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https://www.readbyqxmd.com/read/29466385/adherence-to-antiretroviral-therapy-in-a-clinical-cohort-of-hiv-infected-children-in-east-africa
#1
Rachel C Vreeman, Samuel O Ayaya, Beverly S Musick, Constantin T Yiannoutsos, Craig R Cohen, Denis Nash, Deo Wabwire, Kara Wools-Kaloustian, Sarah E Wiehe
OBJECTIVE: To describe antiretroviral therapy (ART) adherence and associated factors for a large HIV-infected pediatric cohort followed by sites of the East Africa International Epidemiologic Databases to Evaluate AIDS (IeDEA) consortium. METHODS: This study utilized prospectively collected clinical data from HIV-infected children less than 13 years of age who initiated ART within 4 clinical care programs (with 26 clinical sites) in Kenya, Uganda, and Tanzania and were followed for up to 6 years...
2018: PloS One
https://www.readbyqxmd.com/read/29462171/stigma-gets-in-my-way-factors-affecting-client-provider-communication-regarding-childbearing-among-people-living-with-hiv-in-uganda
#2
Jolly Beyeza-Kashesya, Rhoda K Wanyenze, Kathy Goggin, Sarah Finocchario-Kessler, Mahlet Atakilt Woldetsadik, Deborah Mindry, Josephine Birungi, Glenn J Wagner
INTRODUCTION: Many HIV-affected couples living in sub-Saharan Africa desire to have children, but few quantitative studies have examined support for their childbearing needs. Our study explored client-provider communication about childbearing and safer conception among HIV clients in Uganda. METHODS: 400 Ugandan HIV clients in committed relationships and with intentions to conceive were surveyed. Knowledge, attitudes and practices related to childbearing, and use of safer conception methods were assessed, including communication with providers about childbearing needs, the correlates of which were examined with bivariate statistics and logistic multivariate analysis...
2018: PloS One
https://www.readbyqxmd.com/read/29461328/the-challenges-of-timely-and-safe-hiv-disclosure-among-perinatally-hiv-infected-adolescents-in-sub-saharan-africa
#3
Désiré Dahourou, Jean-Philippe Raynaud, Valériane Leroy
PURPOSE OF REVIEW: Improved access to antiretroviral therapy has resulted in an emerging population of adolescents living with HIV (ALHIV) mainly in sub-Saharan Africa. Full disclosure of an HIV diagnosis includes naming HIV/AIDS and is an important step in coping with HIV. We reviewed the recent trends in the rates of children/adolescents who have been informed of their HIV infection according to age groups, the barriers and the evaluated interventions aimed at improving the HIV disclosure process to ALHIV in sub-Saharan Africa...
February 15, 2018: Current Opinion in HIV and AIDS
https://www.readbyqxmd.com/read/29460518/prevalence-of-hiv-related-oral-manifestations-and-their-association-with-haart-and-cd4-t-cell-count-a-review
#4
L Ottria, D Lauritano, L Oberti, V Candotto, F Cura, A Tagliabue, L Tettamanti
HIV infection is one of the major health problem of the last decades. This disease causes a chronic infection that can lead to acquired immunodeficiency syndrome (AIDS). According to the Global AIDS update, released in 2016 by HIV department of World Health Organization (WHO) and by the Joint United Nations Program on HIV/AIDS (UNAIDS), at the end of 2015, 36.7 million people were infected by HIV: 34.9 million of these were adults and 1.8 million were children under 15 years of age. The same report shows that during 2015, 2...
January 2018: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/29455572/safer-conception-among-hiv-1-serodiscordant-couples-in-east-africa-understanding-knowledge-attitudes-and-experiences
#5
Kerry Hancuch, Jared Baeten, Kenneth Ngure, Connie Celum, Nelly Mugo, Edna Tindimwebwa, Renee Heffron
For HIV-1 serodiscordant couples, HIV-1 exposure and risk of transmission is heightened during pregnancy attempts, but safer conception strategies can reduce risk. As safer conception programs are scaled up, understanding couples' preferences and experiences can be useful for programmatic recommendations. We followed 1013 high-risk, heterosexual HIV-1 serodiscordant couples from Kenya and Uganda for two years in an open-label delivery study of integrated pre-exposure prophylaxis (PrEP) and antiretroviral therapy (ART), the Partners Demonstration Project...
