Bacterial infections in adult HIV-infected patients
| Autor: | Powel Kazanjian, Vijayalakshmi Nagappan |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
medicine.medical_specialty Clinical Trials as Topic AIDS-Related Opportunistic Infections business.industry Incidence (epidemiology) virus diseases HIV Infections Pcp prophylaxis Bacterial Infections medicine.disease Infectious Diseases Acquired immunodeficiency syndrome (AIDS) Case selection Internal medicine Antiretroviral Therapy Highly Active Immunology Epidemiology Hiv infected patients Medicine Humans Pharmacology (medical) In patient Cd4 cell count business |
| Zdroj: | HIV clinical trials. 6(4) |
| ISSN: | 1528-4336 |
| Popis: | The purpose of this article is to critically review articles published from the pre-HAART era to the present on bacterial infections in adult HIV-infected patients.Literature search on bacterial infections in HIV-infected patients yields predominantly small case series from single centers, many of which are retrospectively collected.Variations in case selection limit the utility of these articles for assessing the epidemiology and clinical features of a particular infection. Nonetheless, numerous articles indicate that certain bacterial infections occur most often when CD4 cell counts are200/mm3. In the pre-HAART era, others suggest that PcP prophylaxis with TMP/SMX and MAC prophylaxis with macrolides reduced rates of several bacterial infections. Since the advent of HAART, however, some articles suggest that the incidence of various infections has declined and that withdrawal of OI prophylaxis in patients who have had HAART restoration of CD4 cell counts has not led to an increase in certain bacterial infections.This review suggests that bacterial infections may have declined in the HAART era, as multicenter cohort studies have shown to be the case with AIDS-associated OIs. Nonetheless, preventive measures such as pneumococcal vaccination and smoking cessation remain effective strategies. |
| Databáze: | OpenAIRE |
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