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Related Concept Videos

Sexually Transmitted Infections01:26

Sexually Transmitted Infections

Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
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Retrovirus Life Cycles

Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the retrovirus to...
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Genital Herpes

Genital herpes is a sexually transmitted infection primarily caused by herpes simplex virus type 2 (HSV-2), though herpes simplex virus type 1 (HSV-1) is increasingly implicated in genital infections, particularly among younger populations. Transmission occurs mainly through sexual contact, with asymptomatic viral shedding serving as a major route of spread. This characteristic makes HSV-2 difficult to control at a population level, as individuals may unknowingly transmit the virus even in the...
Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
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Cryptococcal Meningitis01:27

Cryptococcal Meningitis

Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
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Herpes

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Ex Vivo Infection of Human Lymphoid Tissue and Female Genital Mucosa with Human Immunodeficiency Virus 1 and Histoculture
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Ex Vivo Infection of Human Lymphoid Tissue and Female Genital Mucosa with Human Immunodeficiency Virus 1 and Histoculture

Published on: October 12, 2018

Thinking about HIV infection.

Evelyn P Simpkins1, George K Siberry, Nancy Hutton

  • 1Division of General Pediatrics & Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Md., USA.

Pediatrics in Review
|September 4, 2009
PubMed
Summary
This summary is machine-generated.

Effective interventions significantly reduce mother-to-child HIV transmission to less than 2%. Antiretroviral therapy improves quality of life and survival for HIV-infected children, while condoms prevent STI transmission.

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Chronic, Acute, and Reactivated HIV Infection in Humanized Immunodeficient Mouse Models
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Ex Vivo Infection of Human Lymphoid Tissue and Female Genital Mucosa with Human Immunodeficiency Virus 1 and Histoculture
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Chronic, Acute, and Reactivated HIV Infection in Humanized Immunodeficient Mouse Models
09:54

Chronic, Acute, and Reactivated HIV Infection in Humanized Immunodeficient Mouse Models

Published on: December 3, 2019

Area of Science:

  • Infectious Diseases
  • Pediatric Health
  • Public Health

Background:

  • Mother-to-child transmission (MTCT) of Human Immunodeficiency Virus (HIV) is a significant concern during pregnancy, labor, delivery, and breastfeeding.
  • Historically, MTCT rates in the United States ranged from 25% to 30%.

Observation:

  • Evidence-based interventions, including routine screening of pregnant women, antiretroviral therapy for maternal treatment or MTCT prevention, and avoidance of breastfeeding, have been implemented.
  • Triple-drug combination antiretroviral therapy (ART) is a cornerstone in managing HIV infection in children and adolescents.

Findings:

  • These interventions have successfully reduced HIV transmission rates from 25-30% to below 2% in the United States.
  • ART regimens, typically combining two Nucleoside Reverse Transcriptase Inhibitors (NRTIs) with a Non-Nucleoside Reverse Transcriptase Inhibitor (NNRTI) or a Ritonavir-boosted Protease Inhibitor (PI), effectively control HIV.
  • These treatments lead to increased CD4 counts and achieve virologic suppression, improving survival and quality of life.
  • Prevention of opportunistic infections through immunizations and chemoprophylaxis, guided by CD4 counts, further reduces morbidity and mortality.
  • Latex, polyurethane, or synthetic condoms are effective in decreasing the transmission of Sexually Transmitted Infections (STIs), including HIV.

Implications:

  • The success of these interventions highlights the critical role of comprehensive strategies in combating pediatric HIV.
  • Continued adherence to ART and preventative measures is essential for long-term health and well-being of HIV-infected children and adolescents.
  • Public health initiatives promoting screening, treatment, and safe sex practices remain vital in controlling the HIV epidemic.