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Estimación de la prevalencia de infección por VIH-1 en la embarazada y efectividad de la zidovudina administrada durante la gestación en la prevención de la transmisión vertical
Estimate of the HIV-1 prevalence in pregnant women and effectiveness of zidovudine administered during pregnancy in reducing perinatal transmission
José Tomás Ramos Amadora,*, Jesús Ruiz Contrerasa, Rafael Basteroa, Carmen Barriob, Pilar Morenoc, Rafael Delgadoc, Eloy Muñozd, Jesús Jiménezd
a Unidad de Inmunodeficiencias, Madrid
b Servicio de Neonatología. Departamento de Pediatría, Madrid
c Servicio de Microbiología, Madrid
d Departamento de Obstetricia y Ginecología. Hospital 12 de Octubre. Madrid
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        "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#58; A pesar de la eficacia probada de la zidovudina &#40;ZDV&#41; administrada a la embarazada enla disminuci&#243;n de la transmisi&#243;n vertical del VIH-1&#44; existen importantes dudas sobre la efectividad yel cumplimiento en la pr&#225;ctica cl&#237;nica&#46; Los objetivos han sido determinar la efectividad de la ZDV duranteel embarazo a las mujeres con infecci&#243;n por VIH en la reducci&#243;n de la transmisi&#243;n vertical &#40;TV&#41;y analizar la tendencia en el tiempo de la prevalencia de infecci&#243;n y de los casos identificados precozmente&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes Y M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">&#58; Se han seleccionado los pares de madres&#47;hijos seguidos prospectivamente desdeel nacimiento&#44; en el per&#237;odo comprendido entre el 1 de enero de 1987 y el 30 de octubre de 1997&#46;Se ha considerado infectado al ni&#241;o con anticuerpos positivos a partir de los 18 meses&#44; o al menos 2determinaciones mediante reacci&#243;n en cadena de la polimerasa &#40;PCR&#41; positivas en los primeros 3 mesesde vida&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">&#58; Se han identificado 229 madres y 248 ni&#241;os&#46; Se administr&#243; ZDV a 34 madres en el embarazocon una media &#40;DE&#41; de 4&#44;7 &#40;3&#44;1&#41; meses&#46; El valor medio de CD4 fue de 465 &#40;261&#41; c&#233;lulas &#215;10<span class="elsevierStyleSup">6</span>&#47;l&#46; Las &#250;nicas variables asociadas con un mayor riesgo de transmisi&#243;n fueron el tiempo de roturade bolsa &#40;mediana en transmisoras 6 h&#44; mediana en no transmisoras 1&#44;04 h&#59; p &#61; 0&#44;023&#41; y el tratamientocon ZDV&#46; De las madres tratadas durante el embarazo s&#243;lo un ni&#241;o result&#243; infectado &#40;TV2&#44;9&#37;&#41;&#44; frente a 37 ni&#241;os en las no tratadas &#40;TV 17&#44;5&#37;&#41; &#40;p &#61; 0&#44;029&#59; odds ratio &#91;OR&#93;&#58; 0&#44;14&#59; intervalode confianza &#91;IC&#93; del 95&#37;&#58; 0&#44;07-0&#44;92&#41;&#46; La prevalencia estimada de infecci&#243;n por VIH-1 en mujeresgestantes en nuestra &#225;rea se sit&#250;a en torno al 0&#44;39&#37; &#40;IC del 95&#37;&#58; 0&#44;34-0&#44;45&#41;&#46; En los primeros 5a&#241;os del per&#237;odo de estudio&#44; 14 ni&#241;os &#40;9&#44;7&#37;&#41; fueron identificados como seropositivos despu&#233;s del per&#237;odoneonatal&#44; en comparaci&#243;n a s&#243;lo 3 a partir de 1992 &#40;p &#61; 0&#44;034&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">&#58; En este estudio&#44; la prevalencia estimada de infecci&#243;n por VIH-1 en mujeres embarazadases elevada&#46; El tratamiento con ZDV durante el embarazo se asocia a una disminuci&#243;n en la transmisi&#243;nvertical del VIH-1&#46; Es posible que la disponibilidad de esta medida haya contribuido a la mayoridentificaci&#243;n de las embarazadas seropositivas observada en el tiempo&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">&#58; Despite the proven efficacy of zidovudine &#40;ZDV&#41; for reducing perinatal transmission ofHIV-1&#44; questions remain about its implementation and effectiveness in routine practice&#46; The aimsof this study were to assess the impact of ZDV administered during pregnancy in preventing perinatalHIV-1 transmission&#44; and to determine the proportion of early identification of maternal HIV-1 infectionover time&#46;</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">&#58; We prospectively followed from birth a cohort of children born between1&#47;1&#47;1987 and 31&#47;10&#47;1997 to HIV-1-infected mothers&#46; Infant infection status was assessed by followupbeyond 18 months or HIV-PCR up to 3 months of age&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">&#58; 229 mothers and 248 infants were identified in the cohort&#46; ZDV was administered duringpregnancy as monotherapy to 34 mothers for a mean of 4&#44;7 &#40;3&#44;1&#41; months prior to delivery&#46; There wereno differences in baseline characteristics between the treated and untreated groups&#46; Mean &#40;SD&#41; CD4cell count was 465 &#40;261&#41; cells &#215; 10<span class="elsevierStyleSup">6</span>&#47;l&#46; Factors associated with transmission were a more prolongedtime of rupture of obstetric membranes &#40;median 6 vs 1&#44;04 hours&#59; p &#61; 0&#44;023&#41; and ZDV treatment&#46;Among the ZDV-treated mothers only one child was infected &#40;2&#44;9&#37;&#41;&#44; whereas 37 children born to 212untreated women became infected&#46; &#40;OR&#58; 0&#44;14&#59; 95&#37; CI&#58; 0&#44;07-0&#44;92&#41;&#46; The estimated prevalence ofHIV-1 in pregnant women in our area is about 0&#44;39&#37; &#40;95&#37; CI&#58; 0&#44;34-0&#44;45&#41;&#46; From 1987 to 1991&#44;9&#44;7&#37; of infected women were nor identified at the perinatal period&#44; as compared to 2&#44;5&#37; in the last5 years of the study period &#40;p &#61; 0&#44;034&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">&#58; In this study&#44; the estimated prevalence of HIV-1 infection is high&#46; ZDV during pregnancyis significantly associated with a decrease in perinatal transmission in our setting&#46; The awareness ofan effective treatment might have contributed to the increased identification of HIV-infected mothersprior to delivery observed over time in our cohort of children born to HIV-infected mothers&#46;</p>"
