Sustained Immunological Responses to Highly Active Antiretroviral Therapy at 36 Months in a Ghanaian HIV Cohort

被引:14
作者
Collini, Paul [1 ,5 ,6 ]
Schwab, Uli [2 ,5 ,6 ]
Sarfo, Stephen [5 ,6 ]
Obeng-Baah, Joseph [5 ,6 ]
Norman, Betty [5 ,6 ]
Chadwick, David [3 ]
Bibby, David [4 ]
Bedu-Addo, George [5 ,6 ]
机构
[1] Univ Sheffield, Sch Med & Biomed Sci, Sheffield S10 2RX, S Yorkshire, England
[2] Newcastle Gen Hosp, Dept Infect Dis & Trop Med, Newcastle Upon Tyne NE4 6BE, Tyne & Wear, England
[3] James Cook Univ Hosp, Dept Infect & Travel Med, Middlesbrough, Cleveland, England
[4] Barts & London Hosp, Dept Virol, London, England
[5] Komfo Anokye Teaching Hosp, Dept Med, Kumasi, Ghana
[6] Kwame Nkrumah Univ Sci & Technol, Sch Med Sci, Kumasi, Ghana
关键词
RESOURCE-LIMITED SETTINGS; CD4 CELL COUNT; OUTCOMES; AFRICA;
D O I
10.1086/597353
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Two hundred thirty-seven Ghanaian human immunodeficiency virus-infected patients who were starting antiretroviral therapy underwent clinical and immunological monitoring for 3 years. Seventy-eight percent of patients had disease classified as World Health Organization stage III or IV. The mean increase in the CD4 cell count was 395 cells/mm(3), 13% of patients experienced immunological failure, and 8% of patients switched treatment to a second-line regimen. However, two-thirds of patients who experienced immunological failure did not switch treatment, and 31% of all patients were lost to follow-up.
引用
收藏
页码:988 / 991
页数:4
相关论文
共 12 条
  • [1] [Anonymous], 2006, ANT THER HIV INF AD
  • [2] Can routine clinical markers be used longitudinally to monitor antiretroviral therapy success in resource-limited settings?
    Bagchi, Shashwatee
    Kempf, Mirjam C.
    Westfall, Andrew O.
    Maherya, Anastasiya
    Willig, James
    Saag, Michael S.
    [J]. CLINICAL INFECTIOUS DISEASES, 2007, 44 (01) : 135 - 138
  • [3] BASENERO A, 2007, 4 INT AIDS SOC C HIV
  • [4] Coutinho A, 2008, 15 C RETR OPP INF BO
  • [5] *GHAN HLTH SERV, 2003, HIV SENT SURV REP 20
  • [6] *GHAN HLTH SERV, 2003, GUID US ANT THER ACC
  • [7] Antiretroviral therapy using zidovudine, lamivudine, and efavirenz in South Africa: tolerability and clinical events
    Hoffmann, Christopher J.
    Fielding, Katherine L.
    Charalambous, Salome
    Sulkowski, Mark S.
    Innes, Craig
    Thio, Chloe L.
    Chaisson, Richard E.
    Churchyard, Gavin J.
    Grant, Alison D.
    [J]. AIDS, 2008, 22 (01) : 67 - 74
  • [8] HOSSEINIPOUR M, 2007, 4 INT AIDS SOC C HIV
  • [9] CD4 cell count recovery among HIV-infected patients with very advanced immunodeficiency commencing antiretroviral treatment in sub-Saharan Africa
    Lawn, SD
    Myer, L
    Bekker, LG
    Wood, R
    [J]. BMC INFECTIOUS DISEASES, 2006, 6 (1)
  • [10] May M, 2007, AIDS, V21, P1185, DOI 10.1097/QAD.0b013e328133f285