Breast-Feeding during Primary Maternal Human Immunodeficiency Virus Infection and Risk of Transmission from Mother to Infant
Examination of breast-fed infants ofthe complete cohort of Australian women whose primary human immunodeficiency virus (HIV) infection occurred postpartum allows for an estimate of risk of transmission of HIV. Ten women with no other risk factors were infected via blood transfusion postpartum. They...
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| Veröffentlicht in: | The Journal of infectious diseases 1993-02, Vol.167 (2), p.441-444 |
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| container_title | The Journal of infectious diseases |
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| creator | Palasanthiran, P. Ziegler, J. B. Stewart, G. J. Stuckey, M. Armstrong, J. A. Cooper, D. A. Penny, R. Gold, J. |
| description | Examination of breast-fed infants ofthe complete cohort of Australian women whose primary human immunodeficiency virus (HIV) infection occurred postpartum allows for an estimate of risk of transmission of HIV. Ten women with no other risk factors were infected via blood transfusion postpartum. They breast-fed for up to 9 months; 2 of their infants were infected. Another woman, who shared needles for intravenous drug use, seroconverted 6–10 months postpartum. She breast-fed for 14 months. Retrovirus was visualized in the cellular and cell-free fraction of her milk by electron microscopy. Infection in her infant was confirmed at 12 months. Thus, 3 of the 11 babies at risk became infected, providing an estimate of risk of 27% for breast-feeding during primary maternal infection (95% confidence interval, 6–61%). These data establish the association of primary maternal HIV infection and breast-feeding with a high risk of transmission to infants. |
| doi_str_mv | 10.1093/infdis/167.2.441 |
| format | Article |
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B. ; Stewart, G. J. ; Stuckey, M. ; Armstrong, J. A. ; Cooper, D. A. ; Penny, R. ; Gold, J.</creator><creatorcontrib>Palasanthiran, P. ; Ziegler, J. B. ; Stewart, G. J. ; Stuckey, M. ; Armstrong, J. A. ; Cooper, D. A. ; Penny, R. ; Gold, J.</creatorcontrib><description>Examination of breast-fed infants ofthe complete cohort of Australian women whose primary human immunodeficiency virus (HIV) infection occurred postpartum allows for an estimate of risk of transmission of HIV. Ten women with no other risk factors were infected via blood transfusion postpartum. They breast-fed for up to 9 months; 2 of their infants were infected. Another woman, who shared needles for intravenous drug use, seroconverted 6–10 months postpartum. She breast-fed for 14 months. Retrovirus was visualized in the cellular and cell-free fraction of her milk by electron microscopy. Infection in her infant was confirmed at 12 months. Thus, 3 of the 11 babies at risk became infected, providing an estimate of risk of 27% for breast-feeding during primary maternal infection (95% confidence interval, 6–61%). These data establish the association of primary maternal HIV infection and breast-feeding with a high risk of transmission to infants.</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1093/infdis/167.2.441</identifier><identifier>PMID: 8421177</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>AIDS ; Animals ; Biological and medical sciences ; Blood Transfusion ; Breast Feeding ; Breast milk ; Cohort Studies ; Concise Communications ; Disease transmission ; Female ; HIV ; HIV Antibodies - blood ; HIV infections ; HIV Infections - complications ; HIV Infections - transmission ; human immunodeficiency virus ; Humans ; Immunodeficiencies ; Immunodeficiencies. Immunoglobulinopathies ; Immunopathology ; Infant ; Infant, Newborn ; Infants ; Infections ; Lymph Nodes - microbiology ; Male ; Medical sciences ; Microscopy, Electron ; Milk - microbiology ; Mothers ; Needle Sharing ; Puerperal Infection - complications ; Puerperal Infection - transmission ; Retrospective Studies ; Retroviridae - ultrastructure ; Risk Factors ; Substance Abuse, Intravenous - complications ; Viruses ; Women</subject><ispartof>The Journal of infectious diseases, 1993-02, Vol.167 (2), p.441-444</ispartof><rights>Copyright 1993 The University of Chicago</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-3c0544e1fd856d2d80bb70e2d822e2b07c77c9d4b6637927486b0fe0efc872643</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/30113095$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/30113095$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27922,27923,58015,58248</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4561387$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8421177$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Palasanthiran, P.