作者: Laurence S. Magder , Lynne Mofenson , Mary E. Paul , Carmen D. Zorrilla , William A. Blattner
DOI: 10.1097/00126334-200501010-00016
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摘要: Objective: To identify predictors of in utero and intrapartum HIV-1 transmission infants born the Women Infants Transmission Study between 1990 2000. Methods: In infection was defined as an infant with first positive peripheral blood mononuclear cell culture and/or DNA polymerase chain reaction assay at 7 days age or younger; having a negative HIV-I younger after age. Results: Of 1709 first-born singleton children status, 166 (9.7%) were found to be infected; decreased from 18.1% 1990-1992 1.6% 1999-2000. Presumed observed 34% infected children, presumed infection, 66%. Among proportion increased over time 27% 80% (4 5) 1999-2000 (P = 0.072). Maternal antenatal viral load antiretroviral therapy associated risk both transmission. Controlling for maternal therapy, low birth weight significantly transmission, while age, CD4 + percentage, year, weight, duration membrane rupture Conclusion: Although there have been significant declines perinatal time, has increase infections transmitted utero.