Positive Anti-HIV ELISA Results in Pregnancy: Is It Reliable?

Background: Human immunodeficiency virus (HIV) can be transmitted from mothers to their babies during pregnancy, delivery through vaginal fluids or breastfeeding. As false positivity anti-HIV results due to pregnancy could be detected and no relevant study have been reported in Northern Cyprus so fa...

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Publicado en:Infectious Diseases in Obstetrics & Gynecology pp. 1 - 7
Autores principales: Güler, Emrah, Arıkan, Ayşe, Abobakr, Mariam, Sayan, Murat, Süer, Kaya, Şanlıdağ, Tamer
Formato: Journal Article
Publicado: Wiley-Blackwell 2/16/2022
Acceso en línea:Ver este registro en EBSCOhost
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        10647449
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      jtl: Infectious Diseases in Obstetrics & Gynecology
      issn: 10647449
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      dt: 2/16/2022
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        155288516
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        NLM35221647
        10.1155/2022/1157793
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        155288516
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        atl: Positive Anti-HIV ELISA Results in Pregnancy: Is It Reliable?
      aug:
        au:
          Güler, Emrah
          Arıkan, Ayşe
          Abobakr, Mariam
          Sayan, Murat
          Süer, Kaya
          Şanlıdağ, Tamer
        affil: Department of Nutrition and Dietetics, Faculty of Health Sciences, Near East University, Nicosia, Cyprus
      sug:
        subj:
          HIV-1
          Pregnancy Complications, Infectious Drug Therapy
          Pregnancy Complications, Infectious Diagnosis
          HIV Infections Diagnosis
          HIV Infections Drug Therapy
          Female
          Anti-Retroviral Agents Therapeutic Use
          Pregnancy
          Disease Transmission, Vertical
          Enzyme-Linked Immunosorbent Assay
          Social Readjustment Rating Scale
          Female
      ab: Background: Human immunodeficiency virus (HIV) can be transmitted from mothers to their babies during pregnancy, delivery through vaginal fluids or breastfeeding. As false positivity anti-HIV results due to pregnancy could be detected and no relevant study have been reported in Northern Cyprus so far, we aimed to estimate the false anti-HIV positivity rate in pregnant women.Methods: A total of 11.977 women admitted to Near East University Hospital between 2015 and 2018 were involved. The fourth generation anti-HIV-1/2 ELISA test was carried out by chemiluminescence enzyme immunoassay. Positive results were confirmed by real-time polymerase chain reaction (rt-PCR). SPSS (Statistical Package for the Social Sciences) Demo Ver 22 program was used for statistical analysis and significance (p<0.05) was measured by Person Chi-Square and Fisher's Exact tests.Results: Anti-HIV-1/2 ELISA test was positive in 7 (0.3%) of pregnant and 11 (0.1%) of non-pregnant women. HIV RNA was not detected in any pregnant however, was detected in 2 (0.02%) of non pregnant. S/Co titer of pregnant and non pregnant who have positive anti-HIV-test without viral load was x̄=2.68±1.64 (1.34-5.20) and x̄=8.63±7.68 (1.56-20.98) respectively. False positivity was significantly higher in pregnants compared to non-pregnants (p=0.033).Conclusion: False positivity can be encountered during pregnancy therefore, positive anti-HIV-1/2 ELISA results should be confirmed with molecular techniques before initiating antiretroviral treatment.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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