</creatorcontrib><creatorcontrib>Ziegler, J. B.</creatorcontrib><creatorcontrib>Stewart, G. J.</creatorcontrib><creatorcontrib>Stuckey, M.</creatorcontrib><creatorcontrib>Armstrong, J. A.</creatorcontrib><creatorcontrib>Cooper, D. A.</creatorcontrib><creatorcontrib>Penny, R.</creatorcontrib><creatorcontrib>Gold, J.</creatorcontrib><title>Breast-Feeding during Primary Maternal Human Immunodeficiency Virus Infection and Risk of Transmission from Mother to Infant</title><title>The Journal of infectious diseases</title><addtitle>J Infect Dis</addtitle><description>Examination of breast-fed infants ofthe complete cohort of Australian women whose primary human immunodeficiency virus (HIV) infection occurred postpartum allows for an estimate of risk of transmission of HIV. Ten women with no other risk factors were infected via blood transfusion postpartum. They breast-fed for up to 9 months; 2 of their infants were infected. Another woman, who shared needles for intravenous drug use, seroconverted 6–10 months postpartum. She breast-fed for 14 months. Retrovirus was visualized in the cellular and cell-free fraction of her milk by electron microscopy. Infection in her infant was confirmed at 12 months. Thus, 3 of the 11 babies at risk became infected, providing an estimate of risk of 27% for breast-feeding during primary maternal infection (95% confidence interval, 6–61%). These data establish the association of primary maternal HIV infection and breast-feeding with a high risk of transmission to infants.</description><subject>AIDS</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Blood Transfusion</subject><subject>Breast Feeding</subject><subject>Breast milk</subject><subject>Cohort Studies</subject><subject>Concise Communications</subject><subject>Disease transmission</subject><subject>Female</subject><subject>HIV</subject><subject>HIV Antibodies - blood</subject><subject>HIV infections</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - transmission</subject><subject>human immunodeficiency virus</subject><subject>Humans</subject><subject>Immunodeficiencies</subject><subject>Immunodeficiencies. Immunoglobulinopathies</subject><subject>Immunopathology</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Infections</subject><subject>Lymph Nodes - microbiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microscopy, Electron</subject><subject>Milk - microbiology</subject><subject>Mothers</subject><subject>Needle Sharing</subject><subject>Puerperal Infection - complications</subject><subject>Puerperal Infection - transmission</subject><subject>Retrospective Studies</subject><subject>Retroviridae - ultrastructure</subject><subject>Risk Factors</subject><subject>Substance Abuse, Intravenous - complications</subject><subject>Viruses</subject><subject>Women</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkc1rFDEYh4Moda3evQg5iLfZ5muSmaMW6y62KLp-0EvI5EPTziQ1yYAF_3izzLqe3sDz_n6E5wXgOUZrjHp65oMzPp9hLtZkzRh-AFa4paLhHNOHYIUQIQ3u-v4xeJLzDUKIUS5OwEnHCMZCrMCfN8mqXJoLa40PP6CZ0358TH5S6R5eqWJTUCPczJMKcDtNc4jGOq-9DfoefvVpznAbnNXFxwBVMPCTz7cwOrhLKuTJ57wHLsUJXsXy0yZY4j6hQnkKHjk1ZvvsME_Bl4u3u_NNc_nh3fb89WWjGWaloRq1jFnsTNdyQ0yHhkEgWx-EWDIgoYXQvWED51T0RLCOD8hZZJ3uBOGMnoJXS-9dir9mm4us39J2HFWwcc4S85Zh3NG6iJZFnWLOyTp5t4iQGMm9cLkIrwkhiazCa-TFoXseJmuOgYPhyl8euMpaja5K0bXg3xpr66U68b_mJpeYjpgijCnq28qbhftc7O8jV-lWckFFKzffryX__J5d7771sqV_AcMTpCk</recordid><startdate>19930201</startdate><enddate>19930201</enddate><creator>Palasanthiran, P.</creator><creator>Ziegler, J. B.</creator><creator>Stewart, G. J.</creator><creator>Stuckey, M.</creator><creator>Armstrong, J. A.</creator><creator>Cooper, D. A.</creator><creator>Penny, R.</creator><creator>Gold, J.