Immunization status of children born to human immunodeficiency virus (HIV)-infected mothers in two Texas cities

South Med J. 2000 Jan;93(1):48-52.

Abstract

Background: Because HIV-infected and HIV-exposed children are at risk of acquiring infectious diseases, they should be immunized.

Methods: We abstracted charts at pediatric HIV clinics in Dallas and San Antonio, matched the children to birth certificates and assessed up-to-date immunization status.

Results: Of the 178 children, 108 (61%) were up to date for the diphtheria-tetanus-pertussis (DTP), polio, and measles-mumps-rubella (MMR) series. In multivariate analysis, predictors of delayed immunization included maternal high-risk sexual partners and infant antiretroviral therapy.

Conclusion: In this population of children born to HIV-infected mothers, immunizations were up to date in 61%, a figure that exceeds or equals immunization levels for other Texas children. Texas falls short of the recommended goal of 90% immunization for children of HIV-infected mothers and healthy children.

MeSH terms

  • Child, Preschool
  • Diphtheria-Tetanus-Pertussis Vaccine / administration & dosage
  • Female
  • HIV Infections / immunology*
  • HIV Infections / transmission
  • Humans
  • Infant
  • Infectious Disease Transmission, Vertical
  • Male
  • Measles Vaccine / administration & dosage
  • Measles-Mumps-Rubella Vaccine
  • Mumps Vaccine / administration & dosage
  • Poliovirus Vaccine, Inactivated / administration & dosage
  • Rubella Vaccine / administration & dosage
  • Socioeconomic Factors
  • Texas
  • Vaccination / statistics & numerical data*
  • Vaccines, Combined / administration & dosage

Substances

  • Diphtheria-Tetanus-Pertussis Vaccine
  • Measles Vaccine
  • Measles-Mumps-Rubella Vaccine
  • Mumps Vaccine
  • Poliovirus Vaccine, Inactivated
  • Rubella Vaccine
  • Vaccines, Combined