The missing link: documentation of recognized maternal human immunodeficiency virus infection in exposed infant birth records, 24 United States jurisdictions, 1999-2003

Allan W. Taylor; Nan Ruffo; Judy Griffith; Athena P. Kourtis; Jill Clark; Michael Lindsay; Donata Green; Denise J. Jamieson

doi:10.1016/j.ajog.2007.03.028

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The missing link: documentation of recognized maternal human immunodeficiency virus infection in exposed infant birth records, 24 United States jurisdictions, 1999-2003

Journal article

Peer reviewed

The missing link: documentation of recognized maternal human immunodeficiency virus infection in exposed infant birth records, 24 United States jurisdictions, 1999-2003

Allan W. Taylor, Nan Ruffo, Judy Griffith, Athena P. Kourtis, Jill Clark, Michael Lindsay, Donata Green and Denise J. Jamieson

American journal of obstetrics and gynecology, Vol.197(3), pp.S132-S136

09/01/2007

DOI: 10.1016/j.ajog.2007.03.028

PMID: 17825644

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Abstract

Despite substantial improvements, perinatal human immunodeficiency virus (HIV) transmission has not been eliminated in the United States. We examined the extent and contribution of missed communication opportunities between obstetric and pediatric providers who cared for HIV-infected women and their infants. This was a retrospective review of HIV-exposed infants whose data were reported to the Centers for Disease Control and Prevention Enhanced Perinatal Surveillance System from 1999-2003 (n = 8115). For approximately 4% of the HIV-exposed infants whose data were reported to the Enhanced Perinatal Surveillance System between 1999 and 2003, recognized maternal HIV infection was not documented in the exposed infants’ birth records. Such infants were at higher risk of not receiving appropriate neonatal antiretroviral prophylaxis (adjusted odds ratio, 37.3; 95% CI, 24.6-56.4) and had increased odds of HIV infection (adjusted odds ratio, 1.7; 95% CI, 1.1-2.6). Enhanced communication between pediatric and obstetric and gynecologic providers to eliminate this missed opportunity for prevention would improve HIV infection outcomes for HIV-exposed infants and improve care for their mothers.

antiretroviral prophylaxis

Communication

HIV exposure

perinatal HIV prevention

Details

Title: Subtitle: The missing link: documentation of recognized maternal human immunodeficiency virus infection in exposed infant birth records, 24 United States jurisdictions, 1999-2003
Creators: Allan W. Taylor
Nan Ruffo - Northrop Grumman
Judy Griffith
Athena P. Kourtis - Centers for Disease Control and Prevention
Jill Clark - Northrop Grumman
Michael Lindsay - Emory University
Donata Green
Denise J. Jamieson - National Center for Chronic Disease Prevention and Health Promotion
Resource Type: Journal article
Publication Details: American journal of obstetrics and gynecology, Vol.197(3), pp.S132-S136
Publisher: Mosby, Inc
DOI: 10.1016/j.ajog.2007.03.028
PMID: 17825644
ISSN: 0002-9378
eISSN: 1097-6868
Language: English
Date published: 09/01/2007
Academic Unit: Obstetrics and Gynecology; VPMA - Administration
Record Identifier: 9984446413402771

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3 Times Cited - Web of Science