Tuberculosis preventive therapy (TPT) to prevent tuberculosis co-infection among adults with HIV-associated cryptococcal meningitis: A clinician's perspective

被引:5
作者
Kasibante, John [1 ]
Rutakingirwa, Morris K. [1 ]
Kagimu, Enock [1 ]
Ssebambulidde, Kenneth [1 ]
Ellis, Jayne [1 ,2 ]
Tugume, Lillian [1 ]
Mpoza, Edward [1 ]
Cresswell, Fiona [2 ,3 ,4 ]
Meya, David B. [1 ,5 ]
机构
[1] Makerere Univ, Infect Dis Inst, POB 22418, Kampala, Uganda
[2] London Sch Hyg & Trop Med, Clin Res Dept, Keppel St, London WC1E 7HT, England
[3] Med Res Council Uganda Virus Res Inst, Entebbe, Uganda
[4] London Sch Hyg & Trop Med, Uganda Res Unit, Entebbe, Uganda
[5] Makerere Univ, Coll Hlth Sci, Sch Med, Kampala, Uganda
关键词
HIV; Cryptococcal meningitis; Tuberculosis; Tuberculosis preventive therapy; Cryptococcosis; AIDS; ANTIRETROVIRAL THERAPY; INFECTED ADULTS; HEPATOTOXICITY; RISK;
D O I
10.1016/j.jctube.2020.100180
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
As part of the END TB strategy, the World Health organization (WHO) recommends provision of tuberculosis preventive therapy (TPT) to all people at high risk of developing active TB disease. Patients with HIV-associated cryptococcal meningitis are severely immunocompromised and therefore should be eligible for TPT. In this commentary we discuss the challenges associated with starting tuberculosis preventive therapy in patients with HIV associated cryptococcal meningitis in a clinical setting, we highlight the benefit, existing gaps and research opportunities of tuberculosis preventive therapy in this patient population.
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