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                      "titulo" => "Epidemiology and determinants of vertical HIV transmission"
                      "autores" => array:1 [
                        0 => array:2 [
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                          "autores" => array:1 [
                            0 => "L&#46; Mofenson"
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Semin Pediatr Infect Dis"
                        "fecha" => "1994"
                        "volumen" => "5"
                        "paginaInicial" => "252"
                        "paginaFinal" => "255"
                      ]
                    ]
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              "identificador" => "bib00025"
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                      "titulo" => "Relation of the course of HIV infection in children to the severity of the disease in their mothers at delivery"
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                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Blanche"
                            1 => "M&#46;J&#46; Mayaux"
                            2 => "C&#46; Rouzioux"
                            3 => "J&#46;P&#46; Teglas"
                            4 => "G&#46; Firtion"
                            5 => "F&#46; Monpoux"
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                    0 => array:2 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "1994"
                        "volumen" => "330"
                        "paginaInicial" => "308"
                        "paginaFinal" => "312"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7904046"
                            "web" => "Medline"
                          ]
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                    0 => array:2 [
                      "titulo" => "Identification of levels of maternal HIV-1 RNA associated with risk of perinatal transmission"
                      "autores" => array:1 [
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                          "etal" => true
                          "autores" => array:6 [
                            0 => "R&#46;E&#46; Dickover"
                            1 => "E&#46;M&#46; Garratly"
                            2 => "S&#46;A&#46; Herman"
                            3 => "M&#46;S&#46; Sim"
                            4 => "S&#46; Plaeger"
                            5 => "P&#46;J&#46; Boyer"
                          ]
                        ]
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1996"
                        "volumen" => "275"
                        "paginaInicial" => "599"
                        "paginaFinal" => "605"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8594240"
                            "web" => "Medline"
                          ]
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                ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vertical transmission of HIV-1&#58; maternal immune status and obstetric factors"
                      "autores" => array:1 [
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                          "colaboracion" => "European Collaborative Study&#46;"
                          "etal" => false
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                  "host" => array:1 [
                    0 => array:1 [
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                        "tituloSerie" => "AIDS"
                        "fecha" => "1996"
                        "volumen" => "10"
                        "paginaInicial" => "1675"
                        "paginaFinal" => "1681"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8970688"
                            "web" => "Medline"
                          ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Obstetrical factors and the transmission of human immunodeficicency virus type 1 from"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46;H&#46; Landesman"
                            1 => "L&#46;A&#46; Kalish"
                            2 => "D&#46;N&#46; Burns"
                            3 => "H&#46; Minkoff"
                            4 => "H&#46;E&#46; Fox"
                            5 => "C&#46; Zorrilla"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "mother to child N Engl J Med"
                        "fecha" => "1996"
                        "volumen" => "334"
                        "paginaInicial" => "1617"
                        "paginaFinal" => "1623"
                      ]
                    ]
                  ]
                ]
