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Is Intrapartum Intravenous Zidovudine for Prevention of Mother-to-Child HIV-1 Transmission Still Useful in the Combination Antiretroviral Therapy Era?

Title: Is Intrapartum Intravenous Zidovudine for Prevention of Mother-to-Child HIV-1 Transmission Still Useful in the Combination Antiretroviral Therapy Era?
Authors: Briand, Nelly; Warszawski, Josiane; Mandelbrot, Laurent; Dollfus, Catherine; Pannier, Emmanuelle; Cravello, Ludovic; Nguyen, Rose; Matheron, Isabelle; Winer, Norbert; Tubiana, Roland; Rouzioux, Christine; Faye, Albert; Blanche, Stéphane; for the ANRS-EPF CO1-CO11 Study Group; Meier, Françoise; Duro, Dominique; Joras, Marine; Mortier, Emmanuel; Crenn-Hebert, Catherine; Floch-Tudal, Corinne; Mazy, Fabienne; Bensalah, Mariam; Villemant-Uludag, Agnès; Lefort, Agnès; Zarrouk, Virginie; Ceccaldi, Pierre-François; Philip, Gisèle; Hittinger, Gilles; Malet, Martine; Bachelard, Bruno; Medus, Marie; Dendale-Nguyen, Joëlle; Brossier, Jean-Pierre; Aubry, Olivier; Esnault, Jean-Luc; Leautez, Sophie; Perré, Philippe; Suaud, Isabelle; Martha, Sandrine-Anne; Rouha, Mahfoud; Perfezou, Pascale; Blondin, Gilles; Bellot, Charles; Ansart, Séverine; Le Moine, Philippe; Bages-Jaffuel, Karine; Duthé, Jean-Charles; Garré, Michel; Jaffuel, Sylvain; Daniel, Corinne; Calvez, Christian; Beuscart, Claude; Boutaric, Emmanuelle; Rohan, Jennifer; Lemoal, Sylvie; Lassel, Linda; Cotten, Ghislaine; Dupré, Christelle; Beauville, Esther; Arvieux, Cédric; Dos Santos, Anabèle; Cudeville, Corinne; Poinsignon, Yves; Mouton-Rioux, Virginie; Mousset, Gaétane; Grellier, Anne; Moreau, Philippe; Tillaut, Philippe; Luycx-Vaillant, Odile; de Morel, Philippe; Le Coz, Marie-Françoise; Belzic, Isabelle; Niault, Mathilde; Vandenbergh, Anne; Janssen, Cécile; Braig, Susanne; Vitrat, Virginie; Gaillat, Jacques; Clavere, Gaëlle; Bru, Jean-Pierre; Peyret, Blandine; Mullard, Catherine; Echard, Marie; Talon, Philippe; Dehlinger, Marion; Winter, Cécile; Heller-Roussin, Brigitte; Launay, Odile; Fouchet, Maria; Firtion, Ghislaine; Goupil, Isabelle; Boudjoudi, Nora; Bourgeois-Moine, Agnès; Bodard, Marylène; Vivier, Valérie; Rajguru, Mandovi; Huri, Virginie; Azria, Elie; Matheron, Sophie; Elaoun, Neila; Faucher, Philippe; Garrait, Valérie; Komme, Christiane; Hau, Isabelle; Richier, Laurent; Touboul, Claudine; Thoirain, Valérie; Cotte, Laurent; Tariel, Olivier; Koffi, Joseph; Labaune, Jean-Marc; Brochier, Corinne; Roux, Denis; Elleau, Christophe; Runel, Camille; Bataille, Henri; Sow, Marie-Thérèse; Samar, Ketty; Muanza, Blandine; Duval, Marc; Kingue-Ekollo, Clarisse; Carpentier, Bénédicte; Ronda, Isabelle; Chamouilli, Jean-Marc; Entz-Werle, Natacha; Seaume, Hervé; Ducrocq, Sarah; Bailly-Salin, Philippe; Lemercier, Yvon; Tricoire, Joëlle; Berrebi, Alain; Antras, Michèle; Armand, Evelyne; Cayla, Claudine; Bonnal, François; Chabanier, Catherine; Chacé, Anne; Couderc, Sophie; Boutemy, Anne; Dallot, Marie-Christelle; Al-Issa, Alain; Routier, Corinne; Zakaria, Ahmed; Favret, Véronique; Gerbe, Juliette; Questiaux, Elisabeth; Partisani, MariaLuisa; Rey, David; Cheneau, Christine; Allisy, Christine; Brault, Dominique; Hervé, François; Lebrette, Marie-Gisèle; Selleret, Lise; Ekoukou, Dieudonné; Bolot, Pascal; Khuong-Josses, Marie-Aude; Allemon, Marie-Christine; Ghibaudo, Nelly; Frange, Pierre; Veber, Florence; Lemercier, Delphine; Mourey, Marie-Christine; Blasquez, Gilles; Granier, Michèle; Touahri, Houda; Devidas, Alain; Nisand, Israël; Weil, Michèle; Vayssière, Christophe; Berger, Jean-Luc; Munzer, Martine; Graesslin, Olivier; Naime-Alix, Anne-Florence; Quetin, Frédérique; Laubies, Anne; Bonmarchand, Manuela; Sommer, Jennifer; Bourse, Patricia; Coursol, Anne; Youssef, Michel; Laurent, Juliette; Raho, Mariem; Chambrin, Véronique; Labrune, Philippe; Clech, Laure; Benachi, Alexandra; Le