A 10-year cohort analysis of routine paediatric ART data in a rural South African setting
Identifieur interne : 001229 ( Main/Exploration ); précédent : 001228; suivant : 001230A 10-year cohort analysis of routine paediatric ART data in a rural South African setting
Auteurs : R. R. Lilian [Afrique du Sud] ; B. Mutasa [Afrique du Sud] ; J. Railton [Afrique du Sud] ; W. Mongwe [Afrique du Sud] ; J. A. Mcintyre [Afrique du Sud] ; H. E. Struthers [Afrique du Sud] ; R. P. H. Peters [Afrique du Sud]Source :
- Epidemiology and Infection [ 0950-2688 ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent, Antirétroviraux (usage thérapeutique), Bases de données factuelles, Charge virale, Didéoxynucléosides (usage thérapeutique), Enfant, Enfant d'âge préscolaire, Femelle, Humains, Infections à VIH (traitement médicamenteux), Mâle, Nourrisson, Nouveau-né, Perdus de vue, Population rurale, Réponse virologique soutenue, République d'Afrique du Sud, Stavudine (usage thérapeutique), Thérapie antirétrovirale hautement active (), Traitement automatique des données, Études de cohortes.
- MESH :
- traitement médicamenteux : Infections à VIH.
- usage thérapeutique : Antirétroviraux, Didéoxynucléosides, Stavudine.
- Adolescent, Bases de données factuelles, Charge virale, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Mâle, Nourrisson, Nouveau-né, Perdus de vue, Population rurale, Réponse virologique soutenue, République d'Afrique du Sud, Thérapie antirétrovirale hautement active, Traitement automatique des données, Études de cohortes.
English descriptors
- KwdEn :
- Adolescent, Anti-Retroviral Agents (therapeutic use), Antiretroviral Therapy, Highly Active (methods), Automatic Data Processing, Child, Child, Preschool, Cohort Studies, Databases, Factual, Dideoxynucleosides (therapeutic use), Female, HIV Infections (drug therapy), Humans, Infant, Infant, Newborn, Lost to Follow-Up, Male, Rural Population, South Africa, Stavudine (therapeutic use), Sustained Virologic Response, Viral Load.
- MESH :
- chemical , therapeutic use : Anti-Retroviral Agents, Dideoxynucleosides, Stavudine.
- drug therapy : HIV Infections.
- methods : Antiretroviral Therapy, Highly Active.
- Adolescent, Automatic Data Processing, Child, Child, Preschool, Cohort Studies, Databases, Factual, Female, Humans, Infant, Infant, Newborn, Lost to Follow-Up, Male, Rural Population, South Africa, Sustained Virologic Response, Viral Load.
Abstract
South Africa's paediatric antiretroviral therapy (ART) programme is managed using a
monitoring and evaluation tool known as TIER.Net. This electronic system has several
advantages over paper-based systems, allowing profiling of the paediatric ART programme
over time. We analysed anonymized TIER.Net data for HIV-infected children aged <15
years who had initiated ART in a rural district of South Africa between 2005 and 2014. We
performed Kaplan–Meier survival analysis to assess outcomes over time. Records of 5461
children were available for analysis; 3593 (66%) children were retained in care. Losses
from the programme were higher in children initiated on treatment in more recent years
(
Url:
DOI: 10.1017/S0950268816001916
PubMed: 27609130
PubMed Central: 5197927
Affiliations:
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Le document en format XML
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African setting</title><author><name sortKey="Lilian, R R" sort="Lilian, R R" uniqKey="Lilian R" first="R. R." last="Lilian">R. R. Lilian</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Anova Health Institute</institution>,<addr-line>Johannesburg and Tzaneen</addr-line>,<country>South Africa</country></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Mutasa, B" sort="Mutasa, B" uniqKey="Mutasa B" first="B." last="Mutasa">B. Mutasa</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Anova Health Institute</institution>,<addr-line>Johannesburg and Tzaneen</addr-line>,<country>South Africa</country></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Railton, J" sort="Railton, J" uniqKey="Railton J" first="J." last="Railton">J. Railton</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Anova Health Institute</institution>,<addr-line>Johannesburg and Tzaneen</addr-line>,<country>South Africa</country></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Mongwe, W" sort="Mongwe, W" uniqKey="Mongwe W" first="W." last="Mongwe">W. Mongwe</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Mopani Department of Health</addr-line>,<addr-line>Giyani</addr-line>,<country>South Africa</country></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Mcintyre, J A" sort="Mcintyre, J A" uniqKey="Mcintyre J" first="J. A." last="Mcintyre">J. A. Mcintyre</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Anova Health Institute</institution>,<addr-line>Johannesburg and Tzaneen</addr-line>,<country>South Africa</country></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>School