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              "identificador" => "bib00045"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mode of delivery and gestational age influence perinatal HIV-1 transmission"
                      "autores" => array:1 [
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                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46;A&#46; Tovo"
                            1 => "M&#46; De Martino"
                            2 => "C&#46; Gabiano"
                            3 => "L&#46; Galli"
                            4 => "N&#46; Capello"
                            5 => "E&#46; Ruga"
                          ]
                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Acq Immune Def Syndr Hum Retrovirol"
                        "fecha" => "1996"
                        "volumen" => "11"
                        "paginaInicial" => "88"
                        "paginaFinal" => "94"
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                    0 => array:2 [
                      "titulo" => "Timing of maternal-infant HIV transmission&#58; associations between intrapartum factors and early polymerase chain reaction results"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            1 => "E&#46;J&#46; Abrams"
                            2 => "P&#46;B&#46; Matheson"
                            3 => "P&#46;A&#46; Thomas"
                            4 => "G&#46; Lambert"
                            5 => "M&#46; Bamji"
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "AIDS"
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                        "volumen" => "11"
                        "paginaInicial" => "429"
                        "paginaFinal" => "435"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9084789"
                            "web" => "Medline"
                          ]
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                    0 => array:2 [
                      "titulo" => "and the Working Group on HIV-1 vertical transmission in Catalonia"
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                          "autores" => array:4 [
                            0 => "A&#46; Maguire"
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                            3 => "J&#46; Casabona"
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                      "Revista" => array:5 [
                        "tituloSerie" => "Potential risk factors for vertical HIV-1 transmission in Catalonia&#44; Spain&#58; the protective role of Cesarean section&#46; AIDS"
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                        "volumen" => "11"
                        "paginaInicial" => "1851"
                        "paginaFinal" => "1857"
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                    0 => array:2 [
                      "titulo" => "Neonatal predictors of infection status and early death among 332 infants at risk of HIV-1 infection monitored prospectively from birth"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            1 => "P&#46; Matheson"
                            2 => "P&#46;A&#46; Thomas"
                            3 => "D&#46; Thea"
                            4 => "K&#46; Krasinski"
                            5 => "G&#46; Lambert"
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "1995"
                        "volumen" => "96"
                        "paginaInicial" => "451"
                        "paginaFinal" => "458"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7651777"
                            "web" => "Medline"
                          ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Reduction of maternal-infant transmission of human immunodeficicency virus type 1 with zidovudine treatment"
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                          "etal" => true
                          "autores" => array:6 [
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                            1 => "R&#46;S&#46; Sperling"
                            2 => "R&#46; Gelber"
                            3 => "P&#46; Kiselev"
                            4 => "G&#46; Scott"
                            5 => "M&#46;J&#46; O&#39;Sullivan"
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                    0 => array:2 [
                      "doi" => "10.1056/NEJM199411033311801"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "1994"
                        "volumen" => "331"
                        "paginaInicial" => "1173"
                        "paginaFinal" => "1180"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7935654"
                            "web" => "Medline"
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                      "titulo" => "Maternal genotypic zidovudine resistance and infrequent failure of zidovudine therapy to prevent perinatal transmission of HIV-1 in pediatric AIDS Clinical trial Group Protocol 076"
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                        0 => array:2 [
                          "etal" => true
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                            1 => "D&#46;E&#46; Shapiro"
                            2 => "R&#46;W&#46; Coombs"
                            3 => "G&#46;D&#46; Mc-Sherry"
                            4 => "P&#46; Britto"
                            5 => "S&#46;A&#46; Herman"
                          ]
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:1 [
