对于暴露于艾滋病毒且未感染的儿童的co-trimoxazole预防:一个系统性审查
Catherine J Wedderburn1,2,3, Ceri Evans4,5,6, Amy L Slogrove7
1Department of Paediatrics and Child Health and Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
Journal of the International AIDS Society
|June 9, 2023
概括
对暴露于艾滋病毒的未感染儿童的co-trimoxazole预防没有显示出死亡率或传染性发病率的好处,除了预防疟疾. 它可能会增加抗菌素耐药性,质疑其普遍使用.
科学领域:
- 儿童传染病 儿童传染病
- 公共卫生 公共卫生
- 艾滋病毒/艾滋病研究研究
背景情况:
- 建议对患有艾滋病毒的母亲生下的婴儿进行co-trimoxazole预防,以预防机会性感染.
- 随着增加的母体抗逆转录病毒疗法,大多数婴儿都暴露于艾滋病毒,但未感染 (HEU),这引发了关于普遍预防的好处的问题.
- 本研究评估了co-trimoxazole对HEU儿童死亡率和发病率的影响.
结论:
- 除了预防疟疾外,co-trimoxazole预防对HEU儿童在死亡率低的环境中没有明显的临床益处.
- 有关抗菌素耐药性和有限的概括性存在担忧,因为在研究环境中死亡率低.
- 在艾滋病毒传播率低和婴儿诊断计划有效的环境中,普遍的co-trimoxazole可能不需要.
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