RESUMO
Objective: To assess HIV-free survival and nutritional status of HIV-exposed infants.Methods: This retrospective cohort study was conducted on infants born to woman with HIVinfection born at our Institute between January 2011 to March 2016, and followed usingcurrent National guidelines. HIV transmission rate, HIV-free survival, and nutritional statuswere assessed 18 months age. Results: Of the 155 infants, 10 (6.5%) died before 18 monthsof age. Two of 145 surviving infants were confirmed HIV-positive, the remaining were HIV-negative at 18 months (HIV-free survival 92.3%). Of the 10 infants who died, one wasconfirmed HIV-positive and three negative; the rest died before their HIV status could beascertained. HIV infection rate among the 149 infants for whom the test reports were availablewas 2%. At 18 months age, 14% HIV-uninfected infants were wasted, 28% stunted, and 3%had microcephaly. Conclusions: Infants born to mothers with HIV managed as per thecurrent National guidelines have a good outcome at 18 months of age.
RESUMO
Objectives: To compare growth, anemia prevalence, and sickness frequency in HIV-exposed uninfected infants on different feeding modes. Methods: In this retrospectivecohort study, 109 HIV-exposed uninfected infants registered atour center were categorizedintothree groups as per their feeding mode during first 6 months viz. exclusively breast fed(n=50), animal milk fed (n=40) and commercial infant formula fed (n=19). Theiranthropometric parameters, hemoglobin and frequency of sickness at the age of 6 monthswere compared. Results: There were no significant inter-group differences in the weightfor age, weight for length, length for age z-scores (P=0.16, 0.37 and 0.12, respectively);proportion of infants with underweight (P=0.63), wasting (P=0.82), or stunting (P=0.82),and mean hemoglobin levels among the 3 groups at 6 month of age. Animal milk fed andformula fed infant had increased risk of sickness compared to exclusively breastfed infants(OR 2.5 and 2.49, respectively; P<0.01). Conclusions: In circumstances wherebreastfeeding is not feasible or preferred, animal milk feeding offers a viable alternative tocommercial infant feeding formula in HIV exposed infants.
RESUMO
We report nasopharyngeal teratoma in a term female neonate, that presented within first week of life with episodic stridor, apnea and cyanosis. Laryngoscopy revealed a mass which was confirmed by MRI. The mass was surgically excised and diagnosed as nasopharyngeal teratoma on histopathology. The child is doing well on follow-up