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Ex Vivo Infection of Human Lymphoid Tissue and Female Genital Mucosa with Human Immunodeficiency Virus 1 and Histoculture
Published on: October 12, 2018
HIV infection of undetermined origin during infancy
B S Eley1, A A Argent, M Hatherill
1School of Child and Adolescent Health, University of Cape Town, South Africa. beley@ich.uct.ac.za
Insights
Two children in sub-Saharan Africa acquired human immunodeficiency virus (HIV) horizontally, likely through healthcare exposures. Effective infection control in hospitals is crucial to prevent such transmissions.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Healthcare-associated infections pose a significant risk, especially in high HIV prevalence regions.
- Understanding transmission routes is vital for preventing pediatric HIV acquisition.
Observation:
- Two pediatric cases of horizontally acquired human immunodeficiency virus (HIV) infection were identified.
- Both children had multiple healthcare contacts, invasive procedures, and consumed expressed breast milk during hospitalization.
Findings:
- The exact source of HIV transmission was undetermined.
- Potential transmission routes include contaminated medical equipment, procedures, or breast milk within the hospital setting.
Implications:
- Healthcare institutions must strengthen infection control protocols to minimize horizontal HIV transmission.
- Clinical practices unique to each discipline require careful review to mitigate infection risks.
Abstract:
The case histories of two children with horizontally acquired HIV infection are described. These children were diagnosed at a paediatric hospital in sub-Saharan Africa. Although the source(s) of infection was not identified, both children had had several contacts with the health service, experienced invasive procedures and ingested expressed milk from their own mothers during hospital admission. Health-care institutions, particularly those located in high HIV prevalence areas, must implement effective infection control measures to ensure that the risk of horizontal infection is minimized. Attention should be given to practices that are unique to each clinical discipline.
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