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Immune status and uptake of antiretroviral interventions to prevent mother-to-child transmission of HIV-1 in Africa.

Abstract : The aim of this study performed in Abidjan, C?d'Ivoire, was to describe the distribution of CD4+ T-cell lymphocytes (CD4) in HIV-1-infected (HIV+) pregnant women diagnosed during prenatal voluntary counseling and testing and to assess whether HIV-related immunodeficiency influenced the acceptance of an antiretroviral (ARV) package (zidovudine beginning at 36 weeks of amenorrhea plus intrapartum nevirapine) to prevent mother-to-child transmission. Between April and June 2002, a CD4 count was systematically performed in all HIV+ women (n=221) in 5 antenatal clinics carrying out voluntary counseling and testing. No difference in CD4 count was found in HIV+ women who did not return for their test result (n=50) and those who were informed of their positive serostatus (n=171) (median CD4 count: 389/mm3 vs. 420/mm3; P=0.19). We also found a lack of difference in CD4 count in those who accepted ARV (n=72) and those who did not but knew their HIV status (n=99) (median CD4 count: 405/mm3 vs. 425/mm3; P=0.47). The overall uptake of the intervention (31.9%) appeared to be independent of the maternal immune status.
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https://www.hal.inserm.fr/inserm-00193073
Contributor : Renaud Becquet <>
Submitted on : Friday, June 13, 2008 - 3:11:08 PM
Last modification on : Monday, April 20, 2020 - 1:02:02 PM
Long-term archiving on: : Monday, April 12, 2010 - 5:38:55 AM

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  • HAL Id : inserm-00193073, version 1
  • PUBMED : 15167296

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Didier Ekouevi, François Rouet, Renaud Becquet, André Inwoley, Ida Viho, et al.. Immune status and uptake of antiretroviral interventions to prevent mother-to-child transmission of HIV-1 in Africa.. Journal of Acquired Immune Deficiency Syndromes, Lippincott, Williams & Wilkins, 2004, 36 (2), pp.755-7. ⟨inserm-00193073⟩

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