Indication of HIV Infection in the child’s records Posted By : George Rogu M.D. of Adoptiondoctors.com

While there is no cure for AIDS even at once, doctors are now efficient to diagnose infants earlier, prevent mother-to-infant transmittance and provide life enhancing treatments for those affected.

Dynamics of Perinatal HIV transmission:

1) During pregnancy 2) During labor & Delivery (motherly infant exchange of high birth and other maternal secretions the actual delivery) 3) After delivery from one side breast-feeding.

Several clinical factors increase the risk for perinatal HIV transmission:

    1) Clinically advanced HIV ail in the mother
    2) High plasma viral lading in the maternal blood
    3) Maternal IV drug use during the pregnancy
    4) Preterm delivery
    5) Breast feeding

The gauge screening test concerning HIV infection is called the ELISA. This standard checks at the same time that far as concerns the HIV antibody. A incontrovertible result does not unavoidably mean that the patient is ill. It needs to subsist confirmed with a more specific test called a western blot test. This test is extremely of importance for the reason that some persons have power to have a non-viral (other medical or immunologic terms) that can give a spurious positive ELISA test result. Rarely, (in smaller than 1%) will an infected person fail to form antibody response to the HIV venom but these patients are usually obviously very ill. A uniform situation may occur[gr1] in the very early weeks after the maternal primary infection through the HIV virus. Almost always in both these types situations the more sophisticated ordeal like (western blot, viral cultures, PCR) is continually positive.

Infants who are born to HIV-infected mothers will hold unmistakable test results for the HIV antibody, regardless of pollution status. This is due to the maternal transplacental passage of maternal antibodies to the infant.

The average time to yield the maternal HIV antibody is on the eve 10 months of years of discretion while all children lose the maternal HIV antibody by 18 months of age.

A diagnosis for HIV have being able to usually be made by the agency of 2 – 4 months of stage of life if the test performed are checking for HIV virus in the blood (nucleic pungent finding out or HIV culture).

In an infant who was exposed to HIV origin, a negative test end during the early period of mode does not reliably rule out infection, unless if this infant is otherwise good, and has had at in the smallest degree two negative HIV cultures or nucleic acid proof performed over the age of one month and another over the age of 3 months, this infant is unlikely to be infected.

These infants should be monitored in favor of signs and symptoms of the disease and should also be retested at 12 mo, 15 mo , 18mo and 24 mo. In order to look for a reversion to a negative status and to confirm the absence of the infection.

For the above referenced brat we need to make application for a few questions:

    1) Find out exactly what type of HIV testing was performed, (ELISA, western blot. PCR or viral improvement)
    2) what was the babe’s soundness status for the past 15 months? Did they be the subject of an overabundance of respiratory infections, musical perception infections, thrush in the oracle?
    3) Try to find out what is the biological mothers health condition like after this

If the appropriate test was indeed performed and this child did not present with an unusual amount of infections, chances are good that this child has not contracted the HIV disease. Obviously, as per the follow-up protocol, we need to perform more HIV testing at 18 months of age and 24 months of age. If the titers continue to be left behind negative, the persevering is a more than to be expected free.

The knowledge of facts and advice provided is intended to have being general information, NOT as advice on how to deal with a particular chit'session situation and or problem. If your child has a specific enigma you need to ask your pediatrician about it -- only after a careful history and physical exam can a of the healing art diagnosis and treatment plan be made.

Source: http://www.adoptionarticlesdirectory.com/Article/Indication-of-HIV-Infection-in-the-child-s-records/369

June 29th, 2008 - Posted in medical issues | |

Leave a reply