Research Topics
| A CoutsoudisSummaryAffiliation: University of Natal Country: South Africa Publications
| Collaborators
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Detail Information
Publications
Mother-to-child transmission of HIV-1 infection during exclusive breastfeeding in the first 6 months of life: an intervention cohort studyHoosen M Coovadia
Centre for HIV AIDS Networking, University of KwaZulu Natal, South Africa
Lancet 369:1107-16. 2007..We assessed the HIV-1 transmission risks and survival associated with exclusive breastfeeding and other types of infant feeding...
Flash-heat inactivation of HIV-1 in human milk: a potential method to reduce postnatal transmission in developing countriesKiersten Israel-Ballard
Division of Epidemiology, School of Public Health, University of California, Berkeley, CA 94720 7360, USA
J Acquir Immune Defic Syndr 45:318-23. 2007..The World Health Organization recommends heat-treated breast milk as an infant-feeding alternative. We investigated the ability of a simple method, flash-heat, to inactivate HIV in breast milk from HIV-positive mothers...
Short communication: CD4 counts of HIV-infected pregnant women and their infected children--implications for PMTCT and treatment programmesAnkie Lebon
Africa Centre for Health and Population Studies, University of KwaZulu Natal, South Africa
Trop Med Int Health 12:1472-4. 2007..The antenatal-postnatal divide needs to be bridged with respect to the follow-up of both HIV-infected women and their exposed infants...
Morbidity in children born to women infected with human immunodeficiency virus in South Africa: does mode of feeding matter?A Coutsoudis
Department of Paediatrics and Child Health, Nelson R Mandela School of Medicine, University of Natal, Congella, South Africa
Acta Paediatr 92:890-5. 2003..To examine infant morbidity risks associated with refraining from breastfeeding where it is used in an attempt to prevent mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV)...
Breast-feeding and HIV transmission: the jury is still outAnna Coutsoudis
Department of Paediatrics and Child Health, University of Natal, Private Bag 7, Congella 4013, South Africa
J Pediatr Gastroenterol Nutr 36:434-42. 2003
Infant feeding dilemmas created by HIV: South African experiencesAnna Coutsoudis
Department of Paediatrics and Child Health, University of KwaZulu Natal, South Africa
J Nutr 135:956-9. 2005..Mothers found it difficult to stop breast-feeding earlier than the norm, and it therefore is important that mothers considering early cessation of breast-feeding be given sufficient preparation and support...
Free formula milk for infants of HIV-infected women: blessing or curse?A Coutsoudis
Department of Paediatrics and Child Health, University of Natal, Congella, South Africa
Health Policy Plan 17:154-60. 2002....
Breastfeeding and risk of HIV transmission: an updateAnna Coutsoudis
Department of Paediatrics and Child Health, University of Natal, South Africa
Forum Nutr 56:162-4. 2003
Routinely available cotrimoxazole prophylaxis and occurrence of respiratory and diarrhoeal morbidity in infants born to HIV-infected mothers in South AfricaA Coutsoudis
Department of Paediatrics and Child Health, University of KwaZulu Natal, Durban, South Africa
S Afr Med J 95:339-45. 2005..To examine the influence of cotrimoxazole (CTM) prophylaxis on incidence of lower respiratory tract infections (LRTIs) and diarrhoea...
Method of feeding and transmission of HIV-1 from mothers to children by 15 months of age: prospective cohort study from Durban, South AfricaA Coutsoudis
Department of Paediatrics and Child Health, University of Natal, Congella, South Africa
AIDS 15:379-87. 2001..To determine the risk of HIV transmission by infant feeding modality...
Influence of infant-feeding patterns on early mother-to-child transmission of HIV-1 in Durban, South Africa: a prospective cohort study. South African Vitamin A Study GroupA Coutsoudis
Department of Paediatrics and Child Health, University of Natal, South Africa
Lancet 354:471-6. 1999..We compared transmission rates in exclusively breastfed, mixed-fed, and formula-fed (never breastfed) infants to assess whether the pattern of breastfeeding is a critical determinant of early mother-to-child transmission of HIV-1...
