Factors Associated With Lack of Viral Suppression at Delivery.

Abstract

Letters16 June 2015Factors Associated With Lack of Viral Suppression at DeliveryAnna Calzi, MD, Francesca Bisio, MD, PhD, and Daniele Roberto Giacobbe, MDAnna Calzi, MDFrom Clinica Malattie Infettive, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, Università di Genova, Genova, Italy.Search for more papers by this author, Francesca Bisio, MD, PhDFrom Clinica Malattie Infettive, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, Università di Genova, Genova, Italy.Search for more papers by this author, and Daniele Roberto Giacobbe, MDFrom Clinica Malattie Infettive, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, Università di Genova, Genova, Italy.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-0178 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Katz and colleagues (1) assessed the predictors of detectable HIV viral load (VL) at delivery among treatment-naive women initiating highly active antiretroviral therapy (HAART) during pregnancy. One factor associated with lack of viral suppression at delivery was a high pretreatment VL, especially among women who initiated HAART in the third trimester (1). We compared these results—obtained in the Western hemisphere—with our experience in a resource-limited country (2) where even more treatment-naive women initiate HAART late during pregnancy, thus possibly accounting for high rates of detectable VL at delivery.From 2009 to 2012, we enrolled 802 HIV-positive pregnant ...