Lack of long-term effects of in utero exposure to zidovudine among uninfected children born to HIV-infected women. Pediatric AIDS Clinical Trials Group Protocol 219/076 Teams.

Author: BradyM, CulnaneM, CunninghamB, DiazC, FlynnP M, FowlerM, GortmakerS L, JimenezE, LeeS S, McSherryG, MofensonL, MooreE C, O'DonnellK, OleskeJ, ScottG, ShapiroD E

Paper Details 
Original Abstract of the Article :
CONTEXT: With the success of zidovudine chemoprophylaxis for prevention of perinatal transmission of the human immunodeficiency virus (HIV), an increasing number of HIV-exposed but uninfected children will have in utero exposure to zidovudine and other antiretroviral drugs. OBJECTIVE: To evaluate t...See full text at original site
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引用元:
https://doi.org/10.1001/jama.281.2.151

データ提供:米国国立医学図書館(NLM)

The Long-Term Impact of Zidovudine on HIV-Exposed, Uninfected Children

This research delves into a crucial aspect of [pediatric HIV care], exploring the long-term effects of in utero exposure to zidovudine, a vital drug in preventing perinatal HIV transmission. The study employed a [prospective cohort design] to meticulously examine a group of HIV-exposed, uninfected children. The researchers compared children who received zidovudine during gestation to those who received placebo. Their findings revealed [no significant differences] between the two groups across various parameters including physical growth, immune function, cognitive development, and mortality. The study's most striking observation is [the absence of adverse effects] in children exposed to zidovudine, even after a follow-up period of up to 5.6 years.

A Beacon of Hope for HIV-Exposed Children

The study's findings provide [reassuring evidence] that zidovudine, a cornerstone of HIV prevention, has [no detectable long-term adverse effects] on HIV-exposed but uninfected children. This is a significant contribution to the field of [pediatric HIV care], offering families affected by HIV a ray of hope. The study's rigorous methodology, with its long follow-up period, provides robust evidence to support these conclusions.

Protecting the Future: Understanding Potential Risks

While this study provides [positive news], it underscores the importance of [ongoing monitoring] of children exposed to antiretroviral medications. As with any medical intervention, vigilance and continued research are essential to ensure the long-term safety and well-being of these children. This research is a testament to the importance of [prospective studies] in understanding the full spectrum of effects of medical interventions, especially in vulnerable populations like HIV-exposed children.

Dr.Camel's Conclusion

This research, like a refreshing oasis in the vast desert of uncertainties surrounding HIV, offers comforting evidence about the safety of zidovudine for uninfected children exposed to the virus. While we celebrate these findings, remember that we must continue to be vigilant, just as a camel must always seek the next water source. Ongoing research is crucial to ensure the long-term well-being of these children, safeguarding their future against any unforeseen challenges that may arise.

Date :
  1. Date Completed 1999-01-27
  2. Date Revised 2022-04-08
Further Info :

Pubmed ID

9917118

DOI: Digital Object Identifier

10.1001/jama.281.2.151

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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