1887
Research article Open Access
Like 0

Abstract

Accurate ascertainment of the number of children living with human immunodeficiency virus (HIV) is important to plan paediatric and adolescent health services. In Europe, the first generation of perinatally HIV-infected survivors are transferring to adult care and their health needs are unknown. We undertook an online survey of HIV cohort studies participating in the EuroCoord Network of Excellence to ascertain the number of perinatally HIV-infected (pHIV) patients included, to compare it with those published by the European Centre for Disease Prevention and Control (ECDC) and the World Health Organization (WHO) and to assess the ability of countries to follow up pHIV patients after transfer to adult care. At the end of 2013, 16 countries in EuroCoord reported 8,229 pHIV patients in follow-up in cohorts, compared with 5,160 cumulative diagnoses reported by the ECDC in the same area. Follow-up of pHIV patients after transfer to adult care varied. It is likely that the number of diagnoses of perinatal HIV reported to ECDC is an underestimate, although this varies by country. Further work is needed to refine estimates and encourage follow-up in adult HIV cohorts to investigate long-term outcomes and improve the care of the next generation of children with HIV.

Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2016.21.10.30162
2016-03-10
2024-04-19
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2016.21.10.30162
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/21/10/eurosurv-21-30162-4.html?itemId=/content/10.2807/1560-7917.ES.2016.21.10.30162&mimeType=html&fmt=ahah