February 17, 2018: AIDS Care
https://www.readbyqxmd.com/read/29452597/evidence-of-reduced-treatment-adherence-among-hiv-infected-paediatric-and-adolescent-populations-in-nairobi-at-the-onset-of-the-unaids-universal-test-and-treat-program
#6
Joseph Kabogo, Erastus Muniu, Fred Wamunyokoli, Rachel Musoke, Elijah Songok
OBJECTIVE: We conducted a retrospective cohort study to evaluate the efficacy of the World Health Organization (WHO) "Universal Test and Treat" (UTT) policy, initiated in Kenya in September 2016. Under this policy, every human immunodeficiency virus (HIV)-infected person should be initiated on antiretroviral therapy (ART). We compared intra- and inter-group viral suppression and ART adherence rates for pre-UTT (initiated on ART in March-August 2016) and UTT groups (initiated in September 2016)...
February 17, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29439467/blood-mitochondrial-dna-content-in-hiv-exposed-uninfected-children-with-autism-spectrum-disorder
#7
Matthew A Budd, Kristina Calli, Lindy Samson, Jennifer Bowes, Anthony Y Y Hsieh, John C Forbes, Ari Bitnun, Joel Singer, Fatima Kakkar, Ariane Alimenti, Evelyn J Maan, M E Suzanne Lewis, Carole Gentile, Hélène C F Côté, Jason C Brophy
Long-term outcomes of perinatal exposure to maternal antiretroviral therapy in HIV-exposed uninfected (HEU) children are unknown. However, both HIV antiretroviral therapy and autism spectrum disorder (ASD) have been associated with mitochondrial alterations. Leukocyte mitochondrial DNA (mtDNA) content can serve as a marker for mitochondrial dysfunction. In this cross-sectional, nested case-control study, HEU children with ASD were matched approximately 1:3 on age, sex, and ethnicity to HEU children without ASD, HIV-unexposed uninfected (HUU) controls, and HUU children with ASD...
February 11, 2018: Viruses
https://www.readbyqxmd.com/read/29438439/mother-to-child-transmission-of-hiv-in-brazil-data-from-the-birth-in-brazil-study-a-national-hospital-based-study
#8
Rosa Maria Soares Madeira Domingues, Valeria Saraceni, Maria do Carmo Leal
AIMS: to estimate the mother to child transmission (MTCT) of HIV among infected pregnant women identified in the "Birth in Brazil" study and to evaluate care practices provided in order to identify missed opportunities at preventing the MTCT of HIV infection in the country. METHODS: Descriptive study using data obtained from the consultation of different databases: the "Birth in Brazil" study database and the Brazilian National Information Systems (NIS) databases...
2018: PloS One
https://www.readbyqxmd.com/read/29438131/improved-neurodevelopment-following-antiretroviral-therapy-in-hiv-infected-children
#9
Laurén A Gómez, Claudia S Crowell, Irene Njuguna, Lisa M Cranmer, Dalton Wamalwa, Daisy Chebet, Vincent Otieno, Elizabeth Maleche-Obimbo, Melissa Gladstone, Grace John-Stewart, Sarah Benki-Nugent
BACKGROUND: Late HIV diagnosis following severe co-morbidity remains common in resource limited settings. Neurodevelopmental recovery during antiretroviral therapy (ART) for late-diagnosed children is understudied. We determined 6-month neurodevelopmental trajectories in HIV-infected children initiating ART during hospitalization. METHODS: HIV-infected children initiated ART following HIV diagnosis during hospitalization in Kenya. The Malawi Developmental Assessment Tool (MDAT) was administered after clinical stabilization within 1-month and at 6-months post-ART initiation...
February 12, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29436053/human-immunodeficiency-virus-status-disclosure-and-education-for-children-and-adolescents-in-papua-new-guinea
#10
Thyna Orelly, Henry Welch, Edwin Machine, Wendy Pameh, Trevor Duke
AIM: How to provide human immunodeficiency virus (HIV) disclosure and awareness for children and young people has not been studied in Papua New Guinea or Pacific Island countries. We aimed to determine the current practices of HIV disclosure and evaluate whether an incremental disclosure education model, as recommended by World Health Organization (WHO), would increase children's knowledge about their condition and improve adherence to antiretroviral therapy (ART). METHODS: We enrolled HIV-infected children on ART whose parents consented, and we identified whether they were aware that they were HIV positive or not...
