+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Human immunodeficiency virus prevalence in women at delivery using unlinked anonymous testing of newborns in the Malaysian setting



Human immunodeficiency virus prevalence in women at delivery using unlinked anonymous testing of newborns in the Malaysian setting



Journal of Paediatrics & Child Health 35(1): 63-66



Objective: To determine the community prevalence of human immunodeficiency virus (HIV) in women at the time of delivery in a Malaysian setting. Methodology: Cord blood samples from a pilot screening programme for congenital hypothyroidism in 1995 at Ipoh city and surrounding district hospitals were screened anonymously for HIV 1 and 2. HIV status was determined using chemiluminescent technology. Positive samples were retested using the Genelavia Mixt assay. Results: A total of 4927 samples were tested. The ethnic breakdown included 51.7% Malays, 18.9% Chinese, 14.3% Indian, 2.3% Others and 12.9% unknown. The geographical distribution of samples was 73.9% urban, 24.2% rural and 1.9% unknown. The seroprevalence of HIV positivity was 3.25 per 1000 deliveries (95% CI: 1.92-5.16). Seroprevalence was higher for samples from rural and Malay mothers. Conclusion: The high seroprevalence in this study suggests that the spread of HIV is far wider than that anticipated by mandatory national reporting. It also supports antenatal screening and the use of antiretroviral therapy as an important strategy to reduce perinatal transmission.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 010766449

Download citation: RISBibTeXText

PMID: 10234638

DOI: 10.1046/j.1440-1754.1999.00334.x


Related references

Unlinked anonymous monitoring of human immunodeficiency virus prevalence in high- and low-risk groups in Slovenia, 1993-2002. Croatian Medical Journal 44(5): 545-549, 2003

HIV seroprevalence in childbearing women in Germany based on unlinked anonymous testing of newborns, 1993-1995. ELEVENTH INTERNATIONAL CONFERENCE ON AIDS [Author] Eleventh International Conference on AIDS, Vol One One world: One hope : 134, 1996

Unlinked anonymous testing to estimate HIV prevalence among pregnant women in Catalonia, Spain, 1994 to 2009. Euro Surveillance 16(32):, 2011

Prevalence of HIV-1 infection among heterosexual men and women attending genitourinary clinics in Scotland: unlinked anonymous testing. BMJ 315(7118): 1281-1282, 1997

Hepatitis C virus among high and low risk pregnant women in Dundee: unlinked anonymous testing. Bjog 108(4): 365-370, 2001

Unlinked anonymous screening of antenatal patients for antibody to human immunodeficiency virus type 1 (HIV-1). Medical Journal of Australia 160(11): 693-696, 1994

Prevalence of SIL and SCCA in human immunodeficiency virus-seropositive women at anonymous clinic in Chonburi Hospital. Journal of the Medical Association of Thailand 89(3): 289-293, 2006

Prevalence of human immunodeficiency virus, hepatitis C virus, hepatitis B virus and syphilis among individuals attending anonymous testing for HIV in Luanda, Angola. South African Medical Journal 103(3): 186-188, 2013

Pilot unlinked anonymous study of human immunodeficiency virus hiv infection amongst genito urinary medicine gum clinic at tenders. Viii International Conference on Aids And The Iii Std World Congress Viii International Conference on Aids And The Iii Std World Congress; Harvard-Amsterdam Conference, Amsterdam, Netherlands, July 19-24, Pagination Varies Viii International Conference on Aids And The Iii Std World Congress: Amsterdam, Netherlands Paper : c347, 1992

Determination of the seroprevalence of human immunodeficiency virus infection in gravidas by non-anonymous versus anonymous testing. Obstetrics and Gynecology 74(4): 558-561, 1989

Anonymous hiv testing on newborns in 63 italian hospitals as estimate of prevalence of hiv infection among women in reproductive age. Morisset, R A (Ed ) Ve Conference Internationale Sur Le Sida: Le Defi Scientifique Et Social; V International Conference on Aids: The Scientific And Social Challenge; Montreal, Quebec, Canada, June 4-9, 1262p International Development Research Centre: Ottawa, Ontario, Canada Illus Paper 79, 1989

Expedited human immunodeficiency virus testing of mothers and newborns with unknown HIV status at time of labor and delivery. Journal of Perinatal Medicine 28(6): 458-463, 2000

Seroprevalence of human immunodeficiency virus among childbearing women. Estimation by testing samples of blood from newborns. New England Journal of Medicine 318(9): 525-530, 1988

Unlinked anonymous HIV screening of pregnant women in a low-prevalence population. Scandinavian Journal of Infectious Diseases 28(1): 3-7, 1996

Consented testing of newborns and childbearing women for human immunodeficiency virus through a newborn metabolic screening program. American Journal of Obstetrics and Gynecology 183(1): 245-251, 2000