scholarly journals Study of antenatal prevalence of HIV and its trend in a tertiary care hospital

Author(s):  
Nikhil A. Anand ◽  
Seema K. Patel

Background: HIV/AIDS has become a global problem since first detection in 1981.Women of childbearing age constitute nearly half of the 30 million adults currently living with HIV/AIDs worldwide. Pregnant women are considered as low risk for HIV so estimating prevalence in such low risk people provides us a good basis for long term strategy for implementation of HIV/AIDS control programme. The objective of this study was to study acceptance of antenatal HIV testing during routine ANC checkups using opt in strategy. To study prevalence of antenatal HIV and its trend.Methods: Observational and analytic study. Antenatal women coming for routine antenatal care in obstetric OPD were counseled and blood sample were taken according to guidelines for HIV testing from period 1/1/2014 to 31/12/2018.Results: Out of total 23907 women attending antenatal clinic 23841 accepted HIV testing, Out of these 72 were found positive, making HIV seroprevalence rate of 0.30. 42 spouses were also found positive.Conclusions: Though seroprevalence of HIV in antenatal women is low, slowly rising trend worths a caution for us.

Author(s):  
S. Cynthia Subhaprada ◽  
Shasank R. V. S. S. ◽  
T. Sivakala ◽  
S. Madhusai

Background: HIV/AIDS is known to affect an individual not only physically but also mentally, socially, and financially. It is a syndrome that builds a vacuum in a person affecting his/her life as a whole. Combined with ART, Quality of life (QoL) is an important component in the evaluation of the wellbeing of people living with HIV/AIDS (PLHIV). The objective of this study is to assess health related quality of life of HIV/AIDS patients attending ART clinic Tertiary care hospital, GGH, Kurnool and to determine the association of socio-demographic and disease related variables with health related quality of life.Methods: A cross-sectional study was conducted from April 2019 to June 2019 involving 400 purposively selected HIV-positive patients of age >18 years, who were taking highly active anti-retroviral therapy for the past 6months from the ART center, GGH, Kurnool. After obtaining IEC clearance and informed consent, WHOQOL-BREF instrument was used for data collection. Data analysis was performed using IBM SPSS version 26.0.Results: Out of the 400 participants, 60% were males. The mean age of the participants was 38.5±10.54 years. Overall quality of life had a mean score of 69.71. Physical (82.57) and level of independence (78.78) domains showed higher mean score when compared to psychological (63.82), environmental (61.49) and Social (60.26) domains.Conclusions: Among study subjects 15.5% had excellent QoL (≥80), nearly 69.75% had good QoL (60-79) and 14.75% had poor QoL (<60). Low QoL scores were seen in the social domain, suggesting that more social interventions are required in this population.


Author(s):  
Atul Agrawal ◽  
Ankita Agrawal

Background: Human Immunodeficiency Virus (HIV) has become one of the most serious challenges to public health due to its high morbidity, mortality and economic impacts. Good Knowledge, positive attitudes and practices are important aspects of providing nursing care for people living with HIV/AIDS. Aim: This study aimed to assess knowledge, attitudes and practices of nurses working with HIV/AIDS patients. Methods: This study was descriptive, performed on 200 nurses working with HIV/AIDS patients at a tertiary care Hospital, Amroha. Data was collected using pretested, validated, self administered questionnaire consisting of knowledge, attitude and practice based questions related to HIV/Aids and infected patients along with demographic variables of nursing staff under study.  Results: The result of this study showed that majority of nurses (81%) working with HIV/AIDS patients possess adequate level of knowledge. Most of the nurses under study showed high level of empathic attitude toward people living with HIV/AIDS (above 80%) but at the same time high level of avoidance was observed among some nurses. Practice of nurses working with HIV/AIDS patients was found good. Conclusions: There was satisfactory knowledge, positive attitudes and good practice level among nurses under study. Recommendations: Training should focus on Preventive methods and modes of HIV transmission, care and support of all patients no matter what the disease, emphasizing confidentiality as a patient right that should not be ignored and should train nurses and monitor nursing skills. Keywords: Public health, Nurses, HIV, Knowledge, Attitude, Practices


Author(s):  
Michelle N. Fonseca ◽  
Nishita A. Mehta

Background: HIV can cause considerable morbidity and mortality in those affected. An effective PPTCT programme helps in reducing the spread of HIV by vertical transmission and improving the life of the women and her baby.Methods: A retrospective study was done at a tertiary care hospital, including pregnant women registered and delivered at the hospital during a period of 9 years from January 2010 to December 2018. Pretest counseling, HIV testing, Post-test counseling were done and antiretroviral prophylaxis given as per the NACP guidelines. Sociodemographic characteristics, obstetric and maternal-foetal outcome of seropositive women and efficacy of PPTCT services were analyzed.Results: Out of the 58,205 antenatal mothers included, 55,256 (94.93%) accepted HIV testing. 171 of these tested positive (0.31%). 70 spouses of the 171 seropositive women tested positive, 53 tested negative and 48 did not undergo the HIV test. Majority of seropositive women were primigravidas; housewives from urban areas, from low income and educational background and with no history of any contraceptive use. 7.6% had an MTP, 1.75% a spontaneous abortion and 0.58% an ectopic pregnancy. Of the 154 births, 35.71% underwent caesarean sections. There were 96.7% live births in our study and the perinatal mortality rate was 5.19%. After 2013, all mother-baby pairs were given ARV prophylaxis.Conclusions: Utilization of PPTCT services has increased through the years, decreasing the vertical transmission and seroprevalence rate. Increasing the acceptance rates of HIV testing, both by patients and partners may further help in curbing the spread of this condition.


