Effect of antiretroviral therapy on clinical and immunologic disease progression in HIV positive children: One-year follow-up study

Objective: To study the effect of antiretroviral therapy (ART) on clinical, immunologic, and nutritional progression of disease in human immunodeficiency virus (HIV)-infected children for 1 year. Materials and Methods: The study included 54 children aged 1.5-15 years who registered at the ART center...

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Main Authors: Ankur Patel, Sangeeta S Trivedi, Rajesh K Chudasama, Priyanka K Patel
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Journal of Family and Community Medicine
Subjects:
Online Access:http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2012;volume=19;issue=3;spage=178;epage=183;aulast=Patel
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author Ankur Patel
Sangeeta S Trivedi
Rajesh K Chudasama
Priyanka K Patel
author_facet Ankur Patel
Sangeeta S Trivedi
Rajesh K Chudasama
Priyanka K Patel
author_sort Ankur Patel
collection DOAJ
description Objective: To study the effect of antiretroviral therapy (ART) on clinical, immunologic, and nutritional progression of disease in human immunodeficiency virus (HIV)-infected children for 1 year. Materials and Methods: The study included 54 children aged 1.5-15 years who registered at the ART center, Surat, from August 2007 to August 2009. During the study period, the children were followed-up at 6 monthly intervals up to 1 year after starting ART. World Health Organization (WHO) clinical staging and CD4 cell count as per national guidelines, and nutritional status were used to measure clinical and immunologic progression of disease up to 1 year. Results: Out of 54 children, mother-to-child transmission was reported in 96.2% children; for 74% of the children, both parents were HIV positive. All the children were classified according to WHO clinical staging into 4 stages and as per CD4 cell count (%), followed up at 6 and 12 months and the benefits with ART reported. At 12 months follow-up, 15% of the study group children had died. Both mean CD4 count and a relative percentage showed significant increase (P < 0.01) in the study group 1 year after ART. Conclusion: The present study reports benefits of ART in terms of clinical and immunologic progression of disease, nutritional status of HIV-infected children after 1 year of ART.
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spelling doaj.art-2ec0a69612114ab3a33cd40138b392702022-12-22T02:31:55ZengWolters Kluwer Medknow PublicationsJournal of Family and Community Medicine2230-82292229-340X2012-01-0119317818310.4103/2230-8229.102318Effect of antiretroviral therapy on clinical and immunologic disease progression in HIV positive children: One-year follow-up studyAnkur PatelSangeeta S TrivediRajesh K ChudasamaPriyanka K PatelObjective: To study the effect of antiretroviral therapy (ART) on clinical, immunologic, and nutritional progression of disease in human immunodeficiency virus (HIV)-infected children for 1 year. Materials and Methods: The study included 54 children aged 1.5-15 years who registered at the ART center, Surat, from August 2007 to August 2009. During the study period, the children were followed-up at 6 monthly intervals up to 1 year after starting ART. World Health Organization (WHO) clinical staging and CD4 cell count as per national guidelines, and nutritional status were used to measure clinical and immunologic progression of disease up to 1 year. Results: Out of 54 children, mother-to-child transmission was reported in 96.2% children; for 74% of the children, both parents were HIV positive. All the children were classified according to WHO clinical staging into 4 stages and as per CD4 cell count (%), followed up at 6 and 12 months and the benefits with ART reported. At 12 months follow-up, 15% of the study group children had died. Both mean CD4 count and a relative percentage showed significant increase (P < 0.01) in the study group 1 year after ART. Conclusion: The present study reports benefits of ART in terms of clinical and immunologic progression of disease, nutritional status of HIV-infected children after 1 year of ART.http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2012;volume=19;issue=3;spage=178;epage=183;aulast=PatelARTCD4 cell countHIV-positive childrennutritionWHO clinical staging
spellingShingle Ankur Patel
Sangeeta S Trivedi
Rajesh K Chudasama
Priyanka K Patel
Effect of antiretroviral therapy on clinical and immunologic disease progression in HIV positive children: One-year follow-up study
Journal of Family and Community Medicine
ART
CD4 cell count
HIV-positive children
nutrition
WHO clinical staging
title Effect of antiretroviral therapy on clinical and immunologic disease progression in HIV positive children: One-year follow-up study
title_full Effect of antiretroviral therapy on clinical and immunologic disease progression in HIV positive children: One-year follow-up study
title_fullStr Effect of antiretroviral therapy on clinical and immunologic disease progression in HIV positive children: One-year follow-up study
title_full_unstemmed Effect of antiretroviral therapy on clinical and immunologic disease progression in HIV positive children: One-year follow-up study
title_short Effect of antiretroviral therapy on clinical and immunologic disease progression in HIV positive children: One-year follow-up study
title_sort effect of antiretroviral therapy on clinical and immunologic disease progression in hiv positive children one year follow up study
topic ART
CD4 cell count
HIV-positive children
nutrition
WHO clinical staging
url http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2012;volume=19;issue=3;spage=178;epage=183;aulast=Patel
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