References

  1. European Centre for Disease Prevention and Control (ECDC)/World Health Organization Regional Office for Europe (WHO/Europe). HIV/AIDS surveillance in Europe 2013. Stockholm: ECDC; 2014. Available from: http://ecdc.europa.eu/en/publications/Publications/hiv-aids-surveillance-report-Europe-2013.pdf
  2. Joint United Nations Programme on HIV/AIDS (UNAIDS). The Gap Report. Geneva: UNAIDS; 2014. Available from: http://www.unaids.org/sites/default/files/en/media/unaids/contentassets/documents/unaidspublication/2014/UNAIDS_Gap_report_en.pdf
  3. Judd A, Doerholt K, Tookey PA, Sharland M, Riordan A, Menson E, et al. Morbidity, mortality, and response to treatment by children in the United Kingdom and Ireland with perinatally acquired HIV infection during 1996-2006: planning for teenage and adult care. Clin Infect Dis. 2007;45(7):918-24.  https://doi.org/10.1086/521167  PMID: 17806062 
  4. de Mulder M, Yebra G, Navas A, de José MI, Gurbindo MD, González-Tomé MI, et al. High drug resistance prevalence among vertically HIV-infected patients transferred from pediatric care to adult units in Spain. PLoS One. 2012;7(12):e52155.  https://doi.org/10.1371/journal.pone.0052155  PMID: 23284913 
  5. Dollfus C, Le Chenadec J, Faye A, Blanche S, Briand N, Rouzioux C, et al. Long-term outcomes in adolescents perinatally infected with HIV-1 and followed up since birth in the French perinatal cohort (EPF/ANRS CO10). Clin Infect Dis. 2010;51(2):214-24.  https://doi.org/10.1086/653674  PMID: 20536367 
  6. Fish R, Judd A, Jungmann E, O’Leary C, Foster CHIV Young Persons Network (HYPNet). Mortality in perinatally HIV-infected young people in England following transition to adult care: an HIV Young Persons Network (HYPNet) audit. HIV Med. 2014;15(4):239-44.  https://doi.org/10.1111/hiv.12091  PMID: 24112550 
  7. Lowenthal ED, Bakeera-Kitaka S, Marukutira T, Chapman J, Goldrath K, Ferrand RA. Perinatally acquired HIV infection in adolescents from sub-Saharan Africa: a review of emerging challenges. Lancet Infect Dis. 2014;14(7):627-39.  https://doi.org/10.1016/S1473-3099(13)70363-3  PMID: 24406145 
  8. Castro H, Judd A, Gibb DM, Butler K, Lodwick RK, van Sighem A, et al. Risk of triple-class virological failure in children with HIV: a retrospective cohort study. Lancet. 2011;377(9777):1580-7.  https://doi.org/10.1016/S0140-6736(11)60208-0  PMID: 21511330 
  9. Rice BD, Delpech VC, Chadborn TR, Elford J. Loss to follow-up among adults attending human immunodeficiency virus services in England, Wales, and Northern Ireland. Sex Transm Dis. 2011;38(8):685-90. PMID: 21844719 
  10. Malee K, Tassiopoulos K, Smith R, Hazra R, Allison S, Brouwers P, et al., editors. Behavioral and emotional risks among children and adolescents with perinatal HIV exposure and HIV infection. NIMH Annual International Research Conference on the Role of Families in Preventing and Adapting to HIV/AIDS; 2008; Rhode Island.
  11. Wood SM, Shah SS, Steenhoff AP, Rutstein RM. The impact of AIDS diagnoses on long-term neurocognitive and psychiatric outcomes of surviving adolescents with perinatally acquired HIV. AIDS. 2009;23(14):1859-65.  https://doi.org/10.1097/QAD.0b013e32832d924f  PMID: 19584705 
  12. Smith R, Chernoff M, Williams PL, Malee KM, Sirois PA, Kammerer B, et al. Impact of HIV severity on cognitive and adaptive functioning during childhood and adolescence. Pediatr Infect Dis J. 2012;31(6):592-8.  https://doi.org/10.1097/INF.0b013e318253844b  PMID: 22592486 
  13. Hogwood J, Campbell T, Butler S. I wish I could tell you but I can’t: adolescents with perinatally acquired HIV and their dilemmas around self-disclosure. Clin Child Psychol Psychiatry. 2013;18(1):44-60.  https://doi.org/10.1177/1359104511433195  PMID: 22287554 
  14. Greenhalgh C, Evangeli M, Frize G, Foster C, Fidler S. Intimate relationships in young adults with perinatally acquired HIV: partner considerations. AIDS Care. 2013;25(4):447-50.  https://doi.org/10.1080/09540121.2012.712671  PMID: 22909272 
  15. Cervia JS. Easing the transition of HIV-infected adolescents to adult care. AIDS Patient Care STDS. 2013;27(12):692-6.  https://doi.org/10.1089/apc.2013.0253  PMID: 24073595 
  16. Newman C, Persson A, Miller A, Cama E. Bridging worlds, breaking rules: Clinician perspectives on transitioning young people with perinatally acquired HIV into adult care in a low prevalence setting. AIDS Patient Care STDS. 2014;28(7):381-93.  https://doi.org/10.1089/apc.2013.0346  PMID: 24749770 
  17. Fegran L, Hall EO, Uhrenfeldt L, Aagaard H, Ludvigsen MS. Adolescents’ and young adults’ transition experiences when transferring from paediatric to adult care: a qualitative metasynthesis. Int J Nurs Stud. 2014;51(1):123-35.  https://doi.org/10.1016/j.ijnurstu.2013.02.001  PMID: 23490470 
  18. EuroCoord. Cohort Registry. [Accessed: 25 Sep 2014]. Available from: http://www.eurocoord.net/cohort_registry
  19. Judd A, Collins IJ, Le Prevost M, Gibb DM, Tookey P, editors. Kids to adults: tracking perinatally infected youth as they transition to adult care - the UK experience. 21st Annual Conference of the British HIV Association (BHIVA); 2015; Brighton, UK.
  20. Judd A, Nunn A, Melvin D, Foster C, Winston A, Le Prevost M, et al., editors. Neurocognitive function in perinatally HIV-infected young people and HIV-negative siblings in England. 21st Annual Conference of the British HIV Association; 2015; Brighton, UK.
  21. Food and Drug Administration (FDA). NDA 205425 tentative approval. Silver Spring: FDA; 2015. Available from: http://www.accessdata.fda.gov/drugsatfda_docs/appletter/2015/205425Orig1s000TAltr.pdf
  22. de Jose MI, Jimenez de Ory S, Espiau M, Fortuny C, NavarroML, Soler-Palacín P, et al. A new tool for the paediatric HIV research: general data from the Cohort of the Spanish Paediatric HIV Network (CoRISpe). BMC Infect Dis. 2013;13:2.
  23. Bland R, Coovadia H, Coutsoudis A, Rollins N, Newell M. Cohort profile: mamanengane or the Africa centre vertical transmission study. Int J Epidemiol. 2010;39(2):351-60.  https://doi.org/10.1093/ije/dyp165  PMID: 19336438 
  24. Violari A, Cotton MF, Gibb DM, Babiker AG, Steyn J, Madhi SA, et al. Early antiretroviral therapy and mortality among HIV-infected infants. N Engl J Med. 2008;359(21):2233-44.  https://doi.org/10.1056/NEJMoa0800971  PMID: 19020325 
  25. World Health Organization (WHO). Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: recommendations for a public health approach June 2013. Geneva: WHO; 2013. Available from: http://www.who.int/hiv/pub/guidelines/arv2013/en/
/content/10.2807/1560-7917.ES.2016.21.10.30162
Loading

Data & Media loading...

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error