Association between HIV infection status and infectious complications after an elective c-section

Authors

  • Romina Tejaja Sección Científica de Epidemiología, Instituto de Medicina Tropical, Universidad Nacional Mayor de San Marcos. Lima, Perú. Unidad de Análisis y Generación de Evidencias en Salud Pública, Instituto Nacional de Salud. Lima, Perú. Médico cirujano.
  • Leandro Huayanay Facultad de Medicina “Alberto Hurtado”, Universidad Peruana Cayetano Heredia. Lima, Perú. médico cirujano magister en Epidemiología.
  • César Gutiérrez Sección Científica de Epidemiología, Instituto de Medicina Tropical, Universidad Nacional Mayor de San Marcos. Lima, Perú. médico cirujano magister en Epidemiología.
  • Carlos Velásquez Instituto Nacional Materno Perinatal. Lima, Perú. médico pediatra.
  • César Loarte Instituto Nacional Materno Perinatal. Lima, Perú. médico ginecólogo.

DOI:

https://doi.org/10.17843/rpmesp.2012.294.387

Keywords:

HIV, Pregnancy, Cesarean section, Postoperative complcation, Pregnancy complcation infections

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 HIV-positive 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.

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Published

2014-02-05

Issue

Section

Research Articles

How to Cite

1.
Tejaja R, Huayanay L, Gutiérrez C, Velásquez C, Loarte C. Association between HIV infection status and infectious complications after an elective c-section. Rev Peru Med Exp Salud Publica [Internet]. 2014 Feb. 5 [cited 2024 Jun. 23];29(4). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/387

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