AEGiS-NV: Uganda: New Drug Combo Eases Mother-Child HIV Dilemma The New Vision (Uganda)Important note: Information in this article was accurate in 2007. The state of the art may have changed since the publication date.
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Uganda: New Drug Combo Eases Mother-Child HIV Dilemma

New Vision (Kampala) - December 2, 2007


Kampala - A new drug could ease a dilemma that many HIV-positive mothers faced, a new study reported recently. Previously, a dose of niverapine during labour reduced the chances of the infant getting HIV by 40%.

But if the newborn got infected, they were more likely to acquire a strain of HIV that was resistant to drugs raising the question of whether it was worth the risk.

A partial solution to this dilemma may be at hand, according to a study in The Lancet.

In a trial, 199 of 397 HIV+pregnant women at two health centres in Lusaka, Zambia, were given single doses of two other drugs - tenofovir and emtricitabine - along with the niverapine during birth.

The other 198 were given niverapine only. Both groups also took a small dose of a fourth drug, zidovudine.

Results showed the absolute risk of getting HIV was cut in half: 12% percent for the test group and 25% for the control group.

These results show adding tenofovir/emtricitabine to standard treatments may reduce maternal nevirapine resistance.


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