Anna Calzi, MD; Francesca Bisio, MD, PhD; Daniele Roberto Giacobbe, MD
Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOf InterestForms.do?msNum=L15-0178.
Calzi A, Bisio F, Giacobbe DR. Factors Associated With Lack of Viral Suppression at Delivery. Ann Intern Med. 2015;162:874. doi: 10.7326/L15-0178
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Published: Ann Intern Med. 2015;162(12):874.
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.
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