Abstract
Virologic factors may influence survival of HIV-1-infected infants. We compared survival of Ugandan infants with subtype A and subtype D HIV-1 infection. This study was performed in the context of the Ugandan clinical trial HIVNET 012, which compared the efficacy of single-dose nevirapine (NVP) and short-course zidovudine (AZT) for prevention of HIV-1 mother-to-child transmission. HIV-1 subtypes were determined by phylogenetic analysis of HIV-1 protease and reverse transcriptase sequences from 32 women in the NVP arm and 54 women in the AZT arm of HIVNET 012 whose infants were HIV-1 infected by 6 to 8 weeks of age. We found no association between HIV-1 subtype (A vs. D) and infant survival in this cohort. Further studies are needed to evaluate whether HIV-1 subtype influences clinical outcome in pediatric HIV-1 infection.
Publication types
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Cohort Studies
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Female
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Genotype
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HIV Infections / drug therapy
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HIV Infections / mortality*
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HIV Infections / transmission
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HIV Infections / virology*
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HIV-1* / classification
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HIV-1* / genetics
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Humans
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Infant
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Infectious Disease Transmission, Vertical
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Molecular Sequence Data
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Nevirapine / therapeutic use
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Phylogeny
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Pregnancy
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Pregnancy Complications, Infectious / drug therapy
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Survival Rate
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Uganda / epidemiology
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Zidovudine / therapeutic use
Associated data
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GENBANK/AF410203
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GENBANK/AF410204
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