Regional differences in predictive accuracy of WHO immunologic failure criteria

被引:6
作者
Kiragga, Agnes N. [1 ]
Castelnuovo, Barbara [1 ]
Kamya, Moses R. [1 ,2 ]
Moore, Richard [3 ,4 ]
Manabe, Yukari C. [1 ,3 ,4 ]
机构
[1] Makerere Univ, Infect Dis Inst, Coll Hlth Sci, Kampala, Uganda
[2] Makerere Univ, Dept Med, Coll Hlth Sci, Kampala, Uganda
[3] Johns Hopkins Bloomberg Sch Publ Hlth, Div Infect Dis, Baltimore, MD USA
[4] Johns Hopkins Bloomberg Sch Publ Hlth, Div Clin Pharmacol, Baltimore, MD USA
基金
英国惠康基金;
关键词
ANTIRETROVIRAL TREATMENT FAILURE; AFRICAN COHORT; THERAPY; RESISTANCE; SUBTYPE; HIV-1; INFECTION; UGANDA; ADULTS;
D O I
10.1097/QAD.0b013e32835143e3
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We compared the performance of the WHO immunologic criteria for treatment failure among Uganda and American patients. Antiretroviral treatment-naive patients with a CD4 T-cell count less than 200 cells/mu l or AIDS at enrollment on a nonnucleoside reverse transcriptase inhibitors-based regimen for more than 1 year were selected. For all criteria, the positive predictive value was significantly higher in the American compared with the Ugandan patients. Population-specific guidelines should be developed using large African cohorts to identify more specific and sensitive criteria.
引用
收藏
页码:768 / 770
页数:3
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