Elevated aspartate aminotransferase-to-platelet ratio index in perinatally HIV-infected children in the United States.

Pediatr Infect Dis J

From the *Maternal and Pediatric Infectious Disease Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD; †Department of Epidemiology and Center for Biostatistics in AIDS Research (CBAR), Harvard School of Public Health, Boston, MA; ‡Department of Pediatrics, Federal University of Minas Gerais, Belo Horizonte, Brazil; §Children's Diagnostic and Treatment Center, Inc., Fort Lauderdale; ¶Department of Pediatrics, University of Florida, Jacksonville; ‖Department of Pediatrics, Division of Pediatric Clinical Research, Miller School of Medicine at the University of Miami, Miami, FL; and **Department of Pediatrics, Tulane University Health Sciences Center, New Orleans, LA.

Published: August 2014

AI Article Synopsis

  • Elevated aspartate aminotransferase-to-platelet ratio index may indicate liver fibrosis in children with perinatal HIV infection.
  • In a study of 397 US children, a ratio greater than 1.5 was found in 0.8% and greater than 0.5 in 6.5% at baseline.
  • The long-term liver health in these children needs more research to fully understand the implications of HIV on liver outcomes.

Article Abstract

Elevated aspartate aminotransferase-to-platelet ratio index may signal liver fibrosis. Among 397 US children with perinatal HIV infection, at baseline was >1.5 in 0.8% [95% confidence interval (CI), 0.2-2.2%) and >0.5 in 6.5% (95% CI, 4.3-9.4%); incidence on study was 0.5 (95% CI, 0.2-1.2) and 6.4 (95% CI, 4.8-8.3) per 100 person-years, respectively. Long-term liver outcomes after perinatal HIV infection warrant further study.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166595PMC
http://dx.doi.org/10.1097/INF.0000000000000348DOI Listing

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