Mvo Z, Ntlantsana V, Bengu N, Millar J, Roider J, Bhoola R, Krishna M, Graza Y, Van Lobenstein J, Kapongo C, Kogielambal C, Sprenger K, Archary M, Ndung'u T, Goulder P
Umkhuseli Innovation and Research Management, Pietermaritzburg, South Africa.
S Afr Med J. 2018 Jul 25;108(8):609-610. doi: 10.7196/SAMJ.2018.v108i8.13376.
In the era of effective prevention of mother-to-child transmission of HIV, the same psychosocioeconomic factors that predispose to mother-to-child transmission also substantially increase the likelihood of antiretroviral therapy failure in infected infants. For HIV-infected infants to benefit from early infant diagnosis and treatment initiation, into which much funding and effort is now invested, it is vital that these unmet needs of high-risk mothers are urgently attended to. From an ongoing study of early infant diagnosis and treatment following in utero transmission in KwaZulu-Natal, South Africa, we describe four cases to highlight these challenges facing transmitting mothers that contribute to treatment failure in their infants.
在有效预防母婴传播艾滋病毒的时代,那些易导致母婴传播的相同社会经济因素,也会大幅增加受感染婴儿抗逆转录病毒治疗失败的可能性。为了让感染艾滋病毒的婴儿从早期婴儿诊断和治疗启动中受益(目前已在这方面投入了大量资金和精力),迫切关注高危母亲这些未得到满足的需求至关重要。通过对南非夸祖鲁 - 纳塔尔省子宫内传播后早期婴儿诊断和治疗的一项正在进行的研究,我们描述了四个案例,以突出母婴传播母亲所面临的这些挑战,这些挑战导致了她们婴儿的治疗失败。