Lorier, Bertrand; Pauly-Ravelly, Isolde; Allouche, Claude; Johnson, Ama; Benoist, Laurence; Delannoy, Catherine; Lachassine, Eric; Bolie, Stéphanie; Gaudelus, Joël; Jeantils, Vincent; Benabara, Amelie; Karaoui, Leïla; Lefèvre, Véronique; Bongain, André; Galiba, Eliane; Deville, Anne; Monpoux, Fabrice; Durant, Jacques; Aufrant, Christian; Furioli, Jean; Salomon, Jean-Louis; Granier, Françoise; Doumet, Antoine; Douadi, Youssef; Gondry, Jean; Schmit, Jean-Luc; Pautard, Brigitte; Gamerre, Marc; Thuret, Isabelle; Neimann, Laurence; Hubert, Claire; Carbonne, Bruno; Vaudre, Geneviève; Tabone, Marie-Dominique; Pinquier, Didier; Pinto Cardoso, Gaëlle; Clavier, Brigitte; Borsa-Lebas, Françoise; De Lauzanne, Agathe; Borie, Constance; Leveillé, Sandrine; Bellaton, Erianna; Garion, Dominique; Levine, Martine; Colmant, Claire; Goujard, Cécile; Tardieu, Marc; Fuchs, Florent; Jrad, Ikram; Peretti, Delphine; Bourdic, Katia; Fourcade, Corinne; Chirouze, Catherine; Estavoyer, Jean-Marie; Maillet, Robert; Reliquet, Véronique; Brunet, Cécile; Reynaud, Isabelle; Briandet, Claire; Brouard, Jacques; Beucher, Gaël; Goubin, Pascale; Lanty, Cécile; Froguel, Eric; Gourdel, Béatrice; Chalvon Demersay, Arnaud; Algava, Gilbert; Hentgen, Véronique; Messaoudi, Fabienne; Nau, Pascale; Besnier, Jean-Marc; Potin, Jérôme; Taché, Nadine; Bertrand, Yves; Kebaïli, Kamila; Ronat, Véronique; Fresard, Anne; Billiemaz, Kareen; Abrudan, Ramona; Fournié, Alain; Chennebault, Jean-Marie; Arsac, Philippe; Ciraru-Vigneron, Nicole; Mouchnino, Geneviève; Ayral, Dominique; Guigue, Nelly; Lalande, Muriel; Benos, Paul; De Gennes, Christiane; Chanzy, Sonia; Isart, Valérie; Cazassus, François; Walter, Véronique; Bissuel, François; Hammou, Yamina; d'Angelo, Sophie; Ajana, Faïza; Mazingue, Françoise; Mezin, Raymond; Hatchuel, Yves; Cabié, André; Elenga, Narcisse
Publisher Information: Oxford University Press
Publication Year: 2013
Collection: HighWire Press (Stanford University)
Subject Terms: HIV/AIDS
Description: Background. Intrapartum intravenous zidovudine (ZDV) prophylaxis is a long-standing component of prevention of mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV) in high-resource countries. In some recent guidelines, intravenous ZDV is no longer systematically recommended for mothers receiving combination antiretroviral therapy (cART) with low viral load. We evaluated the impact of intravenous ZDV according to viral load and obstetrical conditions. Methods. All HIV-1–infected women delivering between 1 January 1997 and 31 December 2010 in the French Perinatal Cohort (ANRS-EPF) were analyzed if they received ART during pregnancy and did not breastfeed. We identified maternal and obstetrical characteristics related to lack of intravenous ZDV and compared its association with MTCT rate and other infant parameters, according to various risk factors. Results. Intravenous ZDV was used in 95.2% of the 11 538 deliveries. Older age, multiparity, and preterm and vaginal delivery were associated with lack of intravenous ZDV (n = 554). In women who delivered with viral load 1000 copies/mL, the overall MTCT rate was higher without than with intravenous ZDV (7.5% vs 2.9%; P = .01); however, there was no such difference when the neonate received postnatal intensification therapy. Among them, 77% of women who had viral load
Document Type: text
File Description: text/html
Language: English
Relation: http://cid.oxfordjournals.org/cgi/content/short/57/6/903; http://dx.doi.org/10.1093/cid/cit374
DOI: 10.1093/cid/cit374
Availability: http://cid.oxfordjournals.org/cgi/content/short/57/6/903; https://doi.org/10.1093/cid/cit374
Rights: Copyright (C) 2013, Infectious Diseases Society of America
Accession Number: edsbas.697F4DFC
Database: BASE