[article] | Titre : | Acceptability of exclusive breast-feeding with early cessation to prevent HIV transmission through breast milk, ANRS 1201/1202 Ditrame Plus, Abidjan, Cote d'Ivoire | | Type de document : | Article scientifique | | Auteur(s) : | Becquet R ; Ekouevi DK ; Viho I ; Sakarovitch C ; Toure H ; Castetbon K ; Coulibaly N ; Timite Konan M ; Bequet D ; Dabis F | | Appartenance auteur(s) InVS | DMCT | | Année de publication : | 2005 | | Article en page(s) : | 600-8 | | Langues : | Anglais (eng) |
in Journal of acquired immune deficiency syndromes [J Acquir Immune Defic Syndr] > Vol. 40, N° 5 (15/12/2005) . - 600-8| Mots-clés : | Nourrisson ; Allaitement maternel ; Transmission ; VIH ; Grossesse ; Traitement antirétroviral ; Prophylaxie ; Enquête épidémiologique ; Côte d'Ivoire
| | Mots-clés : | SEROPOSITIVITE | | Résumé : | OBJECTIVE: We assessed the uptake of a nutritional intervention promoting exclusive breast-feeding with early cessation between 3 and 4 months of age to reduce postnatal transmission of HIV in Abidjan, Cote d'Ivoire. DESIGN: Between March 2001 and March 2003, HIV-infected pregnant women who had received perinatal antiretroviral prophylaxis were systematically offered prenatally 2 infant feeding interventions: artificial feeding or exclusive breast-feeding during 3 months and then early cessation of breast-feeding. Mother-infant pairs were closely followed for a period of 2 years, with continuous nutritional counseling and detailed collection of feeding practices. RESULTS: Among the 557 mothers enrolled, 262 (47%) initiated breast-feeding. Of these women, the probability of practicing exclusive breast-feeding from birth was 18% and 10% at 1 and 3 months of age, respectively. Complete cessation of breast-feeding was obtained in 45% and 63% by 4 and 6 months of age, respectively. Environmental factors such as living with a partner's family were associated with failure to initiate early cessation of breast-feeding. CONCLUSIONS: Acceptability of exclusive breast-feeding was low in this urban population. Shortening the duration of breast-feeding seemed to be feasible, however. Further investigations are ongoing to evaluate the safety and effectiveness of this intervention in reducing breast milk HIV transmission. | | PMID Pubmed : | Pubmed : 16284538  | | Corpus : | Production scientifique InVS | | Permalink : | http://opac.invs.sante.fr/index.php?lvl=notice_display&id=5350 |
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Ajouter le résultat dans votre panier Affiner la recherche12ème conférence de consensus en thérapeutique anti-infectieuse de la société de pathologie infectieuse de langue française (SPILF). Prise en charge et prévention du paludisme d'importation à plasmodium falciparum / Société de Pathologie Infectieuse de Langue Française in Bulletin Epidémiologique Hebdomadaire [Bull Epidemiol Hebd], N° 38 (21/09/1999)
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