Journal Article10.1016/S0002-9378(96)70455-6
The cost-effectiveness of human immunodeficiency virus screening in pregnancy ☆ ☆☆ ★
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TL;DR: Evaluating the cost-effectiveness of screening for human immunodeficiency virus during pregnancy as part of a protocol in which zidovudine was used to reduce the risk of vertical transmission found it to be both cheaper and more effective than not testing.
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About: This article is published in American Journal of Obstetrics and Gynecology. The article was published on 01 Feb 1996. The article focuses on the topics: Mass screening & Cost effectiveness.
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Citations
•Journal Article
Transmission and postexposure management of bloodborne virus infections in the health care setting: Where are we now?
TL;DR: Policy-making concerning the mandatory postexposure testing of patients who may be the source of infection must weigh the relative infrequency of patients' refusals to be tested and the consequences for PEP recommendations with the ethical and legal considerations of bypassing informed consent and mandating testing.
Trichomoniasis in pregnant human immunodeficiency virus-infected and human immunodeficiency virus-uninfected congolese women: prevalence, risk factors, and association with low birth weight.
Madeline Y. Sutton,Maya R. Sternberg,Malanda Nsuami,Frieda Behets,Ann Marie Nelson,Michael E. St. Louis +5 more
TL;DR: An association between trichomoniasis and low birth weight independent of human immunodeficiency virus infection and other risk factors is suggested.
64
Cost effectiveness analysis of antenatal HIV screening in United Kingdom
TL;DR: Assessment of the cost effectiveness of universal antenatal HIV screening compared with selective screening in the United Kingdom found that universal screening with pretest discussion should be adopted as part of routine antenatal care as long as test costs can be kept low and uptake high.
56
Should older women have antepartum testing to prevent unexplained stillbirth
TL;DR: A strategy of antepartum testing in older women would reduce the number of unexplained stillbirths at term and would result in fewer inductions and cesarean deliveries per fetal death averted than a strategy of no testing but induction at 41 weeks.
52
Cost-Effectiveness of Universal Compared With Voluntary Screening for Human Immunodeficiency Virus Among Pregnant Women in Chicago
TL;DR: In this article, a decision-analysis model was developed, using standard cost-effectiveness analysis from a societal perspective, for each screening option, the cost per pregnant woman screened, the resulting number of pediatric HIV infections, and the number of newborn life-years were calculated.
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References
Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment. Pediatric AIDS Clinical Trials Group Protocol 076 Study Group.
Edward M. Connor,Rhoda S. Sperling,Richard D. Gelber,Pavel Kiselev,Gwendolyn B. Scott,Mary Jo O'Sullivan,Russell Vandyke,Mohammed Bey,William T. Shearer,Robert L. Jacobson,Eleanor Jimenez,Edward O’neill,Brigitte Bazin,Jean François Delfraissy,Mary Culnane,Robert W. Coombs,Mary Elkins,Jack Moye,Pamela Stratton,James Balsley +19 more
TL;DR: In pregnant women with mildly symptomatic HIV disease and no prior treatment with antiretroviral drugs during the pregnancy, a regimen consisting of zidovudine given ante partum and intra partum to the mother and to the newborn for six weeks reduced the risk of maternal-infant HIV transmission by approximately two thirds.
3.8K
Reduction of maternal-infant transmission of human immunodeficiency virus 1 with zidovudine treatment
Edward M. Connor,Rhoda S. Sperling,Richard D. Gelber,Pavel Kiselev,Gwendolyn B. Scott,Mary J. O'Sullivan,Russell Vandyke,Mohammed Bey,William T. Shearer,R Jacobson,Eleanor Jimenez,Edward O’neill,Brigitte Bazin,Jean François Delfraissy,Mary Culnane,Robert W. Coombs,Mary Elkins,Jack Moye,Pamela Stratton,James Balsley +19 more
TL;DR: It was shown that AZT decreased the maternal-infant transmission of HIV and helped decrease infant mortality due to the viral infection.
1.9K
Risk for Perinatal HIV-1 Transmission According to Maternal Immunologic, Virologic, and Placental Factors
Michael E. St. Louis,Munkolenkole Kamenga,Chris Brown,Ann Marie Nelson,T. Manzila,Veronique Batter,Frieda Behets,Uwa Kabagabo,Robert W. Ryder,Margaret J. Oxtoby,Thomas C. Quinn,William L. Heyward +11 more
TL;DR: Identifiable subgroups of HIV-1-infected women based on maternal and placental characteristics had between a 7% and 71% risk of perinatal HIV- 1 transmission, and not only the overall rate of transmission but the impact of different risk factors for transmission appear to vary over the course of HIV infection.
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The Lifetime Cost of Treating a Person With HIV
TL;DR: The cost of treating a person with AIDS, which has risen rapidly in the past, has fallen as a result of a reduction in the use of inpatient hospital services.
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Prevalence of HIV infection in childbearing women in the United States. Surveillance using newborn blood samples.
Marta Gwinn,Marguerite Pappaioanou,J. Richard George,W. Harry Hannon,Shari C. Wasser,Martha A. Redus,Rodney Hoff,George F. Grady,Anne Willoughby,Antonia C. Novello,Lyle R. Petersen,Timothy J. Dondero,James Curran +12 more
TL;DR: A national, population-based survey was initiated in 1988 to measure the prevalence of human immunodeficiency virus (HIV) infection in women giving birth to infants in the United States and it is estimated that approximately 1800 newborns acquired HIV infection during one 12-month period.
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