Antiretroviral Therapy to Prevent HIV Acquisition in Serodiscordant Couples in a Hyperendemic Community in Rural South Africa

by Catherine E. Oldenburg, Till Bärnighausen, Frank Tanser et al.
Clin Infect Dis. (2016) 63 (4): 548-554 – First published online: May 20, 2016

7 pp. 283 kB
http://cid.oxfordjournals.org/content/63/4/548.full.pdf#page=1&view=FitHcover

Antiretroviral therapy (ART) was highly efficacious in preventing human immunodeficiency virus (HIV) transmission in stable serodiscordant couples in the HPTN-052 study. The authors conclude that ART initiation was associated with a very large reduction in HIV acquisition in serodiscordant couples in rural KwaZulu-Natal. However, this “real-life” effect was substantially lower than the effect observed in the HPTN-052 trial. To eliminate HIV transmission in serodiscordant couples, additional prevention interventions are probably needed.

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