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Evidence-Based Medicine 2004; 9:53
© 2004 BMJ Publishing Group Ltd.


Therapeutics

Short course nevirapine was better than zidovudine for reducing the risk of mother to child transmission of HIV-1 infection

Jackson JB, Musoke P, Fleming T, et al. Intrapartum and neonatal single-dose nevirapine compared with zidovudine for prevention of mother-to-child transmission of HIV-1 in Kampala, Uganda: 18-month follow-up of the HIVNET 012 randomised trial. Lancet 2003;362:859–68.[CrossRef][Medline]

Q In pregnant women with HIV-1 infection, is short course nevirapine more effective than a short zidovudine regimen for reducing the risk of mother to child transmission of HIV-1 infection?

Key Words: anti-HIV agents • disease transmission • HIV infections • HIV-1 • nevirapine • pregnancy complications • zidovudine

The first 150 words of the full text of this article appear below.

METHODS
Design: randomised controlled trial.

Allocation: {concealed}{dagger}.*

Blinding: {unblinded}{dagger}.*

Follow up period: 6–8 weeks, 14–16 weeks, and 18 months.

Setting: {Mulago hospital in Kampala, Uganda}{dagger}.

Patients: 626 women who were {>=18 years of age (mean age 24.5 y) at >32 weeks gestation, tested HIV-1 positive, and lived near the study site. Exclusion criteria included current antiretroviral or HIV-1 immunotherapy, uncontrolled hypertension, haemoglobin concentration <75 g/l, blood creatinine concentration >1.5 mg/dl, blood alanine aminotransferase concentration >3 times the upper limit of normal, and chronic alcohol or illicit drug use.}{dagger}

Interventions: Of the 313 mothers who were allocated to a 200 mg nevirapine tablet at the onset of labour, 308 gave birth to 308 firstborn neonates who received a single 2 mg/kg {calibrated oral syringe}{dagger} dose of nevirapine suspension 72 hours after birth or at discharge from the hospital. Of the 313 mothers who were allocated to two 300 . . . [Full text of this article]

Susan King, MD

Hospital for Sick Children and University of Toronto
Toronto, Ontario, Canada







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