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Randomized Controlled Trial
. 2007 Jul 1;196(1):10-4.
doi: 10.1086/518511. Epub 2007 May 24.

Late postnatal transmission of HIV-1 and associated factors

Affiliations
Randomized Controlled Trial

Late postnatal transmission of HIV-1 and associated factors

Taha E Taha et al. J Infect Dis. .

Abstract

Background: The present study was undertaken to determine the risk and timing of late postnatal transmission (LPT) of human immunodeficiency virus type 1 (HIV-1).

Methods: Breast-fed infants previously enrolled in 2 trials of antiretroviral prophylaxis were monitored in Malawi. Kaplan-Meier and proportional hazard models assessed cumulative incidence and association of factors with LPT.

Results: Overall, 98 infants were HIV infected, and 1158 were uninfected. The cumulative risk of LPT at age 24 months was 9.68% (95% confidence interval, 7.80%-11.56%). The interval hazards at 1.5-6, 6-12, 12-18, and 18-24 months were 1.22%, 4.05%, 3.48%, and 1.27%, respectively.

Conclusions: The risk of LPT beyond 6 months is substantial. Weaning at 6 months could prevent >85% of LPT.

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