Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2003-2-6
pubmed:abstractText
Zidovudine prophylaxis is recommended to reduce perinatal HIV-1 transmission, but there are limited data on long-term effects on women's health. Pediatrics AIDS Clinical Trials Group (PACTG) 288 was a prospective observational study among US women randomized to zidovudine or placebo in PACTG 076 that was designed to evaluate and compare postpartum clinical, immune, and viral parameters between randomized treatment arms. Forty-eight percent (226/474) of eligible women enrolled in the study (mean follow-up of 4.1 years). Progression and time to AIDS or death were similar in both groups, observed in 21 (19%) zidovudine group women and 29 (25%) placebo group women (RR = 0.73, 90% CI: 0.46-1.17). No significant differences in CD4 lymphocyte count or HIV RNA levels were detected. Genotypic zidovudine resistance was detected in 10% of 156 women (9% of zidovudine group women and 11% of placebo group women). Based on our data, ZDV monotherapy could be considered as chemoprophylaxis to reduce perinatal HIV transmission for minimally symptomatic HIV-infected pregnant women with a low viral load and normal CD4 cell count who do not want to receive highly active antiretroviral therapy because of concern about potential side effects or who wish to reduce fetal exposure to multiple drugs during pregnancy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
1525-4135
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
32
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
170-81
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:12571527-Acquired Immunodeficiency Syndrome, pubmed-meshheading:12571527-Anti-HIV Agents, pubmed-meshheading:12571527-CD4 Lymphocyte Count, pubmed-meshheading:12571527-Disease Progression, pubmed-meshheading:12571527-Drug Resistance, Viral, pubmed-meshheading:12571527-Female, pubmed-meshheading:12571527-Follow-Up Studies, pubmed-meshheading:12571527-Genotype, pubmed-meshheading:12571527-HIV Infections, pubmed-meshheading:12571527-HIV-1, pubmed-meshheading:12571527-Humans, pubmed-meshheading:12571527-Infectious Disease Transmission, Vertical, pubmed-meshheading:12571527-Pregnancy, pubmed-meshheading:12571527-Pregnancy Complications, Infectious, pubmed-meshheading:12571527-Pregnancy Outcome, pubmed-meshheading:12571527-RNA, Viral, pubmed-meshheading:12571527-Survival Analysis, pubmed-meshheading:12571527-Viral Load, pubmed-meshheading:12571527-Zidovudine
pubmed:year
2003
pubmed:articleTitle
Effect of cessation of zidovudine prophylaxis to reduce vertical transmission on maternal HIV disease progression and survival.
pubmed:affiliation
University of Medicine and Dentistry of New Jersey, Newark, New Jersey 07103, USA. bardegad@umdnj.edu
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Research Support, U.S. Gov't, P.H.S., Randomized Controlled Trial, Research Support, Non-U.S. Gov't, Multicenter Study