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                    0 => array:2 [
                      "titulo" => "Efficacy of antenatal zidovudine in reducing perinatal transmission of human immunodeficicency virus type 1"
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                          "etal" => true
                          "autores" => array:6 [
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                            1 => "E&#46;J&#46; Abrams"
                            2 => "P&#46; Thomas"
                            3 => "M&#46;A&#46; Hernan"
                            4 => "D&#46;M&#46; Thea"
                            5 => "G&#46; Lambert"
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Infect Dis"
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                        "volumen" => "172"
                        "paginaInicial" => "353"
                        "paginaFinal" => "358"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7622877"
                            "web" => "Medline"
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                      "titulo" => "Reduction in the risk of vertical transmission of HIV-1 associated with treatment of pregnant women with orally administered zidovudine alone"
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                          "etal" => false
                          "autores" => array:3 [
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                            2 => "W&#46;A&#46; Andiman"
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Acq Immune Def Syndr Hum Retrovirol"
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                      "titulo" => "Quantitation of human immunodeficiency virus type 1 during pregnancy&#58; relationship of viral titer to mother-tochild transmission and stability of viral load"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            4 => "R&#46; Grimson"
                            5 => "G&#46; Baxter"
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                        "tituloSerie" => "Proc Natl Acad Sci"
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                        "paginaInicial" => "8037"
                        "paginaFinal" => "8041"
                        "link" => array:1 [
                          0 => array:2 [
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                          "etal" => true
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                            2 => "R&#46;W&#46; Coombs"
                            3 => "J&#46;A&#46; Todd"
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                        "paginaFinal" => "1629"
                        "link" => array:1 [
                          0 => array:2 [
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                      "titulo" => "Viral load and HIV-1 vertical transmission"
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                  "host" => array:1 [
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                      "Revista" => array:5 [
                        "tituloSerie" => "J Acq Immune Def Syndr Hum Retrovirol"
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                        "paginaInicial" => "172"
                        "paginaFinal" => "175"
                        "link" => array:1 [
                          0 => array:2 [
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                          0 => array:2 [
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                      "titulo" => "Zidovudine administered to women infected with human immunodeficicency virus type 1 and to their neonates reduces pediatric infection independent of an effect on levels of maternal virus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
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                          ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Pediatr"
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                        "volumen" => "130"
                        "paginaInicial" => "906"
                        "paginaFinal" => "914"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9202612"
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              "identificador" => "bib000120"
              "etiqueta" => "24&#46;"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Case control study of HIV seroconversion in health care workers after percutaneous exposure to HIV-infected blood&#46; France&#44; United Kingdom and United States&#44; January 1988-August 1994"
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                        0 => array:2 [
                          "colaboracion" => "Centers for Disease Control&#46;"
                          "etal" => false
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                        "tituloSerie" => "MMWR"
                        "fecha" => "1995"
                        "volumen" => "44"
                        "paginaInicial" => "929"
                        "paginaFinal" => "933"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8531910"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib000125"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Detection of vertical transmission of human immunodeficicency virus type 1 by a commercial polymerase chain reaction assay"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "P&#46; Berm&#250;dez"
                            1 => "P&#46; Moreno"
