Universal children’s day : let’s improve current interventions to reduce vertical transmission of HIV now

dc.contributor.authorCotton, Mark F.en_ZA
dc.contributor.authorRabie, Helenaen_ZA
dc.date.accessioned2016-10-18T06:15:26Z
dc.date.available2016-10-18T06:15:26Z
dc.date.issued2014-11-20
dc.descriptionCITATION: Cotton, M. F. & Rabie, H. 2014. Universal children’s day : let’s improve current interventions to reduce vertical transmission of HIV now. Journal of the International AIDS Society, 17:19875, doi:10.7448/IAS.17.1.19875.
dc.descriptionThe original publication is available at http://www.jiasociety.org
dc.description.abstractBy 2013, there was a 40% decline in new paediatric infections compared to 2009. Prevention of mother to child transmission (PMTCT) of HIV continues to reduce the frequency of HIV in infants through wider and earlier implementation of antenatal combination antiretroviral therapy (ART). Post-natally, breastfed infants are now protected from HIV infection through maternal ART and/or infant nevirapine (NVP). The ultimate aim is the elimination of vertical transmission of HIV. Should HIV infection occur in infants, the focus is on early detection and treatment. The children with HIV early antiretroviral (CHER) trial established the benefit of initiating ART at a median of seven weeks of age. The narrative of the Mississippi child focussed attention on very early diagnosis and therapy. This infant, whose mother was diagnosed as HIV-positive in labour, initiated ART 31 hours after delivery. After ART discontinuation from 15 to 21 months of age due to poor adherence, plasma HIV RNA remained undetectable on standard assays until almost four years of age, with only traces of HIV DNA being found using sophisticated assays.en_ZA
dc.description.urihttp://www.jiasociety.org/index.php/jias/article/view/19875?search=cotton
dc.description.versionPublisher's version
dc.format.extent3 pages
dc.identifier.citationCotton, M. F. & Rabie, H. 2014. Universal children’s day : let’s improve current interventions to reduce vertical transmission of HIV now. Journal of the International AIDS Society, 17:19875, doi:10.7448/IAS.17.1.19875.
dc.identifier.issn1758-2652 (online)
dc.identifier.otherdoi:10.7448/IAS.17.1.19875
dc.identifier.urihttp://hdl.handle.net/10019.1/99727
dc.language.isoen_ZAen_ZA
dc.publisherInternational AIDS society
dc.rights.holderAuthors retain copyright
dc.subjectHIV infections -- Transmissionen_ZA
dc.subjectMother to child AIDS transmission -- Preventionen_ZA
dc.subjectAntiretroviral agentsen_ZA
dc.subjectHIV infections in infants -- Preventionen_ZA
dc.titleUniversal children’s day : let’s improve current interventions to reduce vertical transmission of HIV nowen_ZA
dc.typeArticleen_ZA
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