在生命的最初几周内,艾滋病毒的复制
1Department of Virology, Hôpital Saint-Vincent-de-Paul, University Paris V, France.
Lancet (London, England)
|May 16, 1992
概括
儿童艾滋病毒感染的早期诊断可以在前两个月内使用PCR或病毒培养. 这项研究发现,大多数HIV阳性婴儿在4-9周时被检测出来,而不是出生时,这表明早期的复制.
科学领域:
- 病毒学 病毒学
- 儿童传染病 儿童传染病
- 免疫学 免疫学 免疫学
背景情况:
- 对于及时干预,诊断艾滋病毒阳性母亲出生的婴儿感染艾滋病毒至关重要.
- 目前的诊断方法允许在第一年内检测HIV,但在最初几周的早期检测仍未得到充分研究.
研究的目的:
- 调查在生命的前几周内对围产期HIV-1感染的早期诊断的可行性.
- 评估聚合酶连锁反应 (PCR),病毒培养和p24抗原测定用于婴儿早期艾滋病毒检测的性能.
主要方法:
- 一项前性纵向研究,涉及50名来自HIV-1病毒阳性母亲的婴儿.
- 血液样本是在出生时,4-9周和5-9个月收集的.
- 用PCR,病毒培养和p24抗原测量检测HIV-1的样本.
主要成果:
- 在4-9周年龄时,通过PCR和病毒培养,16名婴儿被诊断出患有HIV-1感染.
- 只有5名婴儿在出生时检测出HIV-1阳性.
- 在44名重新测试的婴儿中,在4-9周和5-9个月之间没有观察到HIV状况的变化.
结论:
- 周产期HIV-1感染是可以在生命的前两个月内使用PCR或病毒培养来诊断的.
- 出生时的负面结果的高率表明,活跃的HIV复制发生在生命的最初几周.
- 研究结果支持这样一个假设:HIV-1的传播往往发生在怀孕晚期或分娩期间.
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