Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/30057
Title: Opportunistic and Other Infections in HIV-Infected Children in Latin America Compared to a Similar Cohort in the United States
Authors: Alarcón, Jorge O.
Freimanis-Hance, Laura
Krauss, Margot
Reyes, Mary F.
Cardoso, Claudete Aparecida Araújo
Mussi-Pinhata, Marisa M.
Cardoso, Edmundo
Hazra, Rohan
NISDI Pediatric Study Group 2011
Affilliation: Universidad Nacional Mayor de San Marcos. Instituto de Medicina Tropical. Lima, Perú.
Westat. Rockville, Maryland, USA.
Westat. Rockville, Maryland, USA.
Universidad Nacional Mayor de San Marcos. Instituto de Medicina Tropical. Lima, Perú.
Hospital dos Servidores do Estado. Rio de Janeiro, RJ, Brasil.
Universidade de São Paulo. Ribeirão Preto, SP, Brasil.
Hospital Nossa Senhora da Conceição. Porto Alegre, Brasil.
National Institutes of Health. Eunice Kennedy Shriver National Institute of Child Health and Human Development. Bethesda, Maryland, USA.
Abstract: Opportunistic and other infections have declined since the introduction of highly active antiretroviral therapy (HAART) in developed countries but few studies have addressed the impact of HAART in HIV-infected children from developing countries. This study examines the prevalence and incidence of opportunistic and other infections in Latin America during the HAART era. Vertically HIV-infected children enrolled in a cohort study between 2002 and 2007 were followed for the occurrence of 29 targeted infections. Cross-sectional and longitudinal analyses were performed to calculate the prevalence of infections before enrollment and the incidence rates of opportunistic and other infections after enrollment. Comparisons were made with data from a U.S. cohort (PACTG 219C). Of the 731 vertically HIV-infected children 568 (78%) had at least one opportunistic or other infection prior to enrollment. The most prevalent infections were bacterial pneumonia, oral candidiasis, varicella, tuberculosis, herpes zoster, and Pneumocystis jiroveci pneumonia. After enrollment, the overall incidence was 23.5 per 100 person-years; the most common infections (per 100 person-years) were bacterial pneumonia (7.8), varicella (3.0), dermatophyte infections (2.9), herpes simplex (2.5), and herpes zoster (1.8). All of these incidence rates were higher than those reported in PACTG 219C. The types and relative distribution of infections among HIV-infected children in Latin America in this study are similar to those seen in the United States but the incidence rates are higher. Further research is necessary to determine the reasons for these higher rates.
Issue Date: 2012
Citation: ALARCÓN, J. O. et al. Opportunistic and other infections in HIV-infected children in Latin America compared to a similar cohort in the United States. AIDS research and human retroviruses, v. 28, n. 3 , p. 282-288, 2012.
Description: Presentes no NISDI Pediatric Study Group 2011: Beatriz Grinsztejn; Valdiléa Veloso (Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil).
DOI: 10.1089/AID.2011.0057
ISSN: 0889-2229
Copyright: restricted access
Appears in Collections:INI - Artigos de Periódicos

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