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. Author manuscript; available in PMC: 2011 Mar 28.
Published in final edited form as: AIDS. 2010 Feb 20;24(4):557–561. doi: 10.1097/QAD.0b013e3283346e60

Table 2.

Factors associated with detection of NVP resistance in breast milk 4 weeks after sdNVP administration (Uganda, 2003–2004).

N BM Resistance No BM Resistance P value
Number of women 30 12 18
Maternal plasma NVP resistance at 4 weeks 30 8/12 (66.7%) 5/18 (27.8%) 0.06 c
Median maternal pre-NVP viral load 30 1002 1035 0.33 b
Median maternal pre-NVP CD4 cell count 30 0.371 0.341 0.75 b
Median breast milk viral load at 4 weeks 30 352 200 0.37 b
Median pre-NVP breast milk WBC 30 6.90 5.85 0.18 b
Breast milk sodium ≥ 10 mmol/L at 1 week 22 7/11 (64%) 3/11 (27%) 0.20 c
Breast milk sodium ≥ 10 mmol/L at 4 weeks 19 5/10 (50%) 2/9 (22%) 0.35 c

HIV subtypea 30 0.10 c
A 4/12 (33.3%) 11/18 (61.1%)
C 1/12 (8.3%) 0/18 (0%)
D 5/12 (41.7%) 7/18 (38.9%)
Intersubtype recombinant 2/12 (16.7%) 0/18 (0%)
Non-A 8/12 (66.7%) 7/18 (38.9%) 0.26 c
Non-D 7/12 (58.3%) 11/18 (61.1%) 1.00 c

Pharmacokinetic analysis d
Detection of NVP in plasma at 1 week 30 12/12 (100%) 18/18 (100%) 1.00 c
Detection of NVP in plasma at 2 weeks 29 8/11 (72.7%) 13/18 (72.2%) 1.00 c
Median NVP level in plasma at 1 week (range) 30 133 (16–379) 168 (20–744) 0.37 b
Median NVP level in plasma at 2 weeks (range) 29 16 (<10–46) 16 (<10–83) 0.98 b
Detection of NVP in breast milk at 1 week 29 11/12 (91.7%) 17/17 (100%) 0.41 c
Detection of NVP in breast milk at 2 weeks 23 8/10 (80%) 8/13 (61.5%) 0.40 c
Median NVP level in breast milk at 1 week (range) 29 82 (<10–226) 132 (31–576) 0.14 b
Median NVP level in breast milk at 2 weeks (range) 23 15 (<10–33) 14 (<10–64) 0.70 b
a

P value for all subtypes.

b

Wilcoxon test

c

Fisher’s exact test

d

NVP levels below 10 ng/ml were below the limit of quantification of the assay.