Document 0223 DOCN M9550223 TI Mother-to-child HIV-1 transmission: quantitative assessment of viral burden as a diagnostic tool and prognostic parameter in HIV-1-infected children. DT 9505 AU De Rossi A; Ometto L; Zanotto C; Salvatori F; Masiero S; Mammano F; Chieco-Bianchi L; Institute of Oncology, University of Padua, Italy. SO Acta Paediatr Suppl. 1994 Aug;400:25-8. Unique Identifier : AIDSLINE MED/95135013 AB Polymerase chain reaction was performed in 251 infants born to HIV-1-seropositive mothers to diagnose HIV-1 infection. Assay specificity was invariably > 95%, regardless of age at testing, while sensitivity ranged from 15% in neonates (within 48 h of birth) to > 95% in infants over 1 month of age. Evaluation of viral burden in 43 infected infants by means of quantitative DNA-PCR disclosed that the number of HIV-1 proviruses ranged from 5 to 947 per 100,000 peripheral blood mononuclear cells. Clinical follow-up demonstrated that a high viral burden was associated significantly with disease onset. DE *Disease Transmission, Vertical DNA, Viral/*ANALYSIS Female Human HIV Antibodies/BLOOD HIV Antigens/BLOOD HIV Core Protein p24/BLOOD HIV Envelope Protein gp120/BLOOD HIV Infections/*DIAGNOSIS/IMMUNOLOGY/TRANSMISSION/VIROLOGY *HIV-1 Infant Infant, Newborn Leukocytes, Mononuclear/VIROLOGY *Mothers *Polymerase Chain Reaction Prognosis Sensitivity and Specificity Support, Non-U.S. Gov't JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).