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Time to first positive HIV-1 DNA PCR may differ with antiretroviral regimen in infants infected with non-B subtype HIV-1

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ชื่อเรื่อง : Time to first positive HIV-1 DNA PCR may differ with antiretroviral regimen in infants infected with non-B subtype HIV-1
นักวิจัย : Raji Balasubramanian , Mary Glenn Fowler , Kenneth Dominguez , Shahin Lockman , Pat A. Tookey , Nicole Ngo Giang Huong , Steven Nesheim , Michael D. Hughes , Marc Lallemant , Jennifer Tosswill , Nathan Shaffer , Gayle Sherman , Paul Palumbo , David E. Shapiro
คำค้น : -
หน่วยงาน : มหาวิทยาลัยเชียงใหม่
ผู้ร่วมงาน : -
ปีพิมพ์ : 2560
อ้างอิง : 14735571 , 02699370 , 2-s2.0-85033791513 , 10.1097/QAD.0000000000001640 , https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85033791513&origin=inward , http://cmuir.cmu.ac.th/jspui/handle/6653943832/43468
ที่มา : -
ความเชี่ยวชาญ : -
ความสัมพันธ์ : -
ขอบเขตของเนื้อหา : -
บทคัดย่อ/คำอธิบาย :

Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved. Objective: To evaluate the association of type and timing of prophylactic maternal and infant antiretroviral regimen with time to first positive HIV-1 DNA PCR test, in nonbreastfed HIV-infected infants, from populations infected predominantly with HIV-1 non-B subtype virus. Design: Analysis of combined data on nonbreastfed HIV-infected infants from prospective cohorts in Botswana, Thailand, and the United Kingdom (N=405). Methods: Parametric models appropriate for interval-censored outcomes estimated the time to first positive PCR according to maternal or infant antiretroviral regimen category and timing of maternal antiretroviral initiation, with adjustment for covariates. Results: Maternal antiretroviral regimens included: no antiretrovirals (n=138), single-nucleoside analog reverse transcriptase inhibitor (n=165), single-dose nevirapine with zidovudine (n=66), and combination prophylaxis with 3 or more antiretrovirals [combination antiretroviral therapy (cART), n=36] . Type of maternal/infant antiretroviral regimen and timing of maternal antiretroviral initiation were each significantly associated with time to first positive PCR (multivariate P < 0.0001). The probability of a positive test with no antiretrovirals compared with the other regimen/timing groups was significantly lower at 1 day after birth, but did not differ significantly after age 14 days. In a subgroup of 143 infants testing negative at birth, infant cART was significantly associated with longer time to first positive test (multivariate P=0.04). Conclusion: Time to first positive HIV-1 DNA PCR in HIV-1-infected nonbreastfed infants (non-B HIV subtype) may differ according to maternal/infant antiretroviral regimen and may be longer with infant cART, which may have implications for scheduling infant HIV PCR-diagnostic testing and confirming final infant HIV status.

บรรณานุกรม :
Raji Balasubramanian , Mary Glenn Fowler , Kenneth Dominguez , Shahin Lockman , Pat A. Tookey , Nicole Ngo Giang Huong , Steven Nesheim , Michael D. Hughes , Marc Lallemant , Jennifer Tosswill , Nathan Shaffer , Gayle Sherman , Paul Palumbo , David E. Shapiro . (2560). Time to first positive HIV-1 DNA PCR may differ with antiretroviral regimen in infants infected with non-B subtype HIV-1.
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ .
Raji Balasubramanian , Mary Glenn Fowler , Kenneth Dominguez , Shahin Lockman , Pat A. Tookey , Nicole Ngo Giang Huong , Steven Nesheim , Michael D. Hughes , Marc Lallemant , Jennifer Tosswill , Nathan Shaffer , Gayle Sherman , Paul Palumbo , David E. Shapiro . 2560. "Time to first positive HIV-1 DNA PCR may differ with antiretroviral regimen in infants infected with non-B subtype HIV-1".
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ .
Raji Balasubramanian , Mary Glenn Fowler , Kenneth Dominguez , Shahin Lockman , Pat A. Tookey , Nicole Ngo Giang Huong , Steven Nesheim , Michael D. Hughes , Marc Lallemant , Jennifer Tosswill , Nathan Shaffer , Gayle Sherman , Paul Palumbo , David E. Shapiro . "Time to first positive HIV-1 DNA PCR may differ with antiretroviral regimen in infants infected with non-B subtype HIV-1."
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ , 2560. Print.
Raji Balasubramanian , Mary Glenn Fowler , Kenneth Dominguez , Shahin Lockman , Pat A. Tookey , Nicole Ngo Giang Huong , Steven Nesheim , Michael D. Hughes , Marc Lallemant , Jennifer Tosswill , Nathan Shaffer , Gayle Sherman , Paul Palumbo , David E. Shapiro . Time to first positive HIV-1 DNA PCR may differ with antiretroviral regimen in infants infected with non-B subtype HIV-1. เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ ; 2560.