Clinical implications of HIV seroprevalence in childbearing women: the Louisiana experience.
An epidemiologic analysis of the HIV Seroprevalence Survey of Childbearing Women in Louisiana and the Louisiana AIDS Surveillance Report was conducted to inform health care practitioners of the trends in HIV infection and AIDS cases in women and children. HIV seropositivity in childbearing women has increased by 64% from 1988 to 1991 with an overall rate of 0.15% (202,178 tested). The rate in Orleans Parish is 0.53% (22,833 tested). Louisiana pediatric AIDS cases have increased yearly with 85% due to perinatal transmission. Assuming a 30% perinatal transmission rate, approximately 93 children are expected to develop AIDS in Louisiana within the next few years. Because of anticipated larger numbers of pediatric AIDS cases, health care providers for women and children need to identify their HIV infected patients so that early intervention can begin.
Longfellow
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Office of Public Health, State of Louisiana, New Orleans.
Troxler
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S
Michael
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G
Beltrami
J F
JF
Dal Corso
M
M
McFarland
L
L
Van Dyke
R
R
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000635:transmission; D000293:Adolescent; D000328:Adult; D044383:Black People; D002648:Child; D005260:Female; D015528:HIV Seroprevalence; D006801:Humans; D008145:Louisiana / Q000453:epidemiology; D008297:Male; D008431:Maternal-Fetal Exchange; D011247:Pregnancy; D001741:Black or African American