Perfil epidemiológico dos casos de gestantes infectadas pelo HIV no Estado do Espírito Santo, entre 2007 e 2012
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Data
2015-09-02
Autores
Souza, Jefferson Vitorino Cantão de
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Universidade Federal do Espírito Santo
Resumo
Objective. This study aimed to describe the profile of HIV-infected pregnant women cases and to link it to the occurrence of vertical transmission and evaluate the completeness of the data in the Notifiable Diseases Information System (SINAN) of HIV-infected pregnant women reported in Espírito Santo, southeastern Brazil in the period from 2007 to 2012. Methods. This is a cross-sectional study using notified cases from the Notifiable Diseases Data System of HIV-infected pregnant women and aids in children under 5 years old with notified mothers, between January 2007 and June 2012 Demographic, prenatal, child-birth, postpartum and HIV infection data were obtained and associated with vertical transmission. The scores used were excellent (variable shows less than 5% of incomplete coverage), good (5% to 10%), fair (10% to 20%), poor (20% to 50%) and very poor (50% or higher). The data were grouped according to the type of information: information in the notification, pregnant, residence, prenatal, delivery and newborn. The linear trend equations were calculated for incompleteness over time. Statistical significance was 5%. Results. There were 566 pregnancies of women 495, from whom 431 with 1 being notified pregnancy, 60 with two and four women with three or more pregnancies in the period, as well as 76 cases of aids in children. There were statistical associations between years studied (p = 0.006) and number of pregnancies in the period (p = 0.002) with vertical transmission. 93.8% of pregnant women received prenatal care, 88.4% took at least one antiretroviral during pregnancy, childbirth 21.4% of them was vaginal, elective cesarean 61% and 17.6% was conducted cesarean urgency. Intravenous Zidovudine was administered during childbirth 84.3% of pregnant women. There are serious gaps in the completeness of the SINAN database of HIV-infected pregnant women in the state of Espirito Santo. The variables state of realization of prenatal (value of R 2 = 0.697; p = 0.039) and card number of the Unified Health System (value of R2 = 0.916; p = 0.003) had downward trend of incompleteness and health unit of realization of the delivery (R2 value = 0.761; p = 0.023), increasing trend. Conclusions. Knowing the profile of pregnant women infected with HIV and the care offered to them during the prenatal, delivery and postpartum is important to evaluate the quality of the health system response, the vulnerability of these women in relation to access and health care and to adopt increasingly effective strategies for the control of vertical transmission. It is suggested continuing education for the notifier professional record all the data reliably.
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Pregnant women , Infectious disease transmission vertical , Epidemiology , Epidemiological surveillance , Gestantes , Transmissão vertical de doença infecciosa , HIV , Epidemiologia , Vigilância epidemiológica