February 13, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29429441/characteristics-and-early-outcomes-of-children-and-adolescents-treated-with-darunavir-ritonavir-raltegravir-or-etravirine-containing-antiretroviral-therapy-in-the-western-cape-province-of-south-africa
#11
J Nuttall, V Pillay
BACKGROUND: There is an increasing need for third-line treatment regimens in HIV-infected children with antiretroviral treatment (ART) failure. Data are limited on darunavir/ritonavir (DRV/r)-, raltegravir (RAL)- and etravirine (ETR)-containing regimens in treatment-experienced children from resource-constrained settings receiving these drugs as part of routine care. OBJECTIVE: To describe the characteristics and early outcomes of treatment-experienced children (<20 years of age) in the Western Cape Province of South Africa treated with DRV/r-, RAL- or ETR-containing regimens...
February 1, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29429436/burkitt-s-lymphoma-the-prevalence-of-hiv-aids-and-the-outcome-of-treatment
#12
P B Hesseling, F Kouya, E Katayi, G Mbah, P Wharin
The prevalence of HIV in Burkitt's lymphoma (BL) patients and the outcome of treatment in Cameroon were unknown. Records of all patients diagnosed with BL at three Cameroon Baptist Convention hospitals were reviewed to ascertain the recorded HIV status and outcome of treatment. Of 979 patients diagnosed with BL, 717 were tested for HIV and 11 (1.5%) were HIV-positive. Three of eight patients treated with both cyclophosphamide (CPM)-based chemotherapy and antiretrovirals were alive at 62, 96 and 111 months, respectively...
February 1, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29428912/survival-of-children-living-with-human-immunodeficiency-virus-on-antiretroviral-therapy-in-andhra-pradesh-india
#13
Ugra Mohan Jha, Neeraj Dhingra, Yujwal Raj Jones, Bharat Bhusan Rewari, L Jeyaseelan, Pauline Harvey, Laxmikant Chavan, Niranjan Saggurti, D C S Reddy
OBJECTIVE: To assess the survival probability and associated factors among children living with human immunodeficiency virus (CLHIV) receiving antiretroviral therapy (ART) in India. METHODS: The data on 5874 children (55% boys) from one of the high HIV burden states of India from the cohort were analyzed. Data were extracted from the computerized management information system of the National AIDS Control Organization (NACO). Children were eligible for inclusion if they had started ART during 2007-2013, and had at least one potential follow-up...
February 9, 2018: Indian Pediatrics
https://www.readbyqxmd.com/read/29427049/favourable-outcome-in-a-child-with-symptomatic-diagnosis-of-glutaric-aciduria-type-1-despite-vertical-hiv-infection-and-minor-head-trauma
#14
Angeline Thomas, Els F M Dobbels, Priscilla E Springer, Christelle Ackermann, Mark F Cotton, Barbara Laughton
The first case of Glutaric aciduria Type 1(GA1) in an African child was reported in 2001. GA1 has a prevalence of 1:5000 in black South Africans. Although early diagnosis is essential for a favourable outcome, newborn screening is not routine in South Africa where an estimated 320,000 children have HIV infection. Neurodevelopmental delay and encephalopathy are complications of both HIV and GA1. In such a setting it is important to recognise that HIV and GA1 can occur simultaneously. We present an HIV-infected South African male child of Xhosa descent with macrocephaly who commenced combination antiretroviral therapy (ART) at 8 weeks of age in a clinical trial which included a neurodevelopmental sub-study...
February 9, 2018: Metabolic Brain Disease
https://www.readbyqxmd.com/read/29408897/rates-and-predictors-of-attrition-among-children-on-antiretroviral-therapy-in-ethiopia-a-prospective-cohort-study
#15
Mulatu Biru, Inger Hallström, Pia Lundqvist, Degu Jerene
INTRODUCTION: Attrition from antiretroviral therapy (ART) programmes is a critical challenge among children receiving care in resource-limited settings. Our objective was to determine the rates and predictors of attrition among children on ART in Ethiopia. METHODS: Between December 2014 and September 2016, we conducted a prospective cohort study in eight health facilities in Ethiopia. Eligibility criteria included age 3 months-14 years; being on ART for not more than a month...
