An audit of mother to child HIV transmission rates and neonatal outcomes at a tertiary hospital in South Africa

BMC Res Notes. 2019 Sep 18;12(1):586. doi: 10.1186/s13104-019-4617-1.

Abstract

Objective: The aim of this study was to explore the prevalence of congenital HIV infection of neonates at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH) between 2015 and 2017, as well as compare the HIV PCR positive and HIV PCR negative neonates.

Results: A total number of 1443 HIV exposed neonates was examined for the study period out of a total of 5029 admissions (HIV exposure 28.6%) The study found that the rate of HIV transmission at birth was 2.52%. The majority of infants had low birth weight and were also born prematurely. These results show that, despite the introduction of the extended mother to child transmission programme, HIV transmission is high.

Keywords: ANC visit; HIV exposed neonate; HIV positive mother; HIV prophylaxis; HIV transmission.

MeSH terms

  • Clinical Audit / methods
  • Clinical Audit / standards
  • Clinical Audit / statistics & numerical data*
  • Cross-Sectional Studies
  • Female
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control
  • HIV Infections / transmission*
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Newborn, Diseases / diagnosis
  • Infant, Newborn, Diseases / epidemiology
  • Infant, Newborn, Diseases / prevention & control
  • Infectious Disease Transmission, Vertical / prevention & control
  • Infectious Disease Transmission, Vertical / statistics & numerical data*
  • Male
  • Neonatal Screening / methods
  • Pregnancy
  • Pregnancy Complications, Infectious / epidemiology
  • Pregnancy Complications, Infectious / prevention & control
  • Retrospective Studies
  • South Africa / epidemiology
  • Tertiary Care Centers*