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Perinatal HIV Transmission Prevention Challenges: Missed Opportunities for Monitoring and Integrated Care
Summary
Perinatal HIV transmission remains a risk even with maternal viral suppression. This case highlights lapses in monitoring and care coordination, emphasizing the need for integrated approaches to prevent infant HIV infection.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Perinatal HIV transmission is significantly reduced with undetectable maternal HIV RNA.
- Despite advancements, a small residual risk of transmission persists.
- This case involves an infant diagnosed with HIV despite maternal viral suppression.
Purpose of the Study:
- To describe a case of perinatal HIV transmission with maternal viral suppression.
- To identify missed opportunities in maternal HIV monitoring and care coordination.
- To propose solutions for preventing future transmission events.
Main Methods:
- Case report analysis.
- Review of maternal and infant medical records.
- Evaluation of care coordination and monitoring protocols.
Main Results:
- An infant was diagnosed with HIV at 6 months of age.
- The infant's mother had documented viral suppression.
- Lapses in maternal monitoring and care coordination were identified.
Conclusions:
- Perinatal HIV transmission can occur even with reported maternal viral suppression.
- Vigilant maternal monitoring and integrated, multidisciplinary care are crucial.
- Addressing gaps in care coordination is essential to prevent residual transmission risks.
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