of Public Health and Family Medicine</addr-line>,<institution>University of Cape Town</institution>,<addr-line>Cape Town</addr-line>,<country>South Africa</country></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Struthers, H E" sort="Struthers, H E" uniqKey="Struthers H" first="H. E." last="Struthers">H. E. Struthers</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Anova Health Institute</institution>,<addr-line>Johannesburg and Tzaneen</addr-line>,<country>South Africa</country></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Department of Medicine</addr-line>,<institution>University of Cape Town</institution>,<addr-line>Cape Town</addr-line>,<country>South Africa</country></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Peters, R P H" sort="Peters, R P H" uniqKey="Peters R" first="R. P. H." last="Peters">R. P. H. Peters</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Anova Health Institute</institution>,<addr-line>Johannesburg and Tzaneen</addr-line>,<country>South Africa</country></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Department of Microbiology</addr-line>,<institution>University of Pretoria</institution>,<addr-line>Pretoria</addr-line>,<country>South Africa</country></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Epidemiology and Infection</title><idno type="ISSN">0950-2688</idno><idno type="eISSN">1469-4409</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Anti-Retroviral Agents (therapeutic use)</term><term>Antiretroviral Therapy, Highly Active (methods)</term><term>Automatic Data Processing</term><term>Child</term><term>Child, Preschool</term><term>Cohort Studies</term><term>Databases, Factual</term><term>Dideoxynucleosides (therapeutic use)</term><term>Female</term><term>HIV Infections (drug therapy)</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Lost to Follow-Up</term><term>Male</term><term>Rural Population</term><term>South Africa</term><term>Stavudine (therapeutic use)</term><term>Sustained Virologic Response</term><term>Viral Load</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Antirétroviraux (usage thérapeutique)</term><term>Bases de données factuelles</term><term>Charge virale</term><term>Didéoxynucléosides (usage thérapeutique)</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Infections à VIH (traitement médicamenteux)</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Perdus de vue</term><term>Population rurale</term><term>Réponse virologique soutenue</term><term>République d'Afrique du Sud</term><term>Stavudine (usage thérapeutique)</term><term>Thérapie antirétrovirale hautement active ()</term><term>Traitement automatique des données</term><term>Études de cohortes</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Retroviral Agents</term><term>Dideoxynucleosides</term><term>Stavudine</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Antiretroviral Therapy, Highly Active</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antirétroviraux</term><term>Didéoxynucléosides</term><term>Stavudine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Automatic Data Processing</term><term>Child</term><term>Child, Preschool</term><term>Cohort Studies</term><term>Databases, Factual</term><term>Female</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Lost to Follow-Up</term><term>Male</term><term>Rural Population</term><term>South Africa</term><term>Sustained Virologic Response</term><term>Viral Load</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Bases de données factuelles</term><term>Charge virale</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Perdus de vue</term><term>Population rurale</term><term>Réponse virologique soutenue</term><term>République d'Afrique du Sud</term><term>Thérapie antirétrovirale hautement active</term><term>Traitement automatique des données</term><term>Études de cohortes</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>SUMMARY</title><p>South Africa's paediatric antiretroviral therapy (ART) programme is managed using a
monitoring and evaluation tool known as TIER.Net. This electronic system has several
advantages over paper-based systems, allowing profiling of the paediatric ART programme
over time. We analysed anonymized TIER.Net data for HIV-infected children aged <15
years who had initiated ART in a rural district of South Africa between 2005 and 2014. We
performed Kaplan–Meier survival analysis to assess outcomes over time. Records of 5461
children were available for analysis; 3593 (66%) children were retained in care. Losses
from the programme were higher in children initiated on treatment in more recent years
(<italic>P</italic> < 0·0001) and in children aged ≤1 year at treatment
initiation (<italic>P</italic> < 0·0001). For children aged <3 years,
abacavir was associated with a significantly higher rate of loss from the programme
compared to stavudine (hazard ratio 1·9, <italic>P</italic> < 0·001). Viral load
