Publication: Maternal virus load and perinatal human immunodeficiency virus type 1 subtype E transmission, Thailand
Issued Date
1999-12-01
Resource Type
ISSN
00221899
DOI
Other identifier(s)
2-s2.0-0033377940
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Infectious Diseases. Vol.179, No.3 (1999), 590-599
Suggested Citation
Nathan Shaffer, Anuvat Roongpisuthipong, Wimol Siriwasin, Tawee Chotpitayasunondh, Sanay Chearskul, Nancy L. Young, Bharat Parekh, Philip A. Mock, Chaiporn Bhadrakom, Pratharn Chinayon, Marcia L. Kalish, Susan K. Phillips, Timothy C. Granade, Shambavi Subbarao, Bruce G. Weniger, Timothy D. Mastro Maternal virus load and perinatal human immunodeficiency virus type 1 subtype E transmission, Thailand. Journal of Infectious Diseases. Vol.179, No.3 (1999), 590-599. doi:10.1086/314641 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/25554
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Title
Maternal virus load and perinatal human immunodeficiency virus type 1 subtype E transmission, Thailand
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Abstract
To determine the rate and risk factors for human immunodeficiency virus (HIV)-1 subtype E perinatal transmission, with focus on virus load, pregnant HIV-infected women and their formula-fed infants were followed prospectively in Bangkok. Of 281 infants with known outcome, 68 were infected (transmission rate, 24.2%; 95% confidence interval, 19.3%-29.6%). Transmitting mothers had a 4.3-fold higher median plasma HIV RNA level at delivery than did nontransmitters (P < .001). No transmission occurred at <2000 copies/mL. On multivariate analysis, prematurity (adjusted odds ratio [AOR], 4.5), vaginal delivery (AOR, 2.9), low NK cell percentage (AOR, 2.4), and maternal virus load were associated with transmission. As RNA quintiles increased, the AOR for transmission increased linearly from 4.5 to 24.8. Two-thirds of transmission was attributed to virus load >10,000 copies/mL. Although risk is multifactorial, high maternal virus load at delivery strongly predicts transmission. This may have important implications for interventions designed to reduce perinatal transmission.