A COMPARISON OF ZIDOVUDINE, DIDANOSINE, ZALCITABINE AND NO ANTIRETROVIRAL THERAPY IN PATIENTS WITH ADVANCED HIV DISEASE

被引:9
作者
TORRES, RA
BARR, MR
MCINTYRE, KI
THORNTON, JR
SHAY, WM
FELDMAN, RD
GEORGE, NJ
BRITTON, DJ
机构
[1] St Vincent's Hospital, Medical Center of New York
[2] AIDS Institute, New York State Department of Health, New York, NY
关键词
HIV; ANTIRETROVIRAL; ZIDOVUDINE; DIDANOSINE; ZALCITABINE;
D O I
10.1177/095646249500600105
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Three nucleoside analogues, zidovudine (AZT), didanosine (ddI), and zalcitabine (ddC), are approved for use in the treatment of patients with HIV infection. This retrospective study compares the 3 drugs and examines the overall utility of antiretroviral therapy by way of comparisons to a no treatment (No Rx) group in patients with advanced HIV disease. Patients with advanced HIV disease were enrolled in didanosine (August 1989-December 1990) or zalcitabine (October 1990-February 1992) expanded access programmes; continued on zidovudine treatment despite fulfilling criteria for zidovudine failure or intolerance; or maintained on no antiretroviral treatment. Statistical analysis revealed that patients on nucleoside analogue therapy had fewer opportunistic infections (P=0.001) than those who received no antiretroviral treatment. The Kaplan-Meier 12-month estimate of survival was significantly longer among patients who switched from zidovudine to zalcitabine but not among patients who switched to didanosine, when compared to the other 2 groups (P=0.05).
引用
收藏
页码:19 / 26
页数:8
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