Impact of Six-week Viral Load on Mortality in HIV-infected Zimbabwean Infants

被引:6
作者
Mutasa, Kuda [1 ]
Ntozini, Robert [1 ]
Prendergast, Andrew [1 ,2 ,3 ]
Iliff, Peter [1 ]
Rukobo, Sandra [1 ]
Moulton, Lawrence H. [3 ]
Ward, Brian J. [4 ]
Humphrey, Jean H. [1 ,2 ]
机构
[1] Zvitambo Project, Harare, Zimbabwe
[2] Univ London, Ctr Paediat, Blizard Inst, London WC1E 7HU, England
[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD USA
[4] McGill Univ, Res Inst, Ctr Hlth, Montreal, PQ, Canada
关键词
HIV; infants; viral load; mortality; disease progression; DISEASE PROGRESSION; TRANSMISSION; ASSOCIATION; THERAPY; RNA;
D O I
10.1097/INF.0b013e318266aac2
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Among 453 untreated HIV-infected Zimbabwean infants, 6-week viral load was the only infant factor that independently predicted mortality. Infants with viral load >= 1.59 million copies/mL (cohort median) had 3-fold increased mortality through 6 months (hazard ratio 3.07 [95% confidence interval: 2.16, 4.38]; P < 0.001) and 2-fold increased mortality through 12 months (hazard ratio 2.03 [95% confidence interval: 1.41, 2.91]; P < 0.001], compared with infants with viral load below the median.
引用
收藏
页码:948 / 950
页数:3
相关论文
共 12 条
  • [1] Association of human immunodeficiency virus (HIV) load early in life with disease progression among HIV-infected infants
    Abrams, EJ
    Weedon, J
    Steketee, RW
    Lambert, G
    Bamji, M
    Brown, T
    Kalish, ML
    Schoenbaum, EE
    Thomas, PA
    Thea, DM
    [J]. JOURNAL OF INFECTIOUS DISEASES, 1998, 178 (01) : 101 - 108
  • [2] Early prognostic indicators in primary perinatal human immunodeficiency virus type 1 infection: Importance of viral RNA and the timing of transmission on long-term outcome
    Dickover, RE
    Dillon, M
    Leung, KM
    Krogstad, P
    Plaeger, S
    Kwok, S
    Christopherson, C
    Deveikis, A
    Keller, M
    Stiehm, ER
    Bryson, YJ
    [J]. JOURNAL OF INFECTIOUS DISEASES, 1998, 178 (02) : 375 - 387
  • [3] Humphrey JH, 2006, J INFECT DIS, V193, P960
  • [4] Early antiretroviral therapy in HIV-1-infected infants, 1996-2008: treatment response and duration of first-line regimens
    Judd, Ali
    Penazzato, Martina
    Townsend, Claire
    Duong, Trinh
    Castro, Hannah
    Goetghebuer, Tessa
    Warszawski, Josiane
    Galli, Luisa
    Chiappini, Elena
    de Martino, Maurizio
    Ene, Luminita
    Giaquinto, Carlo
    Koenigs, Christoph
    LeChenadec, Jerome
    Lyall, Hermione
    Noguera Julian, Antoni
    Ramos, Jose T.
    Rojo-Conejo, Pablo
    Rudin, Christoph
    Thorne, Claire
    Tookey, Pat
    Tudor-Williams, Gareth
    Gibb, Di M.
    [J]. AIDS, 2011, 25 (18) : 2279 - 2287
  • [5] Distinct risk factors for intrauterine and intrapartum human immunodeficiency virus transmission and consequences for disease progression in infected children
    Kuhn, L
    Steketee, RW
    Weedon, J
    Abrams, EJ
    Lambert, G
    Bamji, M
    Schoenbaum, E
    Farley, J
    Nesheim, SR
    Palumbo, P
    Simonds, RJ
    Thea, DM
    [J]. JOURNAL OF INFECTIOUS DISEASES, 1999, 179 (01) : 52 - 58
  • [6] Safety and efficacy of raltegravir-based versus efavirenz-based combination therapy in treatment-naive patients with HIV-1 infection: a multicentre, double-blind randomised controlled trial
    Lennox, Jeffrey L.
    Dejesus, Edwin
    Lazzarin, Adriano
    Pollard, Richard B.
    Ramalho Madruga, Jose Valdez
    Berger, Daniel S.
    Zhao, Jing
    Xu, Xio
    Williams-Diaz, Angela
    Rodgers, Anthony J.
    Barnard, Richard J. O.
    Miller, Michael D.
    DiNubile, Mark J.
    Nguyen, Bach-Yen
    Leavitt, Randi
    Sklar, Peter
    [J]. LANCET, 2009, 374 (9692) : 796 - 806
  • [7] Child mortality according to maternal and infant HIV status in Zimbabwe
    Marinda, Edmore
    Humphrey, Jean H.
    Iliff, Peter J.
    Mutasa, Kuda
    Nathoo, Kusum J.
    Piwoz, Ellen G.
    Moulton, Lawrence H.
    Salama, Peter
    Ward, Brian J.
    [J]. PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2007, 26 (06) : 519 - 526
  • [8] Neonatal characteristics in rapidly progressive perinatally acquired HIV-1 disease
    Mayaux, MJ
    Burgard, M
    Teglas, JP
    Cottalorda, J
    Krivine, A
    Simon, F
    Puel, J
    Tamalet, C
    Dormont, D
    Masquelier, B
    Doussin, A
    Rouzioux, C
    Blanche, S
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 275 (08): : 606 - 610
  • [9] Pediatric HIV-1 in Kenya: Pattern and Correlates of Viral Load and Association With Mortality
    Obimbo, Elizabeth Maleche
    Wamalwa, Dalton
    Richardson, Barbra
    Mbori-Ngacha, Dorothy
    Overbaugh, Julie
    Emery, Sandra
    Otieno, Phelgona
    Farquhar, Carey
    Bosire, Rose
    Payne, Barbara Lohman
    John-Stewart, Grace
    [J]. JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2009, 51 (02) : 209 - 215
  • [10] Pediatric viral human immunodeficiency virus type 1 RNA levels, timing of infection, and disease progression in African HIV-1-infected children
    Rouet, F
    Sakarovitch, C
    Msellati, P
    Elenga, N
    Montcho, C
    Blanche, S
    Rouzioux, C
    Dabis, F
    Leroy, V
    [J]. PEDIATRICS, 2003, 112 (04) : E289 - E297