Global Trends in CD4 Measurement and Immunosuppression at ART Initiation Among Children With HIV

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dc.contributor.author Gabriela Patten, Karen Malateste , Carolyn Bolton Moore , Nosisa Sipambo Limpho Mokone , Nanina Anderegg , Kara Wools-Kaloustian , Denna Michael Francesca Odhiambo Charles Kasozi , Sophie Desmonde Madeleine Amorissani-Folquet Valériane Leroy , Dewi Kumara Wati , Revathy Nallusamy Aarti Kinikar Du Tuan Quy , Marcel Yotebieng , Peter Vanes Ebasone , Patricia Lelo Jorge Pinto , Vanessa Rouzier Daisy Maria Machado , Nel Jason Haw , Nathan Ford; International epidemiology Databases to Evaluate AIDS collaboratio
dc.date.accessioned 2026-03-31T12:15:26Z
dc.date.available 2026-03-31T12:15:26Z
dc.date.issued 2025-08
dc.identifier.uri https://doi.org/10.1097/inf.0000000000004819
dc.identifier.uri http://repository.kemri.go.ke:8080/xmlui/handle/123456789/1822
dc.description.abstract Eligibility for antiretroviral therapy is no longer based on immune criteria. In a global cohort of 97,453 children, between 2005 and 2021, we observed large declines in CD4 measurement, from 51% to 12% among <5 seconds, and from 74% to 20% among those 5-14 years of age. Lack of CD4 testing may negatively affect clinical care and surveillance of severe immune suppression. en_US
dc.language.iso en en_US
dc.publisher The Peadiatric Infectious Disease Journal en_US
dc.subject CD4 cell count; advanced HIV disease; antiretroviral therapy; pediatric HIV; severe immune suppression. en_US
dc.title Global Trends in CD4 Measurement and Immunosuppression at ART Initiation Among Children With HIV en_US
dc.type Article en_US


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