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Table 1 Patient characteristics

From: Induction maintenance concept for HAART as initial treatment in HIV infected infants

Patient

1

2

3

4

Mode of delivery

Caesarean (38th week)

Caesarean (29th week)

Caesarean

Caesarean (41st week)

Prepartal prophylaxis

ZDV, 3TC, NVP (5 weeks)

None

None

None

Intrapartal prophylaxis

ZDV

None

None

None

Postnatal prophylaxis

ZDV (4 weeks)

2 × NVP; ZDV + 3TC(6 weeks)

None

None

Age at diagnosis

4 weeks

5 months

2.5 months

4.5 months

Initial HIV-1 RNA load (copies/ml)

500 000

16 000

139 670

3 600 000

Initial CD4 cell count (absolute cells, μl/%)

3732/44

2515/43

1093/17

330/6

Initial CD4 cell count (ARP, %)

106

100

44

13

4 drug HAART

ABC, 3TC, LPV, NVP

ABC, 3TC, LPV, NVP

ZDV, 3TC, NFV, NVP

ZDV, 3TC, LPV, NVP

Maximal decline of viral load (log change and duration)

5 log; 4.5 months

4 log; 2 months

5 log; 2 months

5 log; 6 months

Duration of 4 drug HAART

11 months

13 months

13 months

10 months

Clinical toxicity

*Atopic dermatitis

None

None

None

Laboratory toxicity

AST (1.4 × ULN - Grade 1);

AP (2.2 × ULN -Grade 1);

Cholesterol (235 mg/dl - Grade 2);

*GGT (18.6 × ULN)

AP (1,4 × ULN - Grade 1);

CK (4.2 × ULN - Grade 1);

*GGT (2.1 × ULN)

AP (1,2 × ULN - Grade); CK (2.2 × ULN - Grade 0), *GGT (7.2 × ULN)

AP (1.8 × ULN - Grade 1);

CK (2.4 × ULN - Grade 0);

*GGT(27 × ULN);

Triglycerides (498 mg/dl - Grade 1)

3 drug HAART

ABC, 3TC, NVP

ABC, 3TC, NVP

ZDV, 3TC, NVP

ZDV, 3TC, NVP

Viral load at last visit (copies/ml)

16801

< 1

< 1

48

Follow up time

50 months

50 months

34 months

27,5 months

  1. Antiretroviral drugs: Abacavir (ABC), Lamivudine (3TC), Lopinavir (LPV), Nelfinavir (NFV), Nevirapine (NVP), Zidovudine (ZDV); Adverse effects were graded according to DAIDS (Division of AIDS, NIH), ULN = upper limit of normal, *no DAIDS criteria; elevated 4 weeks after switching to a triple drug regime