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Document 2425
DOCN M94A2425
TI Risks of bottle-feeding in infants born to HIV-infected mothers from
low-income families in Rio de Janeiro-Brazil.
DT 9412
AU Rubini NP; Silva WA; Sion FS; Morais-De-Sa CA; Lima AJ; Rocco R; Gaffree
& Guinle Hospital-University of Rio de Janeiro.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):307 (abstract no. PC0158). Unique
Identifier : AIDSLINE ICA10/94370150
AB OBJECTIVE: To evaluate the risk of bottle-feeding to infants born to
HIV-infected mothers from low-income families. METHODS: Between Jan 89
and Dec 93 we studied 28 infants born to HIV-infected mothers from with
a monthly income of 300 US dollars or less submitted to bottle-feeding.
All the infants were initially HIV-antibody positive but had
seroreverted to negative and lack evidence of HIV infection by age 18
months. Commercial milk powder formula was supplied to families and
mother were taught how to hygienically prepare bottle feed. Medical
consultation were schedule monthly up to 6 months of age and then
bimonthly until 18 months. The following parameters were analyzed: 1)
measurement of weight, height and head circumference, 2) frequency of
respiratory and gastrointestinal infections, and 3) the need for
hospitalizations. RESULTS: All births were to term and birthweight
varied from 2330g to 4440g (mean = 3159 +/- 215). Monthly family income
varied from 100 to 300 US dollars (mean = 163 +/- 28). Mean annual
frequency of infectious episodes was 2.1 +/- 0.7 (1-5) for respiratory
and 1.3 +/- 0.4 (1-2) for gastrointestinal diseases. Two patients needed
hospitalization: one for a bacterial pneumonia and the other for viral
gastroenteritis. Both did well and recovered. Malnutrition was not
reported. No deaths were observed. CONCLUSIONS: 1) In this study
bottle-feeding in infants born to HIV-infected mothers from low-income
families was not associated with malnutrition nor increased frequency of
infectious diseases. 2) Programs of bottle-feeding for infants born to
HIV-infected mothers, with free distribution of the milk formula and
mother's instruction about the hygienical prepare may be a useful tool
to decrease vertical HIV transmission in developing countries.
DE *Bottle Feeding/ADVERSE EFFECTS Female Human HIV
Infections/*PREVENTION & CONTROL/TRANSMISSION Infant Infant Nutrition
Infant, Newborn Poverty Pregnancy *Pregnancy Complications,
Infectious Risk Factors MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).