Diagnosis and management of children born to HIV infected mothers in Poland.
OBJECTIVE
The aim of this study was to describe the management of children born to HIV positive mothers in Poland.


METHODS
Between 1987 to 2003, 218 children of HIV positive mothers were admitted to the Department of Children's Infectious Diseases of the Medical University in Warsaw. Currently recommended management of newborn infants and the routine schedule of diagnostic procedures of children born to HIV positive mothers were discussed. Children, who were in the programme of HIV mother to child transmission (MTCT) prophylaxis, are followed up from birth. Their psychosomatic development is evaluated. They also follow a modified vaccination schedule.


RESULTS
From 1994 to 2003 the prevention programme of vertical transmission was carried out in 107 children. The risk of vertical transmission in this group was 2%.


CONCLUSIONS
Children born to HIV infected mothers need to be diagnosed, to receive antiretroviral therapy initiated at the moment of diagnosis of HIV infection and to be under specialized care.
Marczyńska
Magdalena
M
Department of Children's Infectious Diseases, Medical University in Warsaw, 37 Wolska St., 01-210 Warsaw, Poland. mmarczynska@poczta.onet.pl
Szczepańska-Putz
Małgorzata
M
Popielska
Jolanta
J
D016915:AIDS Vaccines / Q000008:administration & dosage; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D005260:Female; D005500:Follow-Up Studies; D006678:HIV / Q000187:drug effects; D015658:HIV Infections / Q000175:diagnosis / Q000188:drug therapy / Q000517:prevention & control / Q000635:transmission; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D018445:Infectious Disease Transmission, Vertical; D008297:Male; D011044:Poland; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000188:drug therapy
D016915:AIDS Vaccines; D019380:Anti-HIV Agents