共查询到20条相似文献,搜索用时 15 毫秒
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Immunological failure of first‐line and switch to second‐line antiretroviral therapy among HIV‐infected persons in Tanzania: analysis of routinely collected national data 下载免费PDF全文
Fiona M. Vanobberghen Bonita Kilama Alison Wringe Angela Ramadhani Basia Zaba Donan Mmbando Jim Todd 《Tropical medicine & international health : TM & IH》2015,20(7):880-892
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Banurekha Velayutham Mohideen Shaheed Jawahar Dina Nair Pooranagangadevi Navaneethapandian Chinnaiyan Ponnuraja Kandasamy Chandrasekaran Gomathi Narayan Sivaramakrishnan Marimuthu Makesh Kumar Paramasivam Paul Kumaran Santhanakrishnan Ramesh Kumar Dhanaraj Baskaran Daniel Bella Devaleenal Devarajulu Reddy Sirasanambati Mahalingam Vasantha Paramasivam Palaniyandi Geetha Ramachandran Kadayam Ranganathan Uma Devi Luke Elizabeth Hannah Gomathi Sekar Ammayappan Radhakrishnan Dharuman Kalaiselvi Angamuthu Dhanalakshmi Elangovan Thiruvalluvan Murugesan Raja Sakthivel Ayyamperumal Mahilmaran Rathinam Sridhar Lavanya Jayabal Prabhakaran Rathinam Prabhakar Angamuthu Kumaresan Soorappa Ponnusamy Perumal Venkatesan Mohan Natrajan Srikanth Prasad Tripathy Soumya Swaminathan 《Tropical medicine & international health : TM & IH》2020,25(4):483-495
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Mary‐Ann Davies Andrew Boulle Karl Technau Brian Eley Harry Moultrie Helena Rabie Daniela Garone Janet Giddy Robin Wood Matthias Egger Olivia Keiser for the IeDEA Southern Africa Collaboration 《Tropical medicine & international health : TM & IH》2012,17(11):1386-1390
Objectives To determine the improvement in positive predictive value of immunological failure criteria for identifying virological failure in HIV‐infected children on antiretroviral therapy (ART) when a single targeted viral load measurement is performed in children identified as having immunological failure. Methods Analysis of data from children (<16 years at ART initiation) at South African ART sites at which CD4 count/per cent and HIV‐RNA monitoring are performed 6‐monthly. Immunological failure was defined according to both WHO 2010 and United States Department of Health and Human Services (DHHS) 2008 criteria. Confirmed virological failure was defined as HIV‐RNA >5000 copies/ml on two consecutive occasions <365 days apart in a child on ART for ≥18 months. Results Among 2798 children on ART for ≥18 months [median (IQR) age 50 (21–84) months at ART initiation], the cumulative probability of confirmed virological failure by 42 months on ART was 6.3%. Using targeted viral load after meeting DHHS immunological failure criteria rather than DHHS immunological failure criteria alone increased positive predictive value from 28% to 82%. Targeted viral load improved the positive predictive value of WHO 2010 criteria for identifying confirmed virological failure from 49% to 82%. Conclusion The addition of a single viral load measurement in children identified as failing immunologically will prevent most switches to second‐line treatment in virologically suppressed children. 相似文献
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Peg‐interferon and ribavirin treatment in HIV/HCV co‐infected patients in Thailand: efficacy,safety and pharmacokinetics 下载免费PDF全文
E. J. Smolders N. Thammajaruk C. T. M. M. de Kanter A. Colbers P. Chaiyahong T. Cuprasitrut S. Chittmittraprap T. Apornpong S. Khemnark P. Tangkijvanich D. M. Burger A. Avihingsanon 《Tropical medicine & international health : TM & IH》2018,23(3):295-305
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Virological efficacy with first‐line antiretroviral treatment in India: predictors of viral failure and evidence of viral resuppression 下载免费PDF全文
Anita Shet Ujjwal Neogi N. Kumarasamy Ayesha DeCosta Suresh Shastri Bharat Bhushan Rewari 《Tropical medicine & international health : TM & IH》2015,20(11):1462-1472
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Predictive value of C‐reactive protein for tuberculosis,bloodstream infection or death among HIV‐infected individuals with chronic,non‐specific symptoms and negative sputum smear microscopy 下载免费PDF全文
Richard A. Bedell Monique van Lettow Christopher Meaney Elizabeth L. Corbett Adrienne K. Chan Robert S. Heyderman Suzanne T. Anderson Ann Åkesson Moses Kumwenda Rony Zachariah Anthony D. Harries Andrew R. Ramsay 《Tropical medicine & international health : TM & IH》2018,23(3):254-262
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Intensive adherence counselling for HIV‐infected individuals failing second‐line antiretroviral therapy in Johannesburg,South Africa 下载免费PDF全文
Matthew P. Fox Rebecca Berhanu Kim Steegen Cindy Firnhaber Prudence Ive David Spencer Sello Mashamaite Sadiyya Sheik Ingrid Jonker Pauline Howell Lawrence Long Denise Evans 《Tropical medicine & international health : TM & IH》2016,21(9):1131-1137
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Gerardo Alvarez‐Uria Praveen Kumar Naik Rhagavakalyan Pakam Manoranjan Midde 《Tropical medicine & international health : TM & IH》2012,17(9):1152-1155
Objectives To evaluate the performance of a single determination of HIV viral load (VL) 6–12 months after starting antiretroviral therapy (ART) for identifying patients who will subsequently develop virological failure. Methods We selected HIV‐infected patients with at least two VL determinations after 6 months of ART from an HIV cohort study in India. Patients were divided in two groups depending on whether the first VL was below (Group 1) or above (Group 2) 1000 copies/ml. Cut‐off for virological failure was defined according to World Health Organization recommendation (>5000 copies/ml). Results The study included 584 patients and 560.1 person‐years of follow‐up. Of all virological failures, 83% were diagnosed at the first VL determination. The cumulative incidence of virological failure after 1 and 2 years since the first VL was 0.9% [95% confidence interval (CI), 0.3–2.7] and 1.7% (95% CI, 0.6–5), respectively, for Group 1, and 58.2% (95% CI, 47–69.7) and 63.1% (95% CI, 49.8–76.4), respectively, for Group 2. Compared with Group 1, patients from Group 2 had a hazard ratio for virological failure of 78.3 (95% CI, 27.8–220.2). Conclusions A single VL determination after 6 months of ART was able to identify patients with high risk of virological failure. 相似文献
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Optimal antiretroviral therapy adherence as evaluated by CASE index score tool is associated with virological suppression in HIV‐infected adults in Dakar,Senegal 下载免费PDF全文
A. K. Byabene L. Fortes‐Déguénonvo K. Niang M. N. Manga A. N. H. Bulabula J. B. Nachega M. Seydi 《Tropical medicine & international health : TM & IH》2017,22(6):776-782