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Your search keyword '"Polo Rodríguez R"' showing total 3 results
Start Over Author "Polo Rodríguez R" Publisher elsevier
3 results on '"Polo Rodríguez R"'

1. Executive summary of the Consensus Statement on monitoring HIV: pregnancy, birth, and prevention of mother-to-child transmission

Author

Expert Panel Secretariat of the National AIDS Plan (PNS), Polo Rodríguez R, Muñoz Galligo E, Iribarren JA, Domingo Pedrol P, Leyes García M, Maiques Montesinos V, Miralles Martín P, Noguera-Julián A, Ocampo Hernandez A, Peres Bares ML, López Rojano M, Suy Franch A, Viñuela Beneitez MC, and González Tomé MI

Subjects
Antiretroviral treatment, Embarazo, Pregnancy, Infección por el VIH, Prevención de la transmisión materno-fetal, Tratamiento antirretroviral, HIV infection, Prevention of mother-to-child transmission
Abstract

The main objective in the management of HIV-infected pregnant women is prevention of mother-to-child transmission; therefore, it is essential to provide universal antiretroviral treatment, regardless of CD4 count. All pregnant women must receive adequate information and undergo HIV serology testing at the first visit. If the serological status is unknown at the time of delivery, or in the immediate postpartum, HIV serology testing has to be performed as soon as possible. In this document, recommendations are made regarding the health of the mother and from the perspective of minimizing mother-to-child transmission.

Published
2014

2. Documento de consenso para el seguimiento de la infección por el virus de la inmunodeficiencia humana en relación con la reproducción, el embarazo, el parto y la profilaxis de la transmisión vertical del niño expuesto

Author

Panel de Expertos de la Secretaría del Plan Nacional sobre el Sida (SPNS), Grupo de Estudio de Sida (GeSIDA), Sociedad Española de Ginecología y Obstetricia (SEGO), Sociedad Española de Infectología Pediátrica (SEIP), Polo Rodríguez R, Muñoz Galligo E, Iribarren JA, Domingo Pedrol P, Leyes García M, Maiques Montesinos V, Miralles Martín P, Noguera-Julián A, Ocampo Hernández A, Péres Bares ML, López Rojano M, Suy Franch A, Viñuela Beneitez MC, and González Tomé MI

Subjects
Parto, Embarazo, Mother-to-child transmission, Pregnancy, Antiretroviral treatment in HIV pregnant women, Tratamiento antirretroviral en la mujer embarazada con VIH, Delivery, Transmisión materno-fetal
Abstract

OBJECTIVE: The main objective in the management of HIV-infected pregnant women is prevention of mother-to-child transmission; therefore, it is essential to provide universal antiretroviral treatment, regardless of CD4 count. All pregnant women must receive adequate information and undergo HIV serology testing at the first visit. METHODS: We assembled a panel of experts appointed by the Secretariat of the National AIDS Plan (SPNS) and the other participating Scientific Societies, which included internal medicine physicians with expertise in the field of HIV infection, gynecologists, pediatricians and psychologists. Four panel members acted as coordinators. Scientific information was reviewed in publications and conference reports up to November 2012. In keeping with the criteria of the Infectious Diseases Society of America, 2levels of evidence were applied to support the proposed recommendations: the strength of the recommendation according to expert opinion (A, B, C), and the level of empirical evidence (I, II, III). This approach has already been used in previous documents from SPNS. RESULTS AND CONCLUSIONS: The aim of this paper was to review current scientific knowledge, and, accordingly, develop a set of recommendations regarding antiretroviral therapy (ART), regarding the health of the mother, and from the perspective of minimizing mother-to-child transmission (MTCT), also taking into account the rest of the health care of pregnant women with HIV infection. We also discuss and evaluate other strategies to reduce the MTCT (elective Cesarean, child's treatment…), and different aspects of the topic (ARV regimens, their toxicity, monitoring during pregnancy and postpartum, etc.).

Published
2014

3. Experience of the national cohort of pregnant women with HIV and their children in Spain: temporal trends in vertical transmission of HIV and associated infections.

Author

Illán Ramos M, Berzosa Sánchez A, Carrasco García I, Diaz Franco A, Jarrín Vera I, Prieto Tato L, Polo Rodríguez R, Navarro Gómez ML, and Ramos Amador JT

Subjects
Humans, Female, Spain epidemiology, Pregnancy, Prospective Studies, Adult, Infant, Newborn, Prevalence, Young Adult, Anti-HIV Agents therapeutic use, Anti-HIV Agents administration & dosage, Anti-Retroviral Agents therapeutic use, Cohort Studies, Coinfection epidemiology, Infectious Disease Transmission, Vertical prevention & control, Infectious Disease Transmission, Vertical statistics & numerical data, HIV Infections transmission, HIV Infections drug therapy, HIV Infections epidemiology, Pregnancy Complications, Infectious epidemiology, Pregnancy Complications, Infectious drug therapy
Abstract

Introduction: The vertical transmission rate (VTR) of HIV has decreased to less than 2% in high-income countries, in spite of which perinatal infections continue to occur. We present data from the national cohort of pregnant women living with HIV and their children in Spain. The objectives were to describe the characteristics of this population, evaluate the VTR of HIV, the safety of antiretroviral therapy (ART) and the prevalence of coinfection., Patients and Methods: Multicentre prospective, observational and descriptive study with participation of 62 hospitals. The sample included pegnant women living with HIV whose children were born between January 2020 and December 2022. We collected prospective data on the characteristics of mothers and children using an online questionnaire (REDCap web application)., Results: The study included 414 mother-child dyads. Most mothers were immigrants (227/349; 65.1%). The main route of HIV infection was heterosexual transmission (160/402; 39.8%), followed by vertical transmission (44/402; 10.9%). The diagnosis was made before conception in 313/389 women (80.4%), 394/402 (98%) received ART during pregnancy and 356/402 (89.3%) had an undetectable viral load at the time of delivery. The delivery was vaginal in 230/388 children (59.3%). The proportion of preterm birth was 11.1%. The most frequent neonatal prophylaxis approach was monotherapy with zidovudine (358/414; 86.5%). There were 3 cases of vertical transmission of HIV (95% CI, 0%-1.54%). Only one newborn was breastfed., Conclusions: At present, most women living with HIV in Spain receive the diagnosis before conception, are of foreign ancestry and achieve good control of the infection. Although the VTR is very low in Spain, there are still infections that could be prevented with early diagnosis and treatment., (Copyright © 2024 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.)

Published
2024
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