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Frequency and impact of suboptimal immune recovery on first-line antiretroviral therapy within the International Epidemiologic Databases to Evaluate AIDS in East Africa
- Source :
- AIDS (London, England). 30(12)
- Publication Year :
- 2016
-
Abstract
- OBJECTIVE To describe patterns of suboptimal immune recovery (SO-IR) and associated HIV-related-illnesses during the first 5 years following first-line antiretroviral therapy (ART) initiation across seven ART sites in East Africa. DESIGN Retrospective analysis of data from seven ART clinical sites (three Uganda, two Kenya and two Tanzania). METHODS SO-IR was described by proportions of ART-treated adults with CD4 cell counts less than 200, less than 350 and less than 500 cells/μl. Kaplan-Meier survival analysis techniques were used to assess predictors of SO-IR, and incident rates of HIV-related illnesses at CD4 cell counts less than 200, 200-350, 351-499, and >500 cells/μl, respectively. RESULTS Overall 80 843 adults initiated non-nucleoside reverse transcriptase inhibitor-based first-line ART; 65% were women and median CD4 cell count was 126 [interquartile range (IQR), 52-202] cells/μl. Cumulative probability of SO-IR
- Subjects :
- 0301 basic medicine
Adult
Male
medicine.medical_specialty
Adolescent
Immunology
HIV Infections
Tanzania
Article
03 medical and health sciences
Young Adult
0302 clinical medicine
Pharmacotherapy
Immune Reconstitution
Acquired immunodeficiency syndrome (AIDS)
Interquartile range
Internal medicine
Antiretroviral Therapy, Highly Active
medicine
Prevalence
Immunology and Allergy
Humans
Uganda
030212 general & internal medicine
Young adult
Survival analysis
Retrospective Studies
Reverse-transcriptase inhibitor
AIDS-Related Opportunistic Infections
business.industry
Incidence (epidemiology)
Retrospective cohort study
Middle Aged
medicine.disease
030112 virology
Kenya
CD4 Lymphocyte Count
Infectious Diseases
Anti-Retroviral Agents
Female
business
medicine.drug
Subjects
Details
- ISSN :
- 14735571
- Volume :
- 30
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- AIDS (London, England)
- Accession number :
- edsair.doi.dedup.....c202a5608947476c980be0a4f4d3a38d