A health and nutritional profile of rural school children in KwaZulu-Natal, South AfricaC C Jinabhai
Department of Community Health, School of Family and Public Health Medicine, University of Natal, Private Bag 7, Congella 4013, Durban, South Africa
Ann Trop Paediatr 21:50-8. 2001..Micronutrient supplementation and de-worming provide opportunities for school-based health promotion and primary health care interventions, and might produce significant health and educational benefits...
A randomized controlled trial of the effect of antihelminthic treatment and micronutrient fortification on health status and school performance of rural primary school childrenC C Jinabhai
Department of Community Health, Nelson R Mandela School of Medicine, University of Natal, Durban, South Africa
Ann Trop Paediatr 21:319-33. 2001....
Influence of infant feeding patterns on early mother-to-child transmission of HIV-1 in Durban, South AfricaA Coutsoudis
Department of Paediatrics and Child Health, University of Natal, Congella, South Africa
Ann N Y Acad Sci 918:136-44. 2000..If confirmed, exclusive breastfeeding may offer HIV-infected women in developing countries an affordable, culturally acceptable, and effective means of reducing MTCT of HIV-1 while maintaining the overwhelming benefits of breastfeeding...
Secretory leukocyte protease inhibitor in vaginal fluids and perinatal human immunodeficiency virus type 1 transmissionK Pillay
Department of Paediatrics and Child Health, Nelson R Mandela School of Medicine, University of Natal, Private Bag 7, Congella, 4013, Republic of South Africa
J Infect Dis 183:653-6. 2001..174 virions/mL; P=.09). Increased concentrations of selected innate mucosal immune factors, such as SLPI, seem to be associated with reduced rates of perinatal HIV-1 transmission and may contribute to natural antiretroviral defense...
Infant feeding counselling for HIV-infected and uninfected women: appropriateness of choice and practiceR M Bland
Africa Centre for Health and Population Studies, University of KwaZulu Natal, South Africa
Bull World Health Organ 85:289-96. 2007..To examine infant feeding intentions of HIV-infected and uninfected women and the appropriateness of their choices according to their home resources; and to determine their adherence to their intentions in the first postnatal week...
Messages about dual contraception in areas of high HIV prevalence are not heededN Ngubane
Africa Centre for Health and Population Studies, University of KwaZulu Natal, Durban
S Afr Med J 98:209-12. 2008..It is critical for HIV-negative women to prevent seroconversion and HIV transmission to their infants during pregnancy and breastfeeding...
HIV in pregnancy: strategies for managementH M Coovadia
Department of Paediatrics and Child Health, University of Natal, Congella, 4013, South Africa
Semin Neonatol 5:181-8. 2000..Strategies suitable and inappropriate for developing countries, and operational difficulties, are discussed...
Feeding mode, intestinal permeability, and neopterin excretion: a longitudinal study in infants of HIV-infected South African womenN C Rollins
Department of Pediatrics, University of Natal, Durban, South Africa
J Acquir Immune Defic Syndr 28:132-9. 2001..The effects of feeding mode on infant intestinal permeability or urinary neopterin excretion do not explain a possible protective effect of exclusive breast feeding on mother-to-child transmission of HIV...
Rapid testing may not improve uptake of HIV testing and same day results in a rural South African community: a cohort study of 12,000 womenNtombizodumo B Mkwanazi
Africa Centre for Health and Population Studies, University of KwaZulu Natal, Durban, South Africa
PLoS ONE 3:e3501. 2008..We report on the acceptability of HIV counselling and testing, and uptake of results, before and after the introduction of rapid testing in this area...
Growth in early childhood in a cohort of children born to HIV-1-infected women from Durban, South AfricaR Bobat
Department of Paediatrics, Nelson R Mandela School of Medicine, University of Natal, Private Bag 7, Congella 4013, South Africa
Ann Trop Paediatr 21:203-10. 2001..Early nutritional intervention might help prevent early progression or death in HIV-infected children, particularly in developing countries without access to anti-retroviral therapy in state hospitals...
