Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Developing quality indicators for the care of HIVinfected pregnant women in the Dutch Caribbean. | Hermanides et al. AIDS Research and Therapy 2011 8 32 http content 8 1 32 AIDS RESEARCH AND THERAPY RESEARCH Open Access Developing quality indicators for the care of HIV-infected pregnant women in the Dutch Caribbean 1 12 2 2 Hillegonda S Hermanides Lonneke A van Vught Ralph Voigt Fred D Muskiet Aimée Durand rd rzd vs I z h3 c A I rl I If I m m A z r p. Il I 5 r I z kFFz c m I F6 zd A r I Z k r I Id I I I I- 1 Gerard van Osch Sharline Koolman-wever Isaac Gerstenbluth Colette Smit and AShley J Duits Abstract Background Effective interventions to prevent mother-to-child HIV transmission PMTCT exist and when properly applied reduce the risk of vertical HIV transmission. As part of optimizing PMTCT in the Dutch Caribbean we developed a set of valid and applicable indicators in order to assess the quality of care in HIV-infected pregnant women and their newborns. Methods A multidisciplinary expert panel of 19 experts reviewed and prioritized recommendations extracted from locally used international PMTCT guidelines according to a 3-step-modified-Delphi procedure. Subsequently the feasibility sample size inter-observer reliability sensitivity to change and case mixed stability of the potential indicators were tested for a data set of 153 HIV-infected women 108 pregnancies of HIV-infected women and 79 newborns of HIV-infected women in Aruba Curasao and St Maarten from 2000 to 2010. Results The panel selected and prioritized 13 potential indicators. Applicability could not be tested for 4 indicators regarding HIV-screening in pregnant women because of lack of data. Four indicators performed satisfactorily for Curasao monitoring CD4-cell count monitoring HIV-RNA levels intrapartum antiretroviral therapy and infant prophylaxis if antepartum antiretroviral therapy was not received scheduled caesarean delivery and 3 for St Maarten monitoring CD4-cell count monitoring HIV-RNA levels discuss and provide combined antiretroviral therapy to all HIV-infected
