hiv - aids 7 diagnosis

Diagnosis
Some of the diagnostic steps that can be done on a baby suspected of HIV infection obtain the mother pregnant. (Pusponegoro, 2004)

anamnesis
• Historical mother user of drugs including drug through the blood vessel.
• Historical mother receiving a blood transfusion or components, and without the filter of HIV test
• Historical aberration sexual orientation and behavior in the mother (female bisexual)
• Historical imunologis mother with a bad response.

Physical examination
Neonatus on clinical symptoms can be:
• BBLR or fail to grow.
• Infection channel repeated breath, otitis media, sinusitis, sepsis, monoliasis repetitive, sometimes happens nonspesifik infection with symptoms hepatosplenomegali, limfadenopati, and fever.
• Disturbance of progressive motor

Examination support
• CT-Scan  not have to see kalsifikasi basaltic ganglia and atrofi on korteks serebri.
• HIV antibody inspection  in children> 18 months, declared positive if the IgG anti-HIV (+) with the Blot and ELISA checks. In the infant <18> 95% baby age 3-6 months.
If test HIV, most of the babies born by HIV-positive mothers showed positive results. This means that there is antibody to HIV in the blood. However, the baby receives the mother's antibody, in order to protect the body's immune system so that the form fully. So positive test results in early life does not mean the baby being infected.
If the baby was infected, the body's immune system will form antibody against HIV, and HIV tests will continue to show positive results. If the baby is not infected, antibody from the mother will be lost so that the test results became negative after approximately 6-12 months.
A test other, similar to viral load tests can be used to determine if the baby is infected, usually several weeks after birth. This test, the search for the virus antibody is not, at this time only available in some large cities, and the price is quite expensive. (anonymous, 2007)
Both culture and virus-specific assessment RRP HIV, can be successful in the diagnosis of infection from the list of blood samples fetus. Amniocentesis and has kordosentesis can be done successfully in pregnant women with HIV sero-positive, but the way and time to perform the procedure invasive this problem because the chronology of transmission of HIV is not definitive. There are also concerns about the possibility of transmission to the fetus as a result of the procedure itself, especially kordosentesis. (Parks, 2000)