Primary research on vertical HIV-1 transmission in utero from mother-to-infant in Ho Chi Minh City
- Author:
Phan Thi Thu Anh
- Publication Type:Journal Article
- Keywords:
HIV
- MeSH:
HIV;
Pregnant Women
- From:Journal of Medical Research
2005;33(1):5-11
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
The vertical HIV transmission from mother to infant can occur in the pregnant period (in utero), during labor or after delivery from breastfeeding. It’s difficult to diagnose HIV-infected newborns by means of serology test, since IgG antibody can infiltrate through placenta from HIV-infected mothers and therefore the serology test is always positive in their babies, even in case the babies were not HIV-infected. In this study, the vertical mother-to-infant HIV-1 transmission in utero was detected by using polymerase chain reaction (PCR) with p17, c2v3 (gp120) and gp41 primers. 37 of 37 (100%) mother blood specimens and 2 of 37 (5.4%) their newborn umbilical cord blood samples were HIV-1 PCR positive. The PCR success rate with P17 and gp41 primers was much higher than that of PCR with c2v3 primer, especially on umbilical cord blood samples. It is recommended that a PCR test using the least 2 primers (p17 and gp41) should be performed at birth to detect HIV-1 seropositive infants and to allow the initiation of antiretroviral therapy. It is necessary to follow up baby health and perform repeatedly HIV-1 PCR on their blood samples to diagnose the timing of HIV-1 transmission.
