Incidence of perinatal HIV exposures, in a second level hospital, 3 years experience.

Abstract

Introduction: The incidence of perinatally exposed to HIV has remained in a progressive increase without rampant worldwide and nationally, which has meant a real public health problem and a concern, since these children may or may not develop this disease. For this reason, it is important to take into account a timely diagnosis during pregnancy and in the neonatal period, with responsible management. General objective: To identify the incidence of perinatally exposed children to HIV, managed and diagnosed in a second level hospital, determining which of them developed the disease, an experience of 3 years from 2018 to 2020. Materials and methods Population: Information was obtained from the medical records of the Department of Comprehensive Care and Epidemiology attached to the Statistics Service of the Ambato General Teaching Hospital, which is a second-level health unit, due to the delicacy of said information, from the newborns, who were diagnosed and managed as perinatally exposed to HIV, because their mother is B24 positive. It was an prospective observational cross-sectional study. Results: It is a 3-year study between the period from 2018 to 2020, which corresponded to 12 perinatal HIV-exposed neonates, cesarean section products of HIV-positive mothers who attended prenatal check-ups, of which 7 were male (0.21%) and 5 women (0.15%), and only 2 children (0.16%) developed the disease. Conclusions: It was concluded that the incidence of prenatal exposure during this 3-year period was 0.12%, with a prevalence of 0.20%, with a true risk of infection development of 0.16%, which coincides with the reference data. national. The most affected gender was male.