학술논문

Relation of the course of HIV infection in children to the severity of the disease in their mothers at delivery
Document Type
Academic Journal
Source
The New England Journal of Medicine. Feb 3, 1994, Vol. v330 Issue n5, p308, 5 p.
Subject
HIV infection in children -- Development and progression
Mother and infant -- Health aspects
Opportunistic infections -- Risk factors
Encephalopathy -- Risk factors
Language
ISSN
0028-4793
Abstract
Disease in infants infected with HIV at birth may be associated with the severity of disease in the mother at the time of delivery. Among 162 HIV-infected infants, the risk of opportunistic infections was about 13% at 18 months and 15% at 36 months. The risk of brain disease was about 10% at 18 months and 11% at 36 months. The risk of either complication at 18 months was 50% among infants born to mothers with advanced disease at delivery and 14% among those born to mothers with less severe disease. Of the infants whose mothers had advanced disease, 44% died before 18 months, compared to 9% of infants whose mothers had less advanced disease. The risk of illnesses and the risk of death was higher among infants whose mothers had HIV-1 antigens, or substances that initiate immune responses to HIV. Thirty-one percent of infants whose mothers had HIV-1 antigens also had detectable antigens, compared to 7% of infants whose mothers did not have antigens.