Pre-chewed food for the transmission of HIV

Researchers discovered the first case of HIV was almost sure, mothers care or other persons in the child by the pre-chewed food. The source of HIV from pre-chewed food has been mostly in the blood of infected saliva of humans, pre-chewing the food before the children. The researchers said the results of his research indicated that mothers infected with HIV or other persons, it should be noted, children pre-chewed Food and options aimed at food security.

The events show that doctors and hospitals should also address routine pre-chewing his food in the screening for child health responsibility with HIV are infected or suspected of infection. In addition, possible cases of transmission of HIV through food pre-chewed should for public health agencies to assist the understanding of the prevalence of the transmission.

Led by Aditya Gaur, MD, St. Jude Children's Research Hospital, with colleagues at St. Jude (Marion Donohoe, CPNP), the University of Miami (Charles Mitchell, MD, and Delia Rivera, MD) and the Centers for Disease Control and Prevention (Kenneth Dominguez, MD, Marcia Kalish, Ph.D., and John Brooks, MD), the researchers published their findings in the August 2009 edition of the journal Pediatrics. Gaur Assistant is a member of the St. Jude Department of Infectious Diseases.

Infants, food pre-chewed for streptococci infections such as hepatitis B, Gaur said. However, in these cases there was no evidence that the blood of HIV could also be transferred. The source of blood in the saliva of the person pre-chew food for the child are such visible or microscopic bleeding from the gums or another part of the mouth, he added.

In his paper, researchers from three cases described in the pre-chew the food was probably the source of transmission of HIV on children.

The event, on this report, was 9 months for a baby, St. Jude, because she was HIV positive in previous tests were negative.

"Your mother HIV-positive, it is not satisfied, and another study, transmission by blood transfusion, injury or sexual abuse," said Gaur. In addition, genetic testing, the Kalish to the CDC, showed that the girl was infected with the same root as the transmission of HIV mother.

"Fortunately, the St. Jude nurse practitioner, Marion Donohoe, was very careful to question about their feeding practices, and has asked for more pre-chewed. It turned out that the mother took her daughter chewed food before eating, "said Gaur.

If Gaur Dominguez contacted the CDC on the possible transfer of cases pre-chewed food, warning the center of two similar cases previously Director of the author Rivera Mitchell and colleagues at the University of Miami. These cases were not reported to sensitize the public at the time the lack of sufficient evidence of transmission through food pre-chewed. One case concerned before chewing infected with HIV, a mother, and one HIV infection, was the aunt of the nurse.

Gaur said that the information contained in the three cases, a factor underpinning the bleeding from the mouth was in care, as well as in infants or children with infectious diseases. He also said, is "lack of respect for their own drug treatment probably their blood level of HIV, increases the likelihood of transmission.

"These three cases are quite convincing, they justify warns HIV-positive children against pre-chewed responsible food," said Gaur. "So we hope that awareness of this form of transmission is more in light of case studies and rigorous either justify or refute this transmission." Gaur also important, said the results of investigations, now in cooperation with other research groups in the United States and abroad to determine the extent of the food baby food pre-chewed .

The results do not guarantee coverage against the recommendation of chewing food for babies, says the researcher. The practice was in many parts of the world, including the United States may be an integral part of children's food, nutrition and proper earthing to the culture and tradition. Globally, the training of responsible knowledge of HIV culturally sensitive issues, and possible consequences related to food pre-chewed, said the investigator. The results either, as HIV can be transmitted through saliva at the hearing of contact such as kissing. In the case of researchers, HIV transmission was probably activated bleeding gums or open sores mouth.

"It is important that this report is not taken up the challenge, that the saliva does not require the transmission of HIV and not in Kissing," Gaur said. "The exception is that the transfer can occur if the individuals have damaged the mucosa in the mouth, and blood with saliva. "