2013 Background Infection of HIV from an HIV-positive mother to her child during pregnancy, labor, delivery or breastfeeding is called mother-to-child transmission (MTCT). A very important aim of combined antiretroviral therapy (cART) is that of eradicating MTCT, having healthy babies and keeping their mothers alive. Methods This is a retrospective study on 104 pregnant women with HIV, between January 2001 January 2013 in the Western part of Romania (counties: Timiş, Arad, Caraş-Severin, Hunedoara). Results Out of the 104 pregnant women, 94 were known with HIV before getting pregnant, 65.2% of them were under cART by the time they got pregnant. These patients were treated with different cART, based on their antiretroviral treatment history and guidelines. The rest of pregnant women were diagnosed with HIV at delivery or soon after childbirth. We had a total of 115 children born by mothers with HIV, out of them 72 (62.6%) were serore- verters and 17 (14.78%) were children infected with HIV. The rest of 26 children are under 18 months of age and still having positive serology for HIV. All women under cART gave birth to non-infected children. 9 newborns died at delivery or shortly after; their mothers had been diagnosed with HIV during labor (or soon after) or had refused cART. Conclusion In order to prevent MTCT and have healthy babies with surviving mothers, cART taken by the women before get- ting pregnant is an essential factor. Sustained medical (infectious diseases plus gynecologist) and psychological efforts for caesarian section at week 38, advice for no breastfeeding and administration of pediatric antiretroviral formulas to the newborn remain essential steps in the pro- ject to eradicate pediatric HIV infection until 2015. Authorsdetails 1 Dr. Victor Babeş University of Medicine and Pharmacy, Timişoara, Romania. 2 Dr. Victor Babeş Clinical Hospital of Infectious Diseases and Pneumology, Timişoara, Romania. 3 Clinical Emergency Childrens Hospital Dr. L. Turcanu, Timişoara, Romania. Published: 16 December 2013 doi:10.1186/1471-2334-13-S1-O11 Cite this article as: Lăzureanu et al.: Retrospective study on HIV infected pregnant women and their babies in the Western part of Romania. BMC Infectious Diseases 2013 13(Suppl 1):O11. Submit your next manuscript to BioMed Central and take full advantage of: Convenient online submission Thorough peer review No space constraints or color figure charges Immediate publication on acceptance Inclusion in PubMed, CAS, Scopus and Google Scholar Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit * Correspondence: [email protected] 1 Dr. Victor Babeş University of Medicine and Pharmacy, Timişoara, Romania Full list of author information is available at the end of the article Lăzureanu et al. BMC Infectious Diseases 2013, 13(Suppl 1):O11 http://www.biomedcentral.com/1471-2334/13/S1/O11 © 2013 Lăzureanu et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Page 1: Retrospective study on HIV infected pregnant women and their babies in the Western part of Romania

ORAL PRESENTATION Open Access

Retrospective study on HIV infected pregnantwomen and their babies in the Western partof RomaniaVoichița Lăzureanu1*, Teodora Moisil2, Virgil Musta1, Rodica Costa3

From The 9th Edition of the Scientific Days of the National Institute for Infectious Diseases Prof Dr Matei BalsBucharest, Romania. 23-25 October 2013

BackgroundInfection of HIV from an HIV-positive mother to her childduring pregnancy, labor, delivery or breastfeeding is calledmother-to-child transmission (MTCT). A very importantaim of combined antiretroviral therapy (cART) is that oferadicating MTCT, having healthy babies and keepingtheir mothers alive.

MethodsThis is a retrospective study on 104 pregnant women withHIV, between January 2001 – January 2013 in the Westernpart of Romania (counties: Timiş, Arad, Caraş-Severin,Hunedoara).

ResultsOut of the 104 pregnant women, 94 were known withHIV before getting pregnant, 65.2% of them were undercART by the time they got pregnant. These patients weretreated with different cART, based on their antiretroviraltreatment history and guidelines. The rest of pregnantwomen were diagnosed with HIV at delivery or soonafter childbirth. We had a total of 115 children born bymothers with HIV, out of them 72 (62.6%) were serore-verters and 17 (14.78%) were children infected with HIV.The rest of 26 children are under 18 months of age andstill having positive serology for HIV. All women undercART gave birth to non-infected children. 9 newbornsdied at delivery or shortly after; their mothers had beendiagnosed with HIV during labor (or soon after) or hadrefused cART.

ConclusionIn order to prevent MTCT and have healthy babies withsurviving mothers, cART taken by the women before get-ting pregnant is an essential factor. Sustained medical(infectious diseases plus gynecologist) and psychologicalefforts for caesarian section at week 38, advice for nobreastfeeding and administration of pediatric antiretroviralformulas to the newborn remain essential steps in the pro-ject to eradicate pediatric HIV infection until 2015.

Authors’ details1Dr. Victor Babeş University of Medicine and Pharmacy, Timişoara, Romania.2Dr. Victor Babeş Clinical Hospital of Infectious Diseases and Pneumology,Timişoara, Romania. 3Clinical Emergency Children’s Hospital “Dr. L. Turcanu”,Timişoara, Romania.

Published: 16 December 2013

doi:10.1186/1471-2334-13-S1-O11Cite this article as: Lăzureanu et al.: Retrospective study on HIV infectedpregnant women and their babies in the Western part of Romania. BMCInfectious Diseases 2013 13(Suppl 1):O11.

Submit your next manuscript to BioMed Centraland take full advantage of:

• Convenient online submission

• Thorough peer review

• No space constraints or color figure charges

• Immediate publication on acceptance

• Inclusion in PubMed, CAS, Scopus and Google Scholar

• Research which is freely available for redistribution

Submit your manuscript at www.biomedcentral.com/submit

* Correspondence: [email protected]. Victor Babeş University of Medicine and Pharmacy, Timişoara, RomaniaFull list of author information is available at the end of the article

Lăzureanu et al. BMC Infectious Diseases 2013, 13(Suppl 1):O11http://www.biomedcentral.com/1471-2334/13/S1/O11

© 2013 Lăzureanu et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the CreativeCommons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, andreproduction in any medium, provided the original work is properly cited.