Atovaquone suspension for treatment of Pneumocystis carinii pneumonia in HIV-infected patients

被引:17
作者
Rosenberg, DM
McCarthy, W
Slavinsky, J
Chan, CKN
Montaner, J
Braun, J
Dohn, MN
Caldwell, PT
机构
[1] Glaxo Wellcome Res & Dev Ltd, Worldwide Epidemiol, Div Epidemiol, Greenford UB6 OHE, Middx, England
[2] AIDS Res Consortium Atlanta, Atlanta, GA USA
[3] Louisiana State Univ, Med Ctr, Div HIV, New Orleans, LA USA
[4] Toronto Hosp, Toronto, ON M5T 2S8, Canada
[5] St Pauls Hosp, Dept Infect Dis, Vancouver, BC V6Z 1Y6, Canada
[6] Liberty Med, New York, NY USA
[7] SAMS, Ambridge, PA USA
[8] Glaxo Wellcome Inc, Res Triangle Pk, NC 27709 USA
关键词
atovaquone suspension; opportunistic infections; Pneumocystis carinii pneumonia;
D O I
10.1097/00002030-200101260-00010
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Objective: To describe clinical experience with atovaquone suspension for the treatment of Pneumocystis carinii pneumonia (PCP) in HIV-infected patients. Design: A retrospective chart review. Methods: The medical records of 54 HIV-infected patients with PCP treated with atovaquone were examined. The outcomes of 34 patients treated with atovaquone suspension (750 mg twice a day) were compared with those of 20 patients treated with atovaquone tablets (750 mg three times a day). Results: The proportion of patients successfully treated was similar with the suspension (74%) and tablet (70%) formulations of atovaquone. The proportion of patients with an inadequate response to therapy was lower for patients treated with atovaquone suspension (15%) than tablets (30%). Both formulations were well tolerated. Conclusion: Atovaquone suspension is effective and well tolerated for the treatment of PCP. (C) 2001 Lippincott Williams & Wilkins.
引用
收藏
页码:211 / 214
页数:4
相关论文
共 12 条
[1]  
CHAISSON R, 1999, MANAGEMENT PNEUMOCYS
[2]   Atovaquone suspension compared with aerosolized pentamidine for prevention of Pneumocystis carinii pneumonia in human immunodeficiency virus-infected subjects intolerant of trimethoprim or sulfonamides [J].
Chan, C ;
Montaner, J ;
Lefebvre, EA ;
Morey, G ;
Dohn, M ;
McIvor, RA ;
Scott, J ;
Marina, R ;
Caldwell, P .
JOURNAL OF INFECTIOUS DISEASES, 1999, 180 (02) :369-376
[3]   ORAL ATOVAQUONE COMPARED WITH INTRAVENOUS PENTAMIDINE FOR PNEUMOCYSTIS-CARINII PNEUMONIA IN PATIENTS WITH AIDS [J].
DOHN, MN ;
WEINBERG, WG ;
TORRES, RA ;
FOLLANSBEE, SE ;
CALDWELL, PT ;
SCOTT, JD ;
GATHE, JC ;
HAGHIGHAT, DP ;
SAMPSON, JH ;
SPOTKOV, J ;
DERESINSKI, SC ;
MEYER, RD ;
LANCASTER, DJ ;
FRAME, PT ;
MOHSENIFAR, Z ;
BUCKLEY, RM ;
CHEUNG, T ;
HYLAND, R ;
CHAN, C ;
LANG, W ;
MILDVAN, D ;
GREENBERG, SB ;
CRAVEN, D ;
HIRSCH, M ;
ELSADR, W ;
JOSEPH, P ;
HARDY, D ;
BROWN, N ;
ROGERS, M .
ANNALS OF INTERNAL MEDICINE, 1994, 121 (03) :174-180
[4]   Atovaquone compared with dapsone for the prevention of Pneumocystis carinii pneumonia in patients with HIV infection who cannot tolerate trimethoprim, sulfonamides, or both [J].
El-Sadr, WM ;
Murphy, RL ;
Yurik, RM ;
Luskin-Hawk, R ;
Cheung, TW ;
Balfour, HH ;
Eng, R ;
Hooton, TM ;
Kerkering, TM ;
Schutz, M ;
van der Horst, C ;
Hafner, R .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 339 (26) :1889-1895
[5]  
FALLOON J, 1995, 2 NAT C HUM RETR
[6]  
*GLAX WELLC INC, MEPRON PACK INS
[7]   COMPARISON OF ATOVAQUONE (566C80) WITH TRIMETHOPRIM-SULFAMETHOXAZOLE TO TREAT PNEUMOCYSTIS-CARINII PNEUMONIA IN PATIENTS WITH AIDS [J].
HUGHES, W ;
LEOUNG, G ;
KRAMER, F ;
BOZZETTE, SA ;
SAFRIN, S ;
FRAME, P ;
CLUMECK, N ;
MASUR, H ;
LANCASTER, D ;
CHAN, C ;
LAVELLE, J ;
ROSENSTOCK, J ;
FALLOON, J ;
FEINBERG, J ;
LAFON, S ;
ROGERS, M ;
SATTLER, F .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 328 (21) :1521-1527
[8]   Pneumocystis carinii [J].
Levine, SJ .
CLINICS IN CHEST MEDICINE, 1996, 17 (04) :665-+
[9]   Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection [J].
Palella, FJ ;
Delaney, KM ;
Moorman, AC ;
Loveless, MO ;
Fuhrer, J ;
Satten, GA ;
Aschman, DJ ;
Holmberg, SD .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 338 (13) :853-860
[10]   PREDICTORS FOR FAILURE OF PNEUMOCYSTIS-CARINII PNEUMONIA PROPHYLAXIS [J].
SAAH, AJ ;
HOOVER, DR ;
PENG, Y ;
PHAIR, JP ;
VISSCHER, B ;
KINGSLEY, LA ;
SCHRAGER, LK .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 273 (15) :1197-1202