Factors Associated With Lack of Viral Suppression at Delivery
Authors: Ingrid T. Katz, David E. Shapiro, Ruth Tuomala
Journal: Annals of Internal Medicine (2015)

Letters16 June 2015Factors Associated With Lack of Viral Suppression at DeliveryIngrid T. Katz, MD, MHS, David E. Shapiro, PhD, and Ruth Tuomala, MDIngrid T. Katz, MD, MHSFrom Brigham and Women's Hospital, Massachusetts General Hospital Center for Global Health, and Harvard Medical School, Boston, and Harvard School of Public Health, Boston, Massachusetts.Search for more papers by this author, David E. Shapiro, PhDFrom Brigham and Women's Hospital, Massachusetts General Hospital Center for Global Health, and Harvard Medical School, Boston, and Harvard School of Public Health, Boston, Massachusetts.Search for more papers by this author, and Ruth Tuomala, MDFrom Brigham and Women's Hospital, Massachusetts General Hospital Center for Global Health, and Harvard Medical School, Boston, and Harvard School of Public Health, Boston, Massachusetts.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5059-2 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree with Dr. Calzi and colleagues that early delivery of HAART to pregnant women in low- and middle-income countries is an essential component in the prevention of mother-to-child transmission of HIV, which concurrently benefits maternal health. Sub-Saharan Africa in particular needs to remain the focus of this effort, given that 92% of pregnant women living with HIV reside in this region (1). The expansion of HAART in sub-Saharan Africa, as supported by such programs as the President's Emergency Fund for AIDS Relief in conjunction with partner nations, has achieved impressive gains in expanding treatment availability and preventing ...References1. UNAIDS. Regional fact sheet 2012: sub-Saharan Africa. 2012. Accessed at www.unaids.org/sites/default/files/en/media/unaids/contentassets/documents/epidemiology/2012/gr2012/2012_FS_regional_ssa_en.pdf on 23 March 2015. Google Scholar2. Katz IT, Bassett IV, Wright AA. PEPFAR in transition—implications for HIV care in South Africa. N Engl J Med. 2013;369:1385-7. [PMID: 24106930] doi:10.1056/NEJMp1310982 CrossrefMedlineGoogle Scholar3. Black S, Zulliger R, Myer L, Marcus R, Jeneker S, Taliep R, et al. Safety, feasibility and efficacy of a rapid ART initiation in pregnancy pilot programme in Cape Town, South Africa. S Afr Med J. 2013;103:557-62. [PMID: 23885739] doi:10.7196/samj.6565 CrossrefMedlineGoogle Scholar4. Bisio F, Masini G, Blasi Vacca E, Calzi A, Cardinale F, Bruzzone B, et al; Kento-Mwana group. Effectiveness of a project to prevent HIV vertical transmission in the Republic of Congo. J Antimicrob Chemother. 2013;68:1862-71. [PMID: 23587655] doi:10.1093/jac/dkt102 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Brigham and Women's Hospital, Massachusetts General Hospital Center for Global Health, and Harvard Medical School, Boston, and Harvard School of Public Health, Boston, Massachusetts.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2005. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoFactors Associated With Lack of Viral Suppression at Delivery Among Highly Active Antiretroviral Therapy–Naive Women With HIV Ingrid T. Katz , Erin Leister , Deborah Kacanek , Michael D. Hughes , Arlene Bardeguez , Elizabeth Livingston , Alice Stek , David E. Shapiro , and Ruth Tuomala Factors Associated With Lack of Viral Suppression at Delivery Among Highly Active Antiretroviral Therapy–Naive Women With HIV Ingrid T. Katz , Erin Leister , Deborah Kacanek , Michael D. Hughes , Arlene Bardeguez , Elizabeth Livingston , Alice Stek , David E. Shapiro , and Ruth Tuomala Factors Associated With Lack of Viral Suppression at Delivery Anna Calzi , Francesca Bisio , and Daniele Roberto Giacobbe Factors Associated With Lack of Viral Suppression at Delivery Anna Calzi , Francesca Bisio , and Daniele Roberto Giacobbe Metrics Cited byHIV and reproductive healthcare in pregnant and postpartum HIV-infected women: adapting successful strategies 16 June 2015Volume 162, Issue 12Page: 874-875KeywordsAIDSAntiretroviralsDisclosureForecastingHIVHIV infectionsHIV preventionMaternal healthPediatric infectionsPregnancy ePublished: 16 June 2015 Issue Published: 16 June 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...