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布基纳法索圣卡米尔医疗中心参与预防母婴传播艾滋病毒项目的艾滋病毒血清阳性孕妇中人类疱疹病毒8型和乙型肝炎病毒的流行情况。

Prevalence of human herpes virus-8 and hepatitis B virus among HIV seropositive pregnant women enrolled in the Mother-to-Child HIV Transmission Prevention Program at Saint Camille Medical Centre in Burkina Faso.

作者信息

Ilboudo Denise, Karou Damintoti, Nadembega Wendyame M C, Savadogo Aly, Djeneba Ouermi, Pignatelli Salvatore, Pietra Virginio, Bere Augustin, Simpore Jacques, Traore Alfred S

机构信息

Laboratoire Saint Camille de Ouagadougou, 01 BP 364 Ouagadougou 01, Burkina Faso, Italia.

出版信息

Pak J Biol Sci. 2007 Sep 1;10(17):2831-7. doi: 10.3923/pjbs.2007.2831.2837.

Abstract

The aims of this research are: i) to evaluate the prevalence of HHV-8, HBV and HIV among pregnant women, ii) to determine the percentage of these co-infections and iii) to estimate the frequency of the mother-to-child transmission of HIV among HBV and HHV-8 positive mothers. Thus, 379 pregnant women attending ante-natal consultation in Saint Camille Medical Centre were subject to HIV, HHV-8 antibodies and the viral marker Hepatitis B Surface Antigen (HBsAg) detection. We observed 48/379 (12.66%) HIV seropositive subjects. Among them, HIV-1 type infection was predominant (95.83%), only 2/48 (4.17%) subjects had a dual HIV-1 type and HIV-2 type infection, no single HIV-2 type infection was detected. 38/379 (10.02%) subjects were infected by HHV-8 and 30/379 (7.91%) were HBsAg positive. HHV-8 and HIV Co-infections rates were high within HBV positive patients and we had respectively 20.00 and 16.67%. 10.42% HIV positive women were coinfected by HBV while 12.50% were infected by HHV-8. Then, 15.79% subjects HHV-8 positive were co-infected by HBV or HIV. In spite of the PMTCT protocol application, five (10.42%) HIV positive women transmitted the virus to their children. Two HIV positive mothers were co-infected by HHV-8 and one by HBV. Among the 5 HIV infected, one mother (20.0%) was HBV positive and two (40.0%) HHV-8 positive. Although we did not have a large sample which would show large prélalences of the infections, we could put forward that the Co-infection of the HIV with one of these viruses (HBV or HHV-8) could favorite the mother-to-child transmission.

摘要

本研究的目的是

i)评估孕妇中HHV-8、HBV和HIV的感染率;ii)确定这些合并感染的百分比;iii)估计HBV和HHV-8阳性母亲中HIV母婴传播的频率。因此,对在圣卡米尔医疗中心进行产前检查的379名孕妇进行了HIV、HHV-8抗体及病毒标志物乙型肝炎表面抗原(HBsAg)检测。我们观察到48/379(12.66%)名HIV血清学阳性受试者。其中,以HIV-1型感染为主(95.83%),仅有2/48(4.17%)名受试者为HIV-1型和HIV-2型双重感染,未检测到单一HIV-2型感染。38/379(10.02%)名受试者感染了HHV-8,30/379(7.91%)名受试者HBsAg呈阳性。在HBV阳性患者中,HHV-8与HIV的合并感染率较高,分别为20.00%和16.67%。10.42%的HIV阳性女性合并感染了HBV,12.50%合并感染了HHV-8。此外,15.79%的HHV-8阳性受试者合并感染了HBV或HIV。尽管实施了预防母婴传播方案,但仍有5名(10.42%)HIV阳性女性将病毒传播给了她们的孩子。两名HIV阳性母亲合并感染了HHV-8,一名合并感染了HBV。在这5名感染HIV的母亲中,一名母亲(20.0%)HBsAg呈阳性,两名(40.0%)HHV-8阳性。尽管我们没有大量样本显示这些感染的高流行率,但我们可以提出,HIV与这些病毒(HBV或HHV-8)之一的合并感染可能会促进母婴传播。

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