                            2 => "R&#46; Delgado"
                            3 => "J&#46;T&#46; Ramos"
                            4 => "J&#46; Ruiz-Contreras"
                            5 => "A&#46;R&#46; Noriega"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Clin Microbiol Infect Dis"
                        "fecha" => "1996"
                        "volumen" => "15"
                        "paginaInicial" => "327"
                        "paginaFinal" => "330"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8781885"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib000130"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Factors predictive of maternal-fetal transmission of HIV-1&#46; Preliminary analysis oz zidovudine guven during pregnancy and&#47;or delivery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46;J&#46; Boyer"
                            1 => "M&#46; Dillon"
                            2 => "M&#46; Navaie"
                            3 => "A&#46; Deveikes"
                            4 => "M&#46; Keller"
                            5 => "S&#46;H&#46; O&#39;Rourke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1994"
                        "volumen" => "271"
                        "paginaInicial" => "1925"
                        "paginaFinal" => "1930"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7911164"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib000135"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effect of pregnancy and zidovudine therapy on viral load in HIV-1-infected women"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;J&#46; Melvin"
                            1 => "S&#46;K&#46; Burchett"
                            2 => "D&#46;H&#46; Watts"
                            3 => "J&#46; Hitti"
                            4 => "J&#46;P&#46; Hughes"
                            5 => "McLellan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Acq Immune Def Syndr"
                        "fecha" => "1997"
                        "volumen" => "14"
                        "paginaInicial" => "232"
                        "paginaFinal" => "236"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib000140"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Importance of maternal ZDV therapy in the reduction of perinatal transmission of HIV&#46; Abstracts of the 4th Conference on Retroviruses and Opportunistic Infections &#91;resumen 379&#93;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46;A&#46; Fiscus"
                            1 => "A&#46;A&#46; Adimora"
                            2 => "V&#46;J&#46; Schoenbach"
                            3 => "W&#46; Lim"
                            4 => "R&#46; McKinney"
                            5 => "D&#46; Rupar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Washington DC enero de"
                        "fecha" => "1997"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib000145"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "for the French Pediatric HIV infection Study Group&#46; Acceptability and impact of zidovudine prevention on mother to child transmission in France&#46; Abstracts of the 4th Conference on Retroviruses and Opportunistic Infections &#91;resumen 380&#93;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Blanche"
                            1 => "M&#46;J&#46; Mayaux"
                            2 => "L&#46; Mandelbrot"
                            3 => "C&#46; Rouzioux"
                            4 => "J&#46;F&#46; Delfraissy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Washington DC enero de"
                        "fecha" => "1997"
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                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib000150"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Metabolism of 3&#39;-azido-3&#39;-deoxythymidine &#40;ZDV&#41; in human placental trophoblasts and Hofbaur cells"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Quian"
                            1 => "T&#46; Bui"
                            2 => "R&#46;J&#46;Y&#46; Ho"
                            3 => "J&#46;D&#46; Unadkat"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Biochem Pharmacol"
                        "fecha" => "1994"
                        "volumen" => "48"
                        "paginaInicial" => "383"
                        "paginaFinal" => "389"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8053935"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib000155"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sociedad Espa&#241;ola de Ginecolog&#237;a y Obstetricia&#44; Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
                      "autores" => array:1 [
                        0 => array:2 [
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                          "autores" => array:2 [
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                            1 => "F&#46; Ome&#241;aca"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Recomendaciones sobre el uso de zidovudina &#40;ZDV&#41; en la prevenci&#243;n de la transmisi&#243;n vertical del VIH&#46; An Esp Ped"
                        "fecha" => "1995"
                        "volumen" => "42"
                        "paginaInicial" => "74"
                        "paginaFinal" => "77"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib000160"