2018: PloS One
https://www.readbyqxmd.com/read/29406463/malnutrition-growth-response-and-metabolic-changes-within-the-first-24-months-after-art-initiation-in-hiv-infected-children-treated-before-the-age-of-two-years-in-west-africa
#16
Julie Jesson, Désiré L Dahourou, Madeleine Amorissani Folquet, Karen Malateste, Caroline Yonaba, Marie-Sylvie N'Gbeche, Sylvie Ouédraogo, Véronique Mea-Assande, Clarisse Amani-Bossé, Stéphane Blanche, Marguerite Timité-Konan, Valériane Leroy
BACKGROUND: There is limited information about malnutrition, growth evolution and metabolic changes among children initiated early on lopinavir-based antiretroviral therapy (ART) in Africa. METHODS: HIV-1-infected children, age <2 years were initiated on ART, as part of the MONOD ANRS 12206 project, conducted in Burkina Faso and Côte d'Ivoire. Weight-for-age, height-for-age and weight-for-height Z-scores (WAZ, HAZ, WHZ) defined malnutrition (Z-score <-2 standard deviations [SD]) using WHO growth references...
February 3, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29389912/high-levels-of-dual-class-drug-resistance-in-hiv-infected-children-failing-first-line-antiretroviral-therapy-in-southern-ethiopia
#17
Birkneh Tilahun Tadesse, Natalie N Kinloch, Bemuluyigza Baraki, Hope R Lapointe, Kyle D Cobarrubias, Mark A Brockman, Chanson J Brumme, Byron A Foster, Degu Jerene, Eyasu Makonnen, Eleni Aklillu, Zabrina L Brumme
Clinical monitoring of pediatric HIV treatment remains a major challenge in settings where drug resistance genotyping is not routinely available. As a result, our understanding of drug resistance, and its impact on subsequent therapeutic regimens available in these settings, remains limited. We investigate the prevalence and correlates of HIV-1 drug resistance among 94 participants of the Ethiopia Pediatric HIV Cohort failing first-line combination antiretroviral therapy (cART) using dried blood spot-based genotyping...
February 1, 2018: Viruses
https://www.readbyqxmd.com/read/29381702/long-term-trends-in-mortality-and-aids-defining-events-after-combination-art-initiation-among-children-and-adolescents-with-perinatal-hiv-infection-in-17-middle-and-high-income-countries-in-europe-and-thailand-a-cohort-study
#18
Ali Judd, Elizabeth Chappell, Anna Turkova, Sophie Le Coeur, Antoni Noguera-Julian, Tessa Goetghebuer, Katja Doerholt, Luisa Galli, Dasja Pajkrt, Laura Marques, Intira J Collins, Diana M Gibb, Maria Isabel González Tome, Marisa Navarro, Josiane Warszawski, Christoph Königs, Vana Spoulou, Filipa Prata, Elena Chiappini, Lars Naver, Carlo Giaquinto, Claire Thorne, Magdalena Marczynska, Liubov Okhonskaia, Klara Posfay-Barbe, Pradthana Ounchanum, Pornchai Techakunakorn, Galina Kiseleva, Ruslan Malyuta, Alla Volokha, Luminita Ene, Ruth Goodall
BACKGROUND: Published estimates of mortality and progression to AIDS as children with HIV approach adulthood are limited. We describe rates and risk factors for death and AIDS-defining events in children and adolescents after initiation of combination antiretroviral therapy (cART) in 17 middle- and high-income countries, including some in Western and Central Europe (W&CE), Eastern Europe (Russia and Ukraine), and Thailand. METHODS AND FINDINGS: Children with perinatal HIV aged <18 years initiating cART were followed until their 21st birthday, transfer to adult care, death, loss to follow-up, or last visit up until 31 December 2013...
January 2018: PLoS Medicine
https://www.readbyqxmd.com/read/29381564/neuropsychological-performance-in-african-children-with-hiv-enrolled-in-a-multisite-antiretroviral-clinical-trial-erratum
#19
(no author information available yet)
No abstract text is available yet for this article.
February 20, 2018: AIDS
https://www.readbyqxmd.com/read/29378523/late-presentation-for-hiv-care-in-southwest-ethiopia-in-2003-2015-prevalence-trend-outcomes-and-risk-factors
#20
Hailay Abrha Gesesew, Paul Ward, Kifle Woldemichael, Lillian Mwanri
BACKGROUND: Early presentation for HIV care is vital as an initial tread in the UNAIDS 90-90-90 targets. However, late presentation for HIV care (LP) challenges achieving the targets. This study assessed the prevalence, trends, outcomes and risk factorsfor LP. METHODS: A 12 year retrospective cohort study was conducted using electronic medical records extracted from an antiretroviral therapy (ART) clinic at Jimma University Teaching Hospital. LP for children refers to moderate or severe immune-suppression, or WHO clinical stage 3 or 4 at the time of first presentation to the ART clinics...
January 30, 2018: BMC Infectious Diseases
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