Two years of HIV, syphilis and hepatitis B screening in pregnant women in Guatemala
T. Velásquez Porta1, B. Samayoa Herrera1, J. Barrios2, C. Motta2, E. Arathoon2
1Asociacion de Salud Integral, Universidad de San Carlos de Guatemala, Guatemala, Guatemala, 2Asociación de Salud Integral, Guatemala, Guatemala
Background: Despite the proven efficacy of programs for prevention of mother-to-child transmission (PMTCT) to reduce the transmission of HIV, most of the hospitals in Guatemala do not have any kind of screening programs nor integral care for HIV-positive pregnant women. The objective of this work was the implementation of a PMTCT program in a major public hospital in Guatemala.
Methods: 33,725 pregnant women were screened during a period of 2 years; from them, 26,385 (78.2%) were in labor and went directly to the labor and delivery area of Hospital General San Juan de Dios (HGSJD) in Guatemala City, while 7,340 (21.8%) attended prenatal care in the same hospital. The screening included rapid tests for HIV (DetermineTM), hepatitis B (DetermineTM), and syphilis (RPR).
Results: A positive rapid test for HIV was obtained by 103 (0.30%) women, these results were confirmed by ELISA (Immunocomb®). 232 (0.68%) women tested positive for syphilis and 56 (0.17%) were positive for hepatitis B. All positive cases were referred to integral care clinics for mother and child follow up. Pregnant women who tested positive for HIV received antiretroviral therapy and deliver their child by scheduled Cesarean section. Artificial formula and new-born follow up were also provided.
Conclusion: it is imperative to implement PMTCT programs in Guatemala´s entire health system, in order to reduce the risk of vertical transmission of HIV.
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