Table 1:
Immediate isoniazid preventive therapy (n=369) | Deferred isoniazid preventive therapy (n=380) | |
---|---|---|
Maternal characteristics | ||
Country | ||
Botswana (2 sites) | 53 (14%) | 54 (14%) |
Haiti (1 site) | 6 (2%) | 9 (2%) |
India (1 site) | 9 (2%) | 10 (3%) |
South Africa (3 sites) | 59 (16%) | 53 (14%) |
Tanzania (1 site) | 29 (8%) | 32 (8%) |
Thailand (1 site) | 13 (4%) | 17 (4%) |
Uganda (1 site) | 59 (16%) | 60 (16%) |
Zimbabwe (3 sites) | 141 (38%) | 145 (38%) |
Age at entry, years | 29 (25 to 34) | 29 (24 to 33) |
CD4 count, cells per mm3 | 491 (348 to 670) | 499 (350 to 693) |
Undetectable HIV-1 RNA | 229 (62%) | 236 (62%) |
IGRA result | ||
Positive* | 106 (29%) | 117 (31%) |
Negative | 233 (63%) | 233 (61%) |
Indeterminate | 23 (6%) | 25 (7%) |
Unknown | 7 (2%) | 5 (1%) |
TST result at delivery (or up to 6 weeks postpartum) | ||
Positive† | 48 (13%) | 52 (14%) |
Negative | 301 (82%) | 309 (81%) |
Unknown | 20 (5%) | 19 (5%) |
Completed entire isoniazid regimen | 336 (91%) | 339 (89%) |
Duration of isoniazid therapy, weeks | 28 (27 to 29) | 28 (27 to 28) |
Infant characteristics | ||
Sex Female |
189 (51%) | 188 (49%) |
Male | 180 (49%) | 192 (51%) |
HIV positive‡ | 2 (1%) | 5 (1%) |
Reported tuberculosis exposure§ | 10 (3%) | 10 (3%) |
Timing of tuberculosis exposure, study week | 28·5 (11 to 41) | 30 (17 to 39) |
BCG vaccination status (scar or record of receipt) | 344 (93%) | 350 (92%) |
BCG scar present | 299 (81%) | 304 (80%) |
Documented record of receipt | 242 (66%) | 260 (68%) |
WHO weight-for-age Z score | ||
Mean | −0·3 (2·8) | −0·5 (1·2) |
Median | −0·5 (−1·3 to 0·3) | −0·5 (−1·4to 0·3) |
Exclusive breastfeeding for any duration | 303 (82%) | 297 (78%) |
Exclusive breastfeeding duration¶ | ||
Mean (SD), weeks | 23·0 (12·9) | 21·9 (13·1) |
Median (IQR), weeks | 30 (17 to 30) | 30 (10 to 30) |
0 week | 66 (18%) | 83 (22%) |
>0–12 weeks | 20 (5%) | 17 (4%) |
>12–24 weeks | 43 (12%) | 31 (8%) |
>24–36 weeks | 212 (57%) | 235 (62%) |
>36 weeks | 28 (8%) | 14 (4%) |
Timing of tuberculosis tests | ||
TST before IGRA blood draw (≥7 days) | 7 (2%) | 9 (2%) |
TST after IGRA blood draw | 350 (95%) | 366 (96%) |
IGRA not performed | 12 (3%) | 5 (1%) |
Data are n (%) median (IQR), unless otherwise indicated. Some percentages do not sum to 100 due to rounding. BCG=Bacille Calmette-Guérin. IGRA=interferon-γ release assay. TST=tuberculin skin test.
Defined as an interferon-γ concentration of ≥0·35 IU/mL.
Defined as an induration diameter ≥5 mm for mothers with HIV and ≥10 mm for mothers without HIV.
Assessed at birth, at 48 weeks after delivery, and at the time of suspected tuberculosis disease.
14 exposures were household contacts, including five maternal exposures, and six were non-household contacts.
Calculated as the time from birth to the last study visit where breastfeeding was reported.