was suppressed in 48–52% of the cohort, with no significant change over the years
(<italic>P</italic> = 0·398). Analysis of TIER.Net data over time provides enhanced
insights into the performance of the paediatric ART programme and highlights interventions
to improve programme performance.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Marston, M" uniqKey="Marston M">M Marston</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Modi, S" uniqKey="Modi S">S Modi</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Sanne, I" uniqKey="Sanne I">I Sanne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nyasulu, Jc" uniqKey="Nyasulu J">JC Nyasulu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Penazzato, M" uniqKey="Penazzato M">M Penazzato</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Osler, M" uniqKey="Osler M">M Osler</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Sherman, Gg" uniqKey="Sherman G">GG Sherman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eley, B" uniqKey="Eley B">B Eley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davies, Ma" uniqKey="Davies M">MA Davies</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grimwood, A" uniqKey="Grimwood A">A Grimwood</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Porter, M" uniqKey="Porter M">M Porter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weigel, R" uniqKey="Weigel R">R Weigel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Boulle, A" uniqKey="Boulle A">A Boulle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cornell, M" uniqKey="Cornell M">M Cornell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fatti, G" uniqKey="Fatti G">G Fatti</name></author><author><name sortKey="Grimwood, A" uniqKey="Grimwood A">A Grimwood</name></author><author><name sortKey="Bock, P" uniqKey="Bock P">P Bock</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meloni, St" uniqKey="Meloni S">ST Meloni</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ekouevi, Dk" uniqKey="Ekouevi D">DK Ekouevi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grimsrud, A" uniqKey="Grimsrud A">A Grimsrud</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Houle, B" uniqKey="Houle B">B Houle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jones, Sa" uniqKey="Jones S">SA Jones</name></author><author><name sortKey="Sherman, Gg" uniqKey="Sherman G">GG Sherman</name></author><author><name sortKey="Varga, Ca" uniqKey="Varga C">CA Varga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weigel, R" uniqKey="Weigel R">R Weigel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kelly, D" uniqKey="Kelly D">D Kelly</name></author><author><name sortKey="Coutts, Ag" uniqKey="Coutts A">AG Coutts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davies, Ma" uniqKey="Davies M">MA Davies</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Technau, Kg" uniqKey="Technau K">KG Technau</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Technau, Kg" uniqKey="Technau K">KG Technau</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Waters, Lj" uniqKey="Waters L">LJ Waters</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Takuva, S" uniqKey="Takuva S">S Takuva</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Violari, A" uniqKey="Violari A">A Violari</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fatti, G" uniqKey="Fatti G">G Fatti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bernheimer, Jm" uniqKey="Bernheimer J">JM Bernheimer</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Afrique du Sud</li></country></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Lilian, R R" sort="Lilian, R R" uniqKey="Lilian R" first="R. R." last="Lilian">R. R. Lilian</name></noRegion><name sortKey="Mcintyre, J A" sort="Mcintyre, J A" uniqKey="Mcintyre J" first="J. A." last="Mcintyre">J. A. Mcintyre</name><name sortKey="Mcintyre, J A" sort="Mcintyre, J A" uniqKey="Mcintyre J" first="J. A." last="Mcintyre">J. A. Mcintyre</name><name sortKey="Mongwe, W" sort="Mongwe, W" uniqKey="Mongwe W" first="W." last="Mongwe">W. Mongwe</name><name sortKey="Mutasa, B" sort="Mutasa, B" uniqKey="Mutasa B" first="B." last="Mutasa">B. Mutasa</name><name sortKey="Peters, R P H" sort="Peters, R P H" uniqKey="Peters R" first="R. P. H." last="Peters">R. P. H. Peters</name><name sortKey="Peters, R P H" sort="Peters, R P H" uniqKey="Peters R" first="R. P. H." last="Peters">R. P. H. Peters</name><name sortKey="Railton, J" sort="Railton, J" uniqKey="Railton J" first="J." last="Railton">J. Railton</name><name sortKey="Struthers, H E" sort="Struthers, H E" uniqKey="Struthers H" first="H. E." last="Struthers">H. E. Struthers</name><name sortKey="Struthers, H E" sort="Struthers, H E" uniqKey="Struthers H" first="H. E." last="Struthers">H. E. Struthers</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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