Survival of HIV-1 and HIV-2 perinatally infected children in The Gambia


Schim van der Loeff, MF; Hansmann, A; Awasana, AA; Ota, MO; O'Donovan, D; Sarge-Njie, R; Ariyoshi, K; Milligan, P; Whittle, H; (2003) Survival of HIV-1 and HIV-2 perinatally infected children in The Gambia. AIDS (London, England), 17. pp. 2389-2394. ISSN 0269-9370 DOI: https://doi.org/10.1097/01.aids.0000076344.42412.05

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Abstract

SUMMARY: BACKGROUND The risk of mother-to-child transmission (MTCT) of HIV-2 is much lower than that of HIV-1, but the long-term prognosis of perinatally infected HIV-2 children is unknown. We re-visited children who were part of a large MTCT study in The Gambia (conducted during 1993-1997), in order to compare the long-term survival of children perinatally infected with HIV-2 with that of seronegative and of HIV-1 infected children.METHODS Five to eight years' follow-up of a cohort of children born to HIV-negative, HIV-1 positive, and HIV-2 positive mothers.RESULTS Seven hundred and seventy-four children were followed up for a median of 6.6 years. Of 17 perinatally HIV-1 infected children, three were still alive on 1 July 2001, two had been lost to follow-up, and 12 had died. The median survival was 2.5 years. Of eight HIV-2 infected children five were still alive, none were lost to follow-up and three had died. The mortality hazards ratio of both HIV-1 [9.9; 95% confidence interval (CI), 5.2-19], and of HIV-2 infected children (3.9; CI, 1.2-12) was significantly increased compared with children of seronegative mothers. The mortality hazards ratio of HIV uninfected children of HIV-1 or HIV-2 infected mothers was not significantly increased compared to that of children of seronegative mothers (P = 0.17 and P = 0.5 respectively).CONCLUSIONS Children with perinatally acquired HIV-2 infection have a higher mortality than children of seronegative mothers. Guidelines for treatment of HIV-1 infected children should be used for treatment of HIV-2 infected children.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: Tropical Epidemiology Group
PubMed ID: 14571192
URI: http://researchonline.lshtm.ac.uk/id/eprint/6430

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