Effect of Gestational Age at Tenofovir-Emtricitabine-Efavirenz Initiation on Adverse Birth Outcomes in Botswana.

Effect of Gestational Age at Tenofovir-Emtricitabine-Efavirenz Initiation on Adverse Birth Outcomes in Botswana.
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博茨瓦纳替诺福韦-恩曲他滨-依非韦伦起始妊娠年龄对不良出生结局的影响。

DOI:
10.1093/jpids/piy006
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发表时间:
2018
影响因子:
3.2
通讯作者:
Shapiro,RogerL
Shapiro,RogerL
中科院分区:
医学3区
文献类型:
--
作者:
Zash,Rebecca;Rough,Kathryn;Jacobson,DeniseL;Diseko,Modiegi;Mayondi,Gloria;Mmalane,Mompati;Essex,Max;Petlo,Chipo;Lockman,Shahin;Makhema,Joseph;Shapiro,RogerL

文献摘要

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在博茨瓦纳接受推荐的一线抗逆转录病毒治疗方案(替诺福韦-恩曲他滨-依法韦仑)的人类免疫缺陷病毒阳性妇女中,我们发现死产、新生儿死亡、早产/极早产或婴儿出生时小于或小于胎龄的风险未增加。在妊娠前1年内使用替诺福韦-恩曲他滨-依法韦仑治疗,早产风险比中晚期治疗开始时略有增加(校正风险比,1.33 [95%置信区间,1.04-1.70])。
Among human immunodeficiency virus–positive women in Botswana on the recommended first-line antiretroviral therapy regimen, tenofovir-emtricitabine-efavirenz, initiated within the first or early second trimester, we found no increased risk of stillbirth, neonatal death, preterm/very preterm delivery, or the infant being born small or very small for gestational age. Treatment with tenofovir-emtricitabine-efavirenz <1 year before conception increased the risk of preterm delivery slightly over late-second-trimester treatment initiation (adjusted risk ratio, 1.33 [95% confidence interval, 1.04–1.70]).