Incidence of Allergic Drug Eruption due to Cotrimoxazole in HIV-Positive Individuals with CD4 ≤200 Cells/ul

Autor: Irene Rosali MD, Putu Siska Virgayanti MD, Della Sabrina Marta MD, Emon Winardi Danudirgo MD, Sisca Hadinata MD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of the International Association of Providers of AIDS Care, Vol 22 (2023)
Druh dokumentu: article
ISSN: 2325-9582
23259582
DOI: 10.1177/23259582221146946
Popis: Allergic drug eruptions (ADE) remain a challenge in people living with HIV (PLWH), requiring more studies to guide clinical approaches. While cotrimoxazole is widely used as prophylaxis in PLWH, relationship between client characteristics toward the occurrence of cotrimoxazole ADEs is still poorly understood. A retrospective cohort study followed PLWH initiated with antiretroviral therapy (ART) in St. Carolus Hospital between January 2009 to December 2021. ADE occurrence due to cotrimoxazole were tested for significance using Pearson's Chi-square and Fisher's Exact Test (significant outcome measured as p 0.05). No significant difference was found in ADE incidence between age groups, genders, CD4 levels, comorbidities, and ART retention. Cotrimoxazole-induced ADE is unrelated to CD4 levels, and ART retention was not affected. ADE severity ranges from mild to serious manifestations, and close monitoring is crucial to ensure ADEs are treated ART are well-maintained.
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