Epidemiology of helminth infections: implications for parasite control programmes, a South African perspectiveC C Jinabhai
Department of Community Health, Nelson R Mandela School of Medicine, University of Natal, Congella, South Africa
Public Health Nutr 4:1211-9. 2001..To assess the South African government's parasite control policy...
Duration, pattern of breastfeeding and postnatal transmission of HIV: pooled analysis of individual data from West and South African cohortsRenaud Becquet
Africa Centre for Health and Population Studies, University of KwaZulu Natal, Somkhele, South Africa
PLoS ONE 4:e7397. 2009..Both breastfeeding pattern and duration are associated with postnatal HIV acquisition; their relative contribution has not been reliably quantified...
HIV, infant feeding and more perils for poor people: new WHO guidelines encourage review of formula milk policiesAnna Coutsoudis
Department of Paediatrics and Child Health, Nelson R Mandela School of Medicine, University of KwaZulu Natal, South Africa
Bull World Health Organ 86:210-4. 2008..Exclusive breastfeeding, which is threatened by the HIV epidemic, remains an unfailing anchor of child survival...
GB virus type C coinfection in HIV-infected African mothers and their infants, KwaZulu Natal, South AfricaMahomed A Sathar
Department of Medicine, Nelson R Mandela School of Medicine, Faculty of Health Sciences, University of Natal, Congella, Durban, South Africa
Clin Infect Dis 38:405-9. 2004..The immunological indices measured tend to suggest an association with protection and or delayed progression of HIV disease in GBV-C-infected mothers...
Weight evolution and perceptions of adults living with HIV following initiation of antiretroviral therapy in a South African urban settingE Hurley
Department of Family Medicine, University of KwaZulu Natal, Durban
S Afr Med J 101:645-50. 2011..Obesity and undernutrition are common in South Africa and influence the health outcomes of people living with the human immunodeficiency virus (PLHIV)...
Vertical HIV transmission in South Africa: translating research into policy and practiceSalim Abdool Karim
University of Natal, 4041, South Africa
Lancet 359:992-3. 2002
Intervention to promote exclusive breast-feeding for the first 6 months of life in a high HIV prevalence areaRuth M Bland
Africa Centre for Health and Population Studies, University of KwaZulu Natal, Mtubatuba, KwaZulu Natal, South Africa
AIDS 22:883-91. 2008..We report on a nonrandomized intervention cohort study to increase exclusive breast-feeding rates for 6 months after delivery in HIV-positive and HIV-negative women in KwaZulu-Natal, South Africa...
HIV, infant feeding, and survival: old wine in new bottles, but brimming with promiseHoosen M Coovadia
Nelson Mandela School of Medicine, University of Kwazulu/Natal, 719 Umbilo Road, Congella 4013, South Africa
AIDS 21:1837-40. 2007
Breastfeeding and HIVAnna Coutsoudis
Department of Paediatrics and Child Health, Room 261, Doris Duke Medical Research Institute, Nelson R Mandela School of Medicine, University of KwaZulu Natal, Private Bag 7, Congella 4013, South Africa
Best Pract Res Clin Obstet Gynaecol 19:185-96. 2005..The research agenda is very full as many questions still remain unanswered...
Effects of the human immunodeficiency virus on tuberculosis in childrenP M Jeena
Department of Paediatrics and Child Health, Faculty of Medicine, University of Natal, Congella, South Africa
Tuber Lung Dis 77:437-43. 1996..In children however, unlike in adults, very little has been documented about the interaction between the two diseases...
Infant feeding, HIV transmission and mortality at 18 months: the need for appropriate choices by mothers and prioritization within programmesNigel C Rollins
Department of Paediatrics and Child Health, Nelson R Mandela School of Medicine, University of KwaZulu Natal, Congella, South Africa
AIDS 22:2349-57. 2008..To determine the late HIV transmission and survival risks associated with early infant feeding practices...
