| Literature DB >> 12599046 |
Barbra A Richardson1, Grace C John-Stewart, James P Hughes, Ruth Nduati, Dorothy Mbori-Ngacha, Julie Overbaugh, Joan K Kreiss.
Abstract
Human immunodeficiency virus type 1 (HIV-1) is transmitted through blood, genital secretions, and breast milk. The probability of heterosexual transmission of HIV-1 per sex act is.0003-.0015, but little is known regarding the risk of transmission per breast-milk exposure. We evaluated the probability of breast-milk transmission of HIV-1 per liter of breast milk ingested and per day of breast-feeding in a study of children born to HIV-1-infected mothers. The probability of breast-milk transmission of HIV-1 was.00064 per liter ingested and.00028 per day of breast-feeding. Breast-milk infectivity was significantly higher for mothers with more-advanced disease, as measured by prenatal HIV-1 RNA plasma levels and CD4 cell counts. The probability of HIV-1 infection per liter of breast milk ingested by an infant is similar in magnitude to the probability of heterosexual transmission of HIV-1 per unprotected sex act in adults.Entities:
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Year: 2003 PMID: 12599046 PMCID: PMC3382109 DOI: 10.1086/374272
Source DB: PubMed Journal: J Infect Dis ISSN: 0022-1899 Impact factor: 5.226