Clinical Profile and HIV Status of the HIV Exposed Infants from Birth to 6 Months of Life:

Hamsa M; Sampath Kumar C; Rajendra V Naidu; Prakash K Wari

doi:10.21276/ajcpn.2019.7.2.5

Hamsa M SNCU Specialist, Department of Pediatrics, Chaluvamba Hospital, MMC&RI, Mysore.
Sampath Kumar C Junior Resident, Department of Pediatrics, Manipal Hospital, Old Airport Road, Bangalore.
Rajendra V Naidu Professor, Department of Pediatrics, Karnataka Institute of Medical Sciences, Hubli.
Prakash K Wari Professor, Department of Pediatrics, Karnataka Institute of Medical Sciences, Hubli.

DOI: https://doi.org/10.21276/ajcpn.2019.7.2.5

Keywords: HIV-infected newborns, NVP birth dose, PPTCT guidelines

Abstract

Background: Approximately 15-25% of HIV-infected newborns in developed countries present with a rapid disease course, with onset of AIDS and symptoms during the 1st few months of life and a median survival time of 6-9 months if untreated. In resource-poor countries, the majority of HIV-infected newborns will have this rapidly progressing disease. Subjects and Methods: All babies who were exposed to HIV positive mother irrespective of mode of delivery and received NVP birth dose within 6 to 12 hours of delivery and prophylaxis continued till 6 weeks according to PPTCT guidelines 2012 by National AIDS Control organization(NACO). Results: Among 21 babies, 19 (90.5%) babies had both parents HIV positive and in 2 (9.5%) only mother was HIV positive. Out of the 21 mothers in this study, Almost 9(42.8%) mothers had CD4 count of <350 and remaining 12(57.2%) mothers had CD4 count >350. Conclusion: Out of 21 babies, 15 (71.4%) were delivered by spontaneous vaginal delivery, 5 (23.8%) through LSCS and 1 (4.8%) by Instrumental (forceps) delivery.

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