Breastfeeding and the HIV positive mother: the debate continuesAnna Coutsoudis
Department of Paediatrics and Child Health, Room 261, Doris Duke Medical Research Institute, Nelson R Mandela School of Medicine, University of KwaZulu Natal, Private Bag 7, Congella 4013, South Africa
Early Hum Dev 81:87-93. 2005..Anti-retroviral therapy to the mother and/or infant is likely to offer the possibility of maintaining breastfeeding as a safe option for HIV-infected women...
HIV-Associated Tuberculosis in the Newborn and Young InfantM Adhikari
Neonatal Team, Nelson R Mandela School of Medicine, University of KwaZulu Natal, P O Box 17049, Congella, Durban 4013, South Africa
Int J Pediatr 2011:354208. 2011..Perinatal outcomes are guarded even with treatment of both diseases. Exclusive breast feeding is recommended. The community and social impact are crippling. The social issues aggravate the prognosis of these two diseases...
Pregnancy outcomes in HIV-infected and uninfected women in rural and urban South AfricaNigel C Rollins
Department of Paediatrics and Child Health, Nelson R Mandela School of Medicine, University of KwaZulu Natal, Congella 4013, South Africa
J Acquir Immune Defic Syndr 44:321-8. 2007..To describe pregnancy outcomes among clade C HIV-infected and uninfected women in South Africa...
Scaling-up exclusive breastfeeding support programmes: the example of KwaZulu-NatalChris Desmond
Human Sciences Research Council, Durban, South Africa
PLoS ONE 3:e2454. 2008..We present a costing and cost effectiveness analysis of a successful intervention to promote EBF in high HIV prevalence area in South Africa, and implications for scale-up in the province of KwaZulu-Natal...
The prevention of mother-to-child HIV transmission programme and infant feeding practicesAnna Coutsoudis
S Afr Med J 94:70. 2004
Antiretroviral prophylaxis to reduce breast-milk HIV-1 transmissionHoosen M Coovadia
N Engl J Med 359:1846; author reply 1848. 2008
Preventing postnatal transmission of HIV-1 through breast-feeding: modifying infant feeding practicesNigel Rollins
Africa Centre for Health and Population Studies, Mtubatuba, South Africa
J Acquir Immune Defic Syndr 35:188-95. 2004..This may inform policy, programming, and training options and may be especially valuable in the absence of conclusive data on the efficacy of the interventions to be applied during the breast-feeding period...
Breastmilk RNA viral load in HIV-infected South African women: effects of subclinical mastitis and infant feedingJuana F Willumsen
Centre for International Child Health, Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1EH, UK
AIDS 17:407-14. 2003..Multivariate models had limited predictive value for milk RNA viral load, illustrating the multiple contributors to viral load...
Reply to 'Mode of infant feeding and HIV infection in children in a program for prevention of mother-to-child transmission in Uganda' by Magoni et alAnna Coutsoudis
AIDS 19:1718-9; author reply 1720-1. 2005
Late postnatal transmission of HIV-1 in breast-fed children: an individual patient data meta-analysisAnna Coutsoudis
J Infect Dis 189:2154-66. 2004..Biological and cultural mechanisms underlying the association between sex and late postnatal transmission should be further investigated. Interventions to decrease transmission of HIV-1 through breast-feeding are urgently needed...
Synergy between mannose-binding lectin gene polymorphisms and supplementation with vitamin A influences susceptibility to HIV infection in infants born to HIV-positive mothersLouise Kuhn
Gertrude H Sergievsky Center, College of Physicians and Surgeons, and the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
Am J Clin Nutr 84:610-5. 2006..Mannose-binding lectin (MBL-2) allele variants are associated with deficiencies in innate immunity and have been found to be correlated with HIV infection in adults and children...
Exclusive breast-feeding and HIV transmissionAnna Coutsoudis
AIDS 16:498-9. 2002
Vitamin content of breast milk from HIV-1-infected mothers before and after flash-heat treatmentKiersten A Israel-Ballard
Department of Pediatrics, University of California, Davis Medical Center, 2516 Stockton Boulevard, Room 334, Sacramento, CA 95817, USA
J Acquir Immune Defic Syndr 48:444-9. 2008..Flash-heat is a simple heat treatment method shown to inactivate cell-free HIV...
