Document Detail


Preventing mother-to-child transmission of HIV: practical strategies for developing countries.
MedLine Citation:
PMID:  10808607     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The HIV pandemic has greatly affected women of childbearing age in developing countries and, thus, their offspring, through mother-to-child transmission (MTCT) of the virus. Scientific advances, most of them established by randomized clinical trials, have recently led to the development of practical strategies aiming to reduce the public health burden of MTCT of HIV. These advances came first in non-breast-feeding populations, for example, in Thailand and, more recently, in African populations, where breast-feeding remains the predominant mode of infant feeding. This article reviews major accomplishments in this area, outlines practical issues for program implementation, and suggests future research needs. Short-course zidovudine and short-course nevirapine in the peripartum period currently represent 2 valid options to reduce MTCT of HIV in developing countries if appropriate prenatal, obstetrical, and postnatal care is provided and if alternatives to breast-feeding are considered according to the local situation and the mother's individual decision.
Authors:
F Dabis; V Leroy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The AIDS reader     Volume:  10     ISSN:  1053-0894     ISO Abbreviation:  AIDS Read     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-07-06     Completed Date:  2000-07-06     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9206753     Medline TA:  AIDS Read     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  241-4     Citation Subset:  X    
Affiliation:
INSERM unit U.330, Institut de Santé Publique, Epidémiologie et Développement (ISPED), Université Victor Segalen, Bordeaux, France.
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MeSH Terms
Descriptor/Qualifier:
Anti-HIV Agents / therapeutic use*
Breast Feeding / adverse effects
Clinical Trials as Topic
Developing Countries*
Drug Therapy, Combination
Female
HIV Infections / drug therapy*,  prevention & control,  transmission*
Humans
Infant
Infant, Newborn
Infectious Disease Transmission, Vertical / prevention & control*
Pregnancy
Pregnancy Complications, Infectious / drug therapy
Chemical
Reg. No./Substance:
0/Anti-HIV Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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