Zidovudine genotypic resistance in HIV-1-infected newborns in the French Perinatal Cohort
Article Abstract:
Many HIV-infected pregnant women may be transmitting a drug-resistant form of the virus to their baby. In a study of 34 babies born to HIV-infected mothers, 7 (20%) had a viral strain that was resistant to zidovudine (AZT). In four of these babies, it was clear that the virus came from the mother.
Publication Name: Journal of Acquired Immune Deficiency Syndromes (1999)
Subject: Health
ISSN: 1525-4135
Year: 2001
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Neonatal characteristics in rapidly progressive perinatally acquired HIV-1 disease
Article Abstract:
All newborn infants of HIV-positive women should be tested for HIV and p24 antigen to determine if they have the rapidly progressive form of HIV infection. Researchers used data from the French Pediatric HIV Cohort, which is a network of 62 hospitals that report the results of clinical and laboratory tests on all infants born to HIV-positive mothers. A total of 1,386 children were included in the study, including 267 who had become infected. Sixty-three of the infected children developed a rapidly progressive form of the disease, which is characterized by opportunistic infections, recurrent bacterial infections, cancer and wasting syndrome within the first 12 months. Sixty-one percent of the children who developed the rapidly progressive form had been HIV positive at birth compared to 31% of those who did not. Twenty-five percent of the former group had p24 antigen in their blood compared to 5% of the latter group. Enlarged lymph nodes, liver and spleen and low CD4+ counts were also associated with the rapidly progressive form.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1996
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HIV-1 RNA detection in plasma for the diagnosis of infection in neonates
Article Abstract:
A test called nucleic acid sequence-based amplification (NASBA) appears to be as accurate as the DNA polymerase chain reaction (PCR) test for detecting clade B type HIV-1 RNA in newborns and infants. Ninety-six infants born to HIV-positive mothers were tested with both the NASBA and DNA PCR tests within 10 days of birth and again before three months of age. Of the 48 infants with identified infections at three months, 12 had a positive NASBA test at birth and 11 had a positive DNA PCR test. None of the uninfected infants were positive by either test at birth. The NASBA test is quick and requires little blood.
Publication Name: Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology
Subject: Health
ISSN: 1077-9450
Year: 1997
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