Biblioteca Hospital 12 de Octubre

High Drug Resistance Prevalence among Vertically HIV-Infected Patients Transferred from Pediatric Care to Adult Units in Spain. (Registro nro. 6509)

000 -CABECERA
Campo de control de longitud fija 03185na a2200229 4500
003 - IDENTIFICADOR DEL NÚMERO DE CONTROL
Campo de control PC6509
005 - FECHA Y HORA DE LA ÚLTIMA TRANSACCIÓN
Campo de control 20180113071321.0
008 - CÓDIGOS DE INFORMACIÓN DE LONGITUD FIJA
Campo de control de longitud fija 130622s2012 xxx||||| |||| 00| 0 eng d
040 ## - FUENTE DE LA CATALOGACIÓN
Centro transcriptor H12O
041 ## - CÓDIGO DE LENGUA
Código de lengua del texto/banda sonora o título independiente eng
100 ## - PUNTO DE ACCESO PRINCIPAL - NOMBRE DE PERSONA
Nombre de persona González Tomé, María Isabel
9 (RLIN) 1354
Término indicativo de función Pediatría
245 00 - MENCIÓN DE TÍTULO
Título High Drug Resistance Prevalence among Vertically HIV-Infected Patients Transferred from Pediatric Care to Adult Units in Spain.
Tipo de material [artículo]
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Nombre del editor distribuidor etc. PLoS ONE,
Fecha de publicación distribución etc. 2012
300 ## - DESCRIPCIÓN FÍSICA
Extensión 7(12):e52155.
500 ## - NOTA GENERAL
Nota general Formato Vancouver:
de Mulder M, Yebra G, Navas A, de José MI, Gurbindo MD, González-Tomé MI et al. Madrid Cohort of HIV-Infected Children. High drug resistance prevalence among vertically HIV-infected patients transferred from pediatric care to adult units in Spain. PLoS One. 2012;7(12):e52155.
501 ## - NOTA DE “CON”
Nota de "Con" PMID: 23284913
504 ## - NOTA DE BIBLIOGRAFÍA; ETC.
Nota de bibliografía etc. Contiene 47 referencias
520 ## - NOTA DE SUMARIO; ETC.
Sumario etc. BACKGROUND: Antiretroviral treatment (ART) has contributed to increased life expectancy of HIV-1 infected children. In developed countries, an increasing number of children reaching adulthood are transferred to adult units. The objectives were to describe the demographic and clinical features, ART history, antiviral drug resistance and drug susceptibility in HIV-1 perinatally infected adolescents transferred to adult care units in Spain from the Madrid Cohort of HIV-1 infected children.
METHODS: Clinical, virological and immunological features of HIV-1 vertically infected patients in the Madrid Cohort of HIV-infected children were analyzed at the time of transfer. Pol sequences from each patient were recovered before transfer. Resistance mutations according to the InternationaI AIDS Society 2011 list were identified and interpreted using the Stanford algorithm. Results were compared to the non-transferred HIV-1 infected pediatric cohort from Madrid.
RESULTS: One hundred twelve infected patients were transferred to adult units between 1997 and 2011. They were mainly perinatally infected (93.7%), with a mean nadir CD4+-T-cells count of 10% and presented moderate or severe clinical symptoms (75%). By the time of transfer, the mean age was 18.9 years, the mean CD4+T-cells count was 627.5 cells/ml, 64.2% presented more than 350 CD4+T-cells/ml and 47.3% had ≤ 200 RNA-copies/ml. Most (97.3%) were ART experienced receiving Highly Active ART (HAART) (84.8%). Resistance prevalence among pretreated was 50.9%, 76.9% and 36.5% for Protease Inhibitors (PI), Nucleoside Reverse Transcriptase Inhibitors (NRTI) and Non-NRTI (NNRTI), respectively. Resistance mutations were significantly higher among transferred patients compared to non-transferred for the PI+NRTI combination (19% vs. 8.4%). Triple resistance was similar to non-transferred pediatric patients (17.3% vs. 17.6%).
CONCLUSION: Despite a good immunological and virological control before transfer, we found high levels of resistance to PI, NRTI and triple drug resistance in HIV-1 infected adolescents transferred to adult units.
710 ## - PUNTO DE ACCESO ADICIONAL - NOMBRE DE ENTIDAD
9 (RLIN) 446
Nombre de entidad o nombre de jurisdicción como elemento inicial Servicio de Pediatría-Neonatología
856 ## - LOCALIZACIÓN Y ACCESO ELECTRÓNICOS
Identificador Uniforme del Recurso (URI) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3524105/pdf/pone.0052155.pdf
Acceso Acceso libre
942 ## - ENTRADA PARA ELEMENTOS AGREGADOS (KOHA)
Suprimido en OPAC Público
Fuente de clasificación o esquema de ordenación en estanterías
Koha [por defecto] tipo de item Artículo
Existencias
Suprimido Estado de pérdida Fuente de clasificación o esquema de ordenación en estanterías Estropeado No para préstamo Localización permanente Localización actual Fecha de adquisición Signatura completa Fecha última consulta Fecha del precio de reemplazo Tipo de item de Koha
          Hospital Universitario 12 de Octubre Hospital Universitario 12 de Octubre 2017-11-02 PC6509 2017-11-02 2017-11-02 Artículo

Con tecnología Koha