Asociación entre el estado de infección por vih Y complicaciones infecciosas poscesárea electiva

Translated title of the contribution: Association between hiv infection status and infectious complications after an elective C-section

Romina Tejada, Leandro Huayanay, Cesar Arturo Gutierrez Villafuerte, Carlos Velásquez, César Loarte

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objectives: To determine the connection between HIV and infectious complications (IC) after an elective C-section. Materials and methods. A non-concurrent cohort study was conducted, in which the clinical records of 237 elective C-sections on HIV-positive pregnant women who gave birth at the Instituto Nacional Materno Perinatal (National Maternal Perinatal Institute) between 2004 and 2012 were revised. The records were matched by surgeon and C-section date, with 237 HIV-negative pregnant women. Socio-demographic and clinical data were collected, along with characteristics of the C-section and data related to the HIV infection. IC were evaluated according to the NIH Consensus Development Task Force. The descriptive analysis and the bivariate analysis were carried out with a significance level of 5% for the hypothesis tests and the calculation of the Odds Ratio (OR) with a confidence interval (CI) at 95%. A conditional logistic regression model was built. Results. IC were present in 13.9% of HIV-positive women and 9.7% of the control group (OR: 1.5 CI95% [0.9-2.7]); those who were exposed (women with HIV) were more likely to have a urinary tract infection (UTI) than those who were not exposed (ORa: 4.5 CI95% [1.4-14.5]). A connection was found between the IC and the type of incision (ORa: 2.3 CI95% [1.1-4.5]) and time of hospitalization (6 versus 3 days, p<0.001). Conclusions. Exposed women did not register a greater global risk of IC after an elective C-section; however, they were, indeed, more likely to get a UTI. Those HIVpositive women who were not receiving antiretroviral treatment were in greater risk of IC. The main risk factors associated with a post C-section IC in HIV-positive women were the type of incision, as well as the surgery time with the UTI.

Translated title of the contributionAssociation between hiv infection status and infectious complications after an elective C-section
Original languageSpanish
Pages (from-to)444-451
Number of pages8
JournalRevista Peruana de Medicina de Experimental y Salud Publica
Volume29
Issue number4
DOIs
StatePublished - 2012
Externally publishedYes

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