Analysis of the influencing factors on serum reversal in HIV-exposed children

Objective To study the factors influencing serum reversal in HIV-exposed children.Methods The general information, clinical data, and serum results of 49 cases of HIV-infected pregnant women and their children exposed to HIV were collected from the Shenzhen Third People's Hospital from January...

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Main Authors: LI Xiaoling, WU Xiaodong, YUAN Dongmei, HUANG Ting, LIU Xiaoning, XIA Junxia, LI Shaqian, HUANG Haiying, HE Yun
Format: Article
Language:zho
Published: Editorial Office of New Medicine 2024-05-01
Series:Yixue xinzhi zazhi
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Online Access:https://yxxz.whuznhmedj.com/futureApi/storage/attach/2406/dgJuqxGKZ5gdldftiMgc4Q8JCkmEDMR31BmiVDcB.pdf
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author LI Xiaoling
WU Xiaodong
YUAN Dongmei
HUANG Ting
LIU Xiaoning
XIA Junxia
LI Shaqian
HUANG Haiying
HE Yun
author_facet LI Xiaoling
WU Xiaodong
YUAN Dongmei
HUANG Ting
LIU Xiaoning
XIA Junxia
LI Shaqian
HUANG Haiying
HE Yun
author_sort LI Xiaoling
collection DOAJ
description Objective To study the factors influencing serum reversal in HIV-exposed children.Methods The general information, clinical data, and serum results of 49 cases of HIV-infected pregnant women and their children exposed to HIV were collected from the Shenzhen Third People's Hospital from January 2019 to December 2021.Results  All 49 HIV-exposed children were tested negative for HIV nucleic acid at 48 h, 6 weeks, and 3 months of age. The serum reversal rates at 12, 18 and 21 months were 59.18%, 93.87% and 100%, respectively. Whether the serum of HIV-exposed children was reversed at 12 months of age was not related to the maternal delivery, anti-retroviral therapy initiation time, nucleic acid test results, CD4+T lymphocyte count (P>0.05). It was not related to children’s sex, gestational age, birth weight, and the type of blocking drug used (P>0.05).Conclusion No clear influencing factors were found for serum reversal in HIV-exposed 12-month-old children. The consistency between nucleic acid detection and final serum reversal was 100%. In order to exclude the possibility of HIV infection as soon as possible and reduce family concerns, three times of negative nucleic acid results before 3 months of age in HIV-exposed children may be considered as a substitute for serum reversal.
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spelling doaj-art-50d16c0f87b64898aaa5ee6c3cf8f6ec2025-08-20T02:39:48ZzhoEditorial Office of New MedicineYixue xinzhi zazhi1004-55112024-05-0134551652210.12173/j.issn.1004-5511.2023110876482Analysis of the influencing factors on serum reversal in HIV-exposed childrenLI XiaolingWU XiaodongYUAN DongmeiHUANG TingLIU XiaoningXIA JunxiaLI ShaqianHUANG HaiyingHE YunObjective To study the factors influencing serum reversal in HIV-exposed children.Methods The general information, clinical data, and serum results of 49 cases of HIV-infected pregnant women and their children exposed to HIV were collected from the Shenzhen Third People's Hospital from January 2019 to December 2021.Results  All 49 HIV-exposed children were tested negative for HIV nucleic acid at 48 h, 6 weeks, and 3 months of age. The serum reversal rates at 12, 18 and 21 months were 59.18%, 93.87% and 100%, respectively. Whether the serum of HIV-exposed children was reversed at 12 months of age was not related to the maternal delivery, anti-retroviral therapy initiation time, nucleic acid test results, CD4+T lymphocyte count (P>0.05). It was not related to children’s sex, gestational age, birth weight, and the type of blocking drug used (P>0.05).Conclusion No clear influencing factors were found for serum reversal in HIV-exposed 12-month-old children. The consistency between nucleic acid detection and final serum reversal was 100%. In order to exclude the possibility of HIV infection as soon as possible and reduce family concerns, three times of negative nucleic acid results before 3 months of age in HIV-exposed children may be considered as a substitute for serum reversal.https://yxxz.whuznhmedj.com/futureApi/storage/attach/2406/dgJuqxGKZ5gdldftiMgc4Q8JCkmEDMR31BmiVDcB.pdfhiv-infected pregnant womenhiv-exposed childrenserum reversalearly infant diagnosismother-to-child transmissionnucleic acid testinfluencing factors
spellingShingle LI Xiaoling
WU Xiaodong
YUAN Dongmei
HUANG Ting
LIU Xiaoning
XIA Junxia
LI Shaqian
HUANG Haiying
HE Yun
Analysis of the influencing factors on serum reversal in HIV-exposed children
Yixue xinzhi zazhi
hiv-infected pregnant women
hiv-exposed children
serum reversal
early infant diagnosis
mother-to-child transmission
nucleic acid test
influencing factors
title Analysis of the influencing factors on serum reversal in HIV-exposed children
title_full Analysis of the influencing factors on serum reversal in HIV-exposed children
title_fullStr Analysis of the influencing factors on serum reversal in HIV-exposed children
title_full_unstemmed Analysis of the influencing factors on serum reversal in HIV-exposed children
title_short Analysis of the influencing factors on serum reversal in HIV-exposed children
title_sort analysis of the influencing factors on serum reversal in hiv exposed children
topic hiv-infected pregnant women
hiv-exposed children
serum reversal
early infant diagnosis
mother-to-child transmission
nucleic acid test
influencing factors
url https://yxxz.whuznhmedj.com/futureApi/storage/attach/2406/dgJuqxGKZ5gdldftiMgc4Q8JCkmEDMR31BmiVDcB.pdf
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