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Research ArticleOriginal Article
Open Access

The outcome of prevention of mother-to-child transmission of HIV infection at King Abdulaziz University Hospital, Western Region of Saudi Arabia

A Descriptive Study

Elaf H. Ahmed, Mayar A. Shafei, Leena S. Alsubhi, Noora A. Zarban, Bashair A. Al-Zahrani and Mohammed Shaikhomer
Saudi Medical Journal September 2021, 42 (9) 1009-1016; DOI: https://doi.org/10.15537/smj.2021.42.9.20200789
Elaf H. Ahmed
From the King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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Mayar A. Shafei
From the King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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Leena S. Alsubhi
From the King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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Noora A. Zarban
From the King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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Bashair A. Al-Zahrani
From the King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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Mohammed Shaikhomer
From the King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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  • For correspondence: [email protected]
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    Figure 1

    - Missed antenatal visits of HIV-positive mothers for each pregnancy (N=26).

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    Figure 2

    - Number of HIV-exposed infants lost to follow-up (LTFU) (n=25*). *Excluding one infant who died immediately after birth.

Tables

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    Table 1

    - Types of ART used in the treatment of HIV–positive mothers in relation to their CD4 cell counts.

    ARTPI/NRTINNRTI/NRTIPI/NRTI, NNRTINRTI and IHPI, NRTI, IHMissingTotal
    Pregnancies15 (15.4)4 (15.4)1 (3.8)1 (3.8)2 (7.7)3 (11.5)26 (100)
    CD4 >4009411--17 (65.4)
    CD4 200-4003-----3 (11.5)
    CD4 <2001---2-3 (11.5)
    • Values are expressed as number and percentage (%). ART: antiretroviral therapy, IH: integrase inhibitors, NNRTI: non-nucleoside reverse transcriptase inhibitor, NRTI: nucleoside reverse transcriptase inhibitor, PI: protease inhibitors

    • View popup
    Table 2

    - Number of deliveries of the HIV–positive mothers related to total deliveries each year, their compliance to ART antenatally, and the effect of the viral load on mode of delivery (N=26).

    YearTotal number of mothers who gave birthHIV-mothers who gave birthCompliance with ARTViral load (copies/mL)Mode of delivery
    201856981 motherCompliant952,038Emergency CS
    201743212 mothersCompliantUndetectableEmergency SVD
       CompliantUndetectableEmergency SVD
    201639974 mothersNoncompliant52,997Elective CS
       Noncompliant9,292Elective CS
       CompliantUndetectableEmergency SVD
       CompliantUndetectableEmergency SVD
    201535535 mothersNoncompliant3,822Elective CS
       CompliantUndetectableElective CS
       CompliantUndetectableElective SVD
       CompliantUndetectableEmergency SVD
       CompliantUndetectableEmergency SVD
    201432832 mothersCompliantUndetectableElective CS
       CompliantUndetectableElective SVD
    201343736 mothersCompliant (newly diagnosed at 27 weeks)49,421Emergency SVD
       Compliant41Elective SVD
       Compliant28Emergency SVD
       CompliantUndetectableEmergency SVD
       CompliantUndetectableEmergency SVD
       NoncompliantUndetectableElective SVD
    201245993 mothersCompliantUndetectableEmergency SVD
       CompliantUndetectableEmergency SVD
       CompliantUndetectableEmergency SVD
    201147661 motherNoncompliant4,245Emergency SVD
    201042381 motherCompliant213Emergency SVD
    200942431 motherCompliantUndetectableEmergency SVD
    • ART: antiretroviral therapy, CS: cesarean section, SVD: spontaneous vaginal delivery

    • View popup
    Table 3

    - Characteristics of HIV-positive mothers’ newborns (N=26).

    Characteristicsn(%)
    Gender (n=26)
    Boys17(65.4)
    Girls9(34.6)
    Birth Weight (n=26)
    Underweight (<2.5 kg)9(34.6)
    Normal weight (2.5-4.5 kg)17(65.4)
    Apgar score at 1 min (out of 10), (n=25)8.40±1.53(2.0-9.0)
    Resourcing score (7, 8 and 9)23(92.0)
    Fair score (6,5 and 4)1(3.8)
    Low Apgar score (below 3)1(3.8)
    Apgar score at 5 min (out of 10), (n=25)9.42±2.00(0.0-10.0)
    Resourcing score (7, 8 and 9) (96.1)
    Fair score (6,5 and 4)--
    Low Apgar score (below 3)1(3.8)
    Prophylaxis (n=25)25(96.2)
    Infant mortality (n=26)1 (due to IUGR)(3.8)
    • Data are expressed as number (%) or mean +/- standard deviation (minimum-maximum). IUGR: intrauterine growth restriction.

    • View popup
    Table 4

    - Laboratory test results for HIV-exposed children, (N=25)*

    Laboratory testn(%)
    At birth (n=26)
    PCR undetectable25(96.2)
    ELASIA positive4(15.4)
    Western blot positive3(11.5)
    At 6 weeks
    PCR undetectable19(73.1)
    ELASIA positive3(11.5)
    Western blot positive1(3.8)
    At 6 months
    PCR undetectable8(30.8)
    ELASIA positive1(3.8)
    At 12 months
    PCR undetectable3(11.5)
    ELASIA positive1(3.80
    At 18 months
    PCR undetectable3(11.5)
    ELASIA positive1(3.8)
    • ↵* Excluding one infant who died immediately after birth.

    • Abbreviations: PCR, polymerase chain reaction; ELASIA, enzyme-linked immunosorbent assay.

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Saudi Medical Journal: 42 (9)
Saudi Medical Journal
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The outcome of prevention of mother-to-child transmission of HIV infection at King Abdulaziz University Hospital, Western Region of Saudi Arabia
Elaf H. Ahmed, Mayar A. Shafei, Leena S. Alsubhi, Noora A. Zarban, Bashair A. Al-Zahrani, Mohammed Shaikhomer
Saudi Medical Journal Sep 2021, 42 (9) 1009-1016; DOI: 10.15537/smj.2021.42.9.20200789

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The outcome of prevention of mother-to-child transmission of HIV infection at King Abdulaziz University Hospital, Western Region of Saudi Arabia
Elaf H. Ahmed, Mayar A. Shafei, Leena S. Alsubhi, Noora A. Zarban, Bashair A. Al-Zahrani, Mohammed Shaikhomer
Saudi Medical Journal Sep 2021, 42 (9) 1009-1016; DOI: 10.15537/smj.2021.42.9.20200789
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Keywords

  • human immunodeficiency virus
  • transmission
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