Prevalence, incidence, and mother-to-child transmission of HIV-1 in rural South Africa

被引:43
作者
Rollins, NC
Dedicoat, M
Danaviah, S
Page, T
Bishop, K
Kleinschmidt, I
Coovadia, HM
Cassol, SA [1 ]
机构
[1] Africa Ctr Hlth & Populat Studies, Kwa Zulu, South Africa
[2] Univ Natal, Dept Paediat & Child Hlth, ZA-4001 Durban, South Africa
[3] Univ Liverpool, Liverpool Sch Trop Med, Liverpool L3 5QA, Merseyside, England
[4] S African Med Council, Durban, South Africa
[5] Univ Natal, Ctr HIV AIDS Networking, ZA-4001 Durban, South Africa
基金
英国惠康基金;
关键词
D O I
10.1016/S0140-6736(02)09599-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Simple, robust approaches are needed to monitor prevalence, incidence, and mother-to-child transmission of HIV-1 in rural Africa. We have designed a method that uses antibody and viral RNA testing of dried blood spots obtained from mother-infant pairs attending routine immunisation clinics. In our study, prevalence and incidence of HIV-1 was highest in young women in their late teens and early twenties. In children born to infected mothers, prevalence increased from 14% in infants younger than 6 weeks of age to 24% at 3-6 months. The blood-spot approach is an effective method for surveillance of HIV-1 in women and children, and for early identification of incidence of this infection in women of child-bearing age.
引用
收藏
页码:389 / 390
页数:2
相关论文
共 6 条
[1]   Viral levels in newborn African infants undergoing primary HIV-1 infection [J].
Biggar, RJ ;
Broadhead, R ;
Janes, M ;
Kumwenda, N ;
Taha, TET ;
Cassol, S .
AIDS, 2001, 15 (10) :1311-1313
[2]   Breastfeeding practices in an area of high HIV prevalence in rural South Africa [J].
Bland, RM ;
Rollins, NC ;
Coutsoudis, A ;
Coovadia, HM .
ACTA PAEDIATRICA, 2002, 91 (06) :704-711
[3]   A rural HIV epidemic in Zimbabwe? Findings from a population-based survey [J].
Gregson, S ;
Mason, PR ;
Garnett, GP ;
Zhuwau, T ;
Nyamukapa, CA ;
Anderson, RM ;
Chandiwana, SK .
INTERNATIONAL JOURNAL OF STD & AIDS, 2001, 12 (03) :189-196
[4]  
Newcombe RG, 1998, STAT MED, V17, P873, DOI 10.1002/(SICI)1097-0258(19980430)17:8<873::AID-SIM779>3.0.CO
[5]  
2-I
[6]  
*REP S AFR DEP HLT, 2000, NAT HIV SYPH SER SUR