Sperling R
Department of Obstetrics, Gynecology, and Reproductive Sciences, Mount Sinai Medical Center, New York, NY 10029-6574, USA.
Infect Dis Obstet Gynecol. 1998;6(5):197-203. doi: 10.1002/(SICI)1098-0997(1998)6:5<197::AID-IDOG2>3.0.CO;2-1.
Zidovudine was the first agent approved for treatment of HIV disease, and since its widespread availability in 1987, the pharmacokinetic disposition and clinical effects of ZDV have been extensively evaluated. In addition to its utility as a component of a multidrug combination regimen for the treatment of adult and pediatric HIV-1 infection, it is the only agent approved by the FDA for the prevention of mother-to-child HIV-1 transmission. The effectiveness of ZDV for the prevention of mother-to-child HIV-1 transmission has been demonstrated in several studies. The optimal time during gestation to initiate ZDV therapy and the relative importance of the intrapartum and newborn components is the focus of both current interventional and observational studies. Until more information is available from these trials, the combined maternal/newborn ZDV regimen studied in ACTG 076 remains the recommended treatment regimen of choice in the United States.
齐多夫定是首个被批准用于治疗HIV疾病的药物,自1987年广泛供应以来,齐多夫定的药代动力学特性和临床效果已得到广泛评估。除了作为治疗成人和儿童HIV-1感染的多药联合治疗方案的组成部分外,它是美国食品药品监督管理局(FDA)批准的唯一用于预防母婴HIV-1传播的药物。多项研究已证明齐多夫定预防母婴HIV-1传播的有效性。孕期开始齐多夫定治疗的最佳时间以及分娩期和新生儿期用药的相对重要性是当前干预性研究和观察性研究的重点。在从这些试验获得更多信息之前,在艾滋病临床试验组(ACTG)076研究中使用的孕产妇/新生儿联合齐多夫定治疗方案仍是美国推荐的首选治疗方案。