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Hackett S, Badell ML, Meade CM, Davis JM, Blue J, Curtin L, Camacho-Gonzalez A, Chahroudi A, Chakraborty R, Nguyen MLT, Palmore MP, Sheth AN. Improved Perinatal and Postpartum Human Immunodeficiency Virus Outcomes After Use of a Perinatal Care Coordination Team. Open Forum Infect Dis 2019; 6:ofz183. [PMID: 31198816 PMCID: PMC6545466 DOI: 10.1093/ofid/ofz183] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2019] [Accepted: 04/08/2019] [Indexed: 11/14/2022] Open
Abstract
In a high-volume clinic in the Southeastern United States, pregnant women living with human immunodeficiency virus (HIV) had improved HIV outcomes up to 6 months after delivery following the introduction of a multidisciplinary perinatal care coordination team.
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Affiliation(s)
| | - Martina L Badell
- Infectious Diseases Program, Grady Health System, Atlanta, Georgia.,Department of Gynecology and Obstetrics, Division of Maternal-Fetal Medicine, Atlanta, Georgia
| | | | | | - Jeronia Blue
- Infectious Diseases Program, Grady Health System, Atlanta, Georgia
| | - Lisa Curtin
- Infectious Diseases Program, Grady Health System, Atlanta, Georgia
| | - Andres Camacho-Gonzalez
- Infectious Diseases Program, Grady Health System, Atlanta, Georgia.,Department of Pediatrics, Division of Infectious Diseases, Atlanta, Georgia
| | - Ann Chahroudi
- Infectious Diseases Program, Grady Health System, Atlanta, Georgia.,Department of Pediatrics, Division of Infectious Diseases, Atlanta, Georgia
| | - Rana Chakraborty
- Infectious Diseases Program, Grady Health System, Atlanta, Georgia.,Department of Pediatrics, Division of Infectious Diseases, Atlanta, Georgia
| | - Minh Ly T Nguyen
- Infectious Diseases Program, Grady Health System, Atlanta, Georgia.,Department of Medicine, Division of Infectious Diseases, Atlanta, Georgia
| | - Melody P Palmore
- Infectious Diseases Program, Grady Health System, Atlanta, Georgia.,Department of Medicine, Division of Infectious Diseases, Atlanta, Georgia
| | - Anandi N Sheth
- Infectious Diseases Program, Grady Health System, Atlanta, Georgia.,Department of Medicine, Division of Infectious Diseases, Atlanta, Georgia
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Meade CM, Hussen SA, Momplaisir F, Badell M, Hackett S, Sheth AN. Long term engagement in HIV care among postpartum women with perinatal HIV infection in the United States. AIDS Care 2017; 30:488-492. [PMID: 29254363 DOI: 10.1080/09540121.2017.1417531] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Despite growing literature on pregnancy in women with perinatally-acquired HIV infection (PHIV), little is known regarding HIV and reproductive health outcomes postpartum. We describe pregnancy, reproductive, and HIV care outcomes for 2 years postpartum among pregnant women with PHIV who delivered in a large urban health system in Atlanta, Georgia, USA from 2011-2016. We reviewed medical records of women with PHIV to estimate retention in HIV care (two HIV care visits or viral load measurements >90 days apart) and viral suppression (<200 copies/mL) at 12 and 24 months postpartum. Among 22 pregnant women with PHIV, 13 (59%) had a CD4 count of less than 300 cells/mm3 at the time of antenatal care entry; most (n = 13, 59%) women achieved viral suppression at time of delivery. Three quarters of women attended a postpartum HIV primary care visit, within an average of 193 (range 17-727) days. Only 4 (20%) women were retained and 3 (15%) virally suppressed at 12 postpartum, and 2 (12%) were retained and none virally suppressed at 24 months. Despite the unique challenges they face, multidisciplinary efforts are needed to engage women with PHIV during pregnancy and facilitate the transition to sustained HIV primary care in the postpartum period.
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Affiliation(s)
- Christina M Meade
- a Department of Medicine, Division of Infectious Diseases , Emory University School of Medicine , Atlanta , GA , USA
| | - Sophia A Hussen
- a Department of Medicine, Division of Infectious Diseases , Emory University School of Medicine , Atlanta , GA , USA.,b Hubert Department of Global Health, Rollins School of Public Health , Emory University , Atlanta , GA , USA.,c Infectious Diseases Program , Grady Health System , Atlanta , GA , USA
| | - Florence Momplaisir
- d Department of Medicine, Division of Infectious Diseases and HIV Medicine , Drexel University College of Medicine , Philadelphia , PA , USA
| | - Martina Badell
- e Department of Gynecology and Obstetrics, Division of Maternal-Fetal Medicine , Emory University School of Medicine , Atlanta , GA , USA
| | - Stephanie Hackett
- c Infectious Diseases Program , Grady Health System , Atlanta , GA , USA
| | - Anandi N Sheth
- a Department of Medicine, Division of Infectious Diseases , Emory University School of Medicine , Atlanta , GA , USA.,c Infectious Diseases Program , Grady Health System , Atlanta , GA , USA
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Meade CM, Cantos VD, Nasri H, Serbanescu M, Anderson EJ. Epidural Abscess in Lemierre׳s Syndrome. Am J Med Sci 2016; 354:325-326. [PMID: 28918841 DOI: 10.1016/j.amjms.2016.11.017] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Revised: 10/04/2016] [Accepted: 11/14/2016] [Indexed: 11/18/2022]
Affiliation(s)
- Christina M Meade
- Department of Medicine and Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia
| | - Valeria D Cantos
- Department of Medicine and Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia
| | - Hachem Nasri
- Department of Medicine and Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia
| | - Mara Serbanescu
- Department of Medicine and Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia
| | - Evan J Anderson
- Department of Medicine and Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia; Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
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