              "etiqueta" => "32&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Public Health Service Task Force recommendations for the use of antiretroviral drugs in pregnant women infected with HIV-1 for maternal health and for reducing perinatal HIV-1 transmission in the United States&#46;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
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                      "Revista" => array:5 [
                        "tituloSerie" => "MMRW"
                        "fecha" => "1998"
                        "volumen" => "47"
                        "paginaInicial" => "1"
                        "paginaFinal" => "30"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib000165"
              "etiqueta" => "33&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Transmisi&#243;n vertical del virus de la inmunodeficiencia humana&#58; seis a&#241;os de evoluci&#243;n &#40;1987-1992&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46; Fortuny"
                            1 => "E&#46; S&#225;nchez"
                            2 => "O&#46; Coll"
                            3 => "R&#46; Jim&#233;nez Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "1996"
                        "volumen" => "107"
                        "paginaInicial" => "530"
                        "paginaFinal" => "532"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib000170"
              "etiqueta" => "34&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Implementation of United States Public Health Service &#40;USPHS&#41; recommendations to prevent perinatal HIV transmission&#58; pediatric HIV case surveillance&#44; US Abstracts of the 37th Interscience Conference on Antimicrobial Agents and Chemotherapy &#91;resumen I-118&#93;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;L&#46; Lindegreen"
                            1 => "P&#46; Fleming"
                            2 => "S&#46; Steinberg"
                            3 => "P&#46; Wotley"
                            4 => "E&#46; English"
                            5 => "R&#46; Byers"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Toronto&#44; septiembre de"
                        "fecha" => "1997"
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                  ]
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib000175"
              "etiqueta" => "35&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The sensitivity of HIV-1 DNA polymerase chain reaction in the neonatal period and the relative contributions of intra-uterine and intra-partum transmission"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;T&#46; Dunn"
                            1 => "C&#46;D&#46; Brandt"
                            2 => "A&#46; Krivine"
                            3 => "S&#46;A&#46; Cassol"
                            4 => "P&#46; Roques"
                            5 => "W&#46; Borkowsky"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "AIDS"
                        "fecha" => "1995"
                        "volumen" => "9"
                        "paginaInicial" => "7"
                        "paginaFinal" => "11"
                      ]
                    ]
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                ]
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            35 => array:3 [
              "identificador" => "bib000180"
              "etiqueta" => "36&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnosis of infection with human immunodeficicency virus type 1 by a DNA polymerase chain reaction assay among infants enrolled in the Women and Infants Transmission Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            1 => "J&#46;F&#46; Lew"
                            2 => "K&#46;P&#46; Malobisky"
                            3 => "E&#46; Cooper"
                            4 => "G&#46;W&#46; Hillyer"
                            5 => "J&#46; Pitt"
                          ]
                        ]
                      ]
                    ]
                  ]
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                      "Revista" => array:6 [
                        "tituloSerie" => "J Pediatr"
                        "fecha" => "1996"
                        "volumen" => "129"
                        "paginaInicial" => "198"
                        "paginaFinal" => "207"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8765616"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib000185"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Antiretroviral therapy for HIV infection in 1997&#46; Updated recommendations of the international AIDS society-USA panel"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;J&#46; Carpenter"
                            1 => "M&#46;A&#46; Fischl"
                            2 => "S&#46;M&#46; Hammer"
                            3 => "M&#46;S&#46; Hirsch"
                            4 => "D&#46;M&#46; Jacobsen"
                            5 => "D&#46;A&#46; Katzenstein"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1997"
                        "volumen" => "277"
                        "paginaInicial" => "1962"
                        "paginaFinal" => "1969"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9200638"
                            "web" => "Medline"
                          ]
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                    ]
                  ]
                ]
              ]
            ]
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