Affiliations: Department of Paediatrics, University of Calabar
Teaching Hospital, Calabar, Nigeria
Note: [] Correspondence: Dr. J.J. Udo, Department of Paediatrics,
University of Calabar Teaching Hospital, Calabar, Nigeria. Tel.: +234
8034019721; E-mail: udojacob2000@yahoo.com
Abstract: Mother-to-child transmission (MTCT) of HIV infection is the main
mode of transmission in children. The Prevention of mother to child
transmission is targeted at reducing the transmission of HIV to infants of
infected mothers. However, this has not appreciably created the desired impact
in some centres. The study presents a preliminary report from an immunization
centre of the HIV sero-status in children whose mothers were sero- negative at
antenatal booking. One hundred and fifty healthy children of consenting mothers
who were HIV sero-negative at antenatal care booking were recruited into the
study. Bio data of the children and the socioeconomic status of parents were
determined. All recruited infants were screened for HIV 1&2 antibodies and
results analysed. All positive infants were referred for DNA-PCR. Eight (5.3%)
of the 150 children tested positive to HIV. Half of the seropositive infants
belong to the middle social class all mothers of seropositive infants were HIV
positive. One of the five seropositive infants had positive DNA-PCR while three
were lost to follow up. The sero-positivity of HIV infection among infants
whose mothers were previously negative during ANC booking was relatively high.
A second HIV screening should be done shortly before delivery is recommended
and children presenting at immunization clinic whose mothers did not have
screening late in pregnancy should be screened.
Keywords: HIV sero prevalence, immunization, infants