2013 ◽  
Vol 9 (2) ◽  
pp. 9-14
Author(s):  
S Fatima ◽  
NK Afridi ◽  
S Khan

Introduction: Globally, around 34 million people are living with HIV in 2010, and 35% of the pregnant  women are tested for HIV in the low and middle income countries. HIV infection in pregnancy has  become a complication of pregnancy in some developing countries. This has major implications for  the management of pregnancy and birth. With an estimated one and a half million HIV-positive women  becoming pregnant each year, almost 600,000 children will be infected by mother-to-child transmission  annually. Methodology: A cross sectional study was conducted from October – December 2011 in the Department  of Obstetrics and Gynecology, Khyber Teaching Hospital, Peshawar. It is a tertiary care hospital located  in Peshawar. A sample of 200 pregnant females was used to accomplish the study. The targeted study  population was all antenatal attendees who were visiting the hospital within the current pregnancy. A pre-  coded, pre- tested structured questionnaire was used to gather information on the study variables. The  questionnaire included variables related socio-demographics e.g., age, education status, occupation,  residence. It also included the gestational age and gravidity of the pregnant females. Results: A total of 200 pregnant females attending the antenatal clinic participated in the study. The  age range of the respondents was 17 to 45 years. Age range 17-25 years accounted for the highest  percentage (52%). Around 70% of the respondents had no formal schooling while only 18% had got  secondary education. Ninety – seven percent of the females were housewives while only 3% were  employed. Out of the total respondents (200) only 86 (43%) have heard of HIV while 114 (57%)  respondents have not heard of HIV. Conclusion: The study concluded that only 43% of the pregnant females have heard of HIV. Although  this is not promising still there is room for improvement. Health education targeting pregnant females is  essential. SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS; 2012; IX(2) 9-14 DOI: http://dx.doi.org/10.3126/saarctb.v9i2.7972


2010 ◽  
Vol 40 (2) ◽  
pp. 81-84 ◽  
Author(s):  
Mirta Garcia-Jardon ◽  
Vivek G Bhat ◽  
E Blanco-Blanco ◽  
Andrez Stepian

South Africa has the largest number of people living with HIV/AIDS, and various associated infectious and noninfectious conditions contribute towards mortality. The objective of this study was to determine the important post-mortem findings in HIV-infected individuals in a high HIV burden rural area in South Africa. The patient population included HIV patients who died at the tertiary care hospital, from 2000–2008. Autopsies were performed according to standard protocols and diagnoses were made with additional laboratory investigations wherever required. A total of 86 patients were autopsied (30 males, 56 females). The major postmortem findings were related to infections, with 38% of the patients having had some form of tuberculosis, followed by pyogenic infections – pneumonias (21.5%), meningitis (10.1%) and septicemias (5.1%). Other important infections included opportunistic fungi like cryptococcosis (7.6%) and pneumocystis pneumonia (8.9%). Among the noninfectious conditions, the findings seen were predominantly related to liver (10.1%) and cardiac involvement (10.1%).


Author(s):  
Rushali Rajan Lilare ◽  
Uday Wasudeorao Narlawar ◽  
Ganpat Mirdude

Background: The present study was retrospective record based, conducted with the aim of assessing the functional status and CD4 count of patients living with HIV/AIDS attending the ART Centre in special reference to gender difference at tertiary care hospital of central India.Methods: Study subjects were people living with HIV/AIDS registered at ART centre at tertiary care hospital of central India in the past three years (1 Jan. 2011 to 31 Dec. 2013). The study duration was from September 2013 to January 2015. This study was conducted on 2042 PLHIV subjects whose records were available for study.Results: In our study there were 58.37% males, 42.4% female and 0.15% transgender. Majority of male 42.45% were between 35-44 years of age group whereas 36.95% females were between 25-34years of age group. Majority of males 22.16% were non agricultural labourer whereas females 78.32% were homemaker. Majority of males 37.41% were in the WHO clinical stage 3 whereas majority of females 36.70% were in stage 1 at the start of ART treatment. About 84.30% females and 76.9% male were working at the start of ART. Majority of males 31.12% and 38.79% had CD4 count between 51-150 at the time of ART registration and at the time of ART treatment respectively. Majority of males 42.62% and 29.34% had CD4 count >350 and between151-250 respectively. About 16.53 % males and 8.97% female were died at the time of data collection.Conclusions: In the study there were male preponderance with 75.26% males and 57.39% females were having CD4 count less than350/cumm at the time of registration respectively. Majority of our study subjects were working at the time of start of ART. The deaths among males were significantly more as compared to females.


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