Maintenance therapy with cotrimoxazole for toxoplasmic encephalitis in the era of highly active antiretroviral therapy

被引:14
作者
Duval, X [1 ]
Pajot, O
Le Moing, V
Longuet, P
Ecobichon, JL
Mentre, F
Leport, C
Vilde, JL
机构
[1] Hop Bichat Claude Bernard, Dept Infect Dis, F-75877 Paris 18, France
[2] Hop Bichat Claude Bernard, Dept Biostat, F-75877 Paris 18, France
关键词
D O I
10.1097/00002030-200406180-00016
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
To reduce the number of daily pills for improving adherence to antiretrovirals, 17 protease inhibitor-treated patients receiving toxoplasmic encephalitis (TE) standard maintenance therapy were instead given cotrimoxazole 960 mg twice daily. After a median follow-up of 31 months, one relapsed after three months, TE relapse incidence = 2.1 cases per 100 patient-years (95% confidence interval, 0.05-11.3). This strategy could be useful for patients awaiting immune reconstitution which allows the interruption of TE maintenance therapy.
引用
收藏
页码:1342 / 1344
页数:3
相关论文
共 10 条
[1]   Overview of the effectiveness of triple combination therapy in antiretroviral-naive HIV-1 infected adults [J].
Bartlett, JA ;
DeMasi, R ;
Quinn, J ;
Moxham, C ;
Rousseau, F .
AIDS, 2001, 15 (11) :1369-1377
[2]   COTRIMOXAZOLE THERAPY OF TOXOPLASMA-GONDII ENCEPHALITIS IN AIDS PATIENTS [J].
CANESSA, A ;
DELBONO, V ;
DELEO, P ;
PIERSANTELLI, N ;
TERRAGNA, A .
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 1992, 11 (02) :125-130
[3]  
DUVAL X, 2001, CURR TREATMENT OPTIO, V3, P113
[4]   Pyrimethamine-clindamycin vs pyrimethamine-sulfadiazine as acute and long-term therapy for toxoplasmic encephalitis in patients with AIDS [J].
Katlama, C ;
DeWit, S ;
ODoherty, E ;
VanGlabeke, M ;
Clumeck, N ;
Payen, MC ;
Mathiesen, L ;
Nielsen, JO ;
Pedersen, C ;
Dupont, B ;
Pialoux, G ;
Janbon, F ;
Reynes, J ;
Gallais, H ;
Mars, ME ;
Jeantils, V ;
Schneider, MC ;
Averous, V ;
Decazes, JM ;