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>H94</scope></search><sort><creationdate>19930201</creationdate><title>Breast-Feeding during Primary Maternal Human Immunodeficiency Virus Infection and Risk of Transmission from Mother to Infant</title><author>Palasanthiran, P. ; Ziegler, J. B. ; Stewart, G. J. ; Stuckey, M. ; Armstrong, J. A. ; Cooper, D. A. ; Penny, R. ; Gold, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-3c0544e1fd856d2d80bb70e2d822e2b07c77c9d4b6637927486b0fe0efc872643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>AIDS</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Blood Transfusion</topic><topic>Breast Feeding</topic><topic>Breast milk</topic><topic>Cohort Studies</topic><topic>Concise Communications</topic><topic>Disease transmission</topic><topic>Female</topic><topic>HIV</topic><topic>HIV Antibodies - blood</topic><topic>HIV infections</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - transmission</topic><topic>human immunodeficiency virus</topic><topic>Humans</topic><topic>Immunodeficiencies</topic><topic>Immunodeficiencies. Immunoglobulinopathies</topic><topic>Immunopathology</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Infections</topic><topic>Lymph Nodes - microbiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microscopy, Electron</topic><topic>Milk - microbiology</topic><topic>Mothers</topic><topic>Needle Sharing</topic><topic>Puerperal Infection - complications</topic><topic>Puerperal Infection - transmission</topic><topic>Retrospective Studies</topic><topic>Retroviridae - ultrastructure</topic><topic>Risk Factors</topic><topic>Substance Abuse, Intravenous - complications</topic><topic>Viruses</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palasanthiran, P.</creatorcontrib><creatorcontrib>Ziegler, J. B.</creatorcontrib><creatorcontrib>Stewart, G. J.</creatorcontrib><creatorcontrib>Stuckey, M.</creatorcontrib><creatorcontrib>Armstrong, J. 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A.</au><au>Penny, R.</au><au>Gold, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Breast-Feeding during Primary Maternal Human Immunodeficiency Virus Infection and Risk of Transmission from Mother to Infant</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>J Infect Dis</addtitle><date>1993-02-01</date><risdate>1993</risdate><volume>167</volume><issue>2</issue><spage>441</spage><epage>444</epage><pages>441-444</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><abstract>Examination of breast-fed infants ofthe complete cohort of Australian women whose primary human immunodeficiency virus (HIV) infection occurred postpartum allows for an estimate of risk of transmission of HIV. Ten women with no other risk factors were infected via blood transfusion postpartum. They breast-fed for up to 9 months; 2 of their infants were infected. Another woman, who shared needles for intravenous drug use, seroconverted 6–10 months postpartum. She breast-fed for 14 months. Retrovirus was visualized in the cellular and cell-free fraction of her milk by electron microscopy. Infection in her infant was confirmed at 12 months. Thus, 3 of the 11 babies at risk became infected, providing an estimate of risk of 27% for breast-feeding during primary maternal infection (95% confidence interval, 6–61%). These data establish the association of primary maternal HIV infection and breast-feeding with a high risk of transmission to infants.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>8421177</pmid><doi>10.1093/infdis/167.2.441</doi><tpages>4</tpages></addata></record> |
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| subjects | AIDS Animals Biological and medical sciences Blood Transfusion Breast Feeding Breast milk Cohort Studies Concise Communications Disease transmission Female HIV HIV Antibodies - blood HIV infections HIV Infections - complications HIV Infections - transmission human immunodeficiency virus Humans Immunodeficiencies Immunodeficiencies. Immunoglobulinopathies Immunopathology Infant Infant, Newborn Infants Infections Lymph Nodes - microbiology Male Medical sciences Microscopy, Electron Milk - microbiology Mothers Needle Sharing Puerperal Infection - complications Puerperal Infection - transmission Retrospective Studies Retroviridae - ultrastructure Risk Factors Substance Abuse, Intravenous - complications Viruses Women |
| title | Breast-Feeding during Primary Maternal Human Immunodeficiency Virus Infection and Risk of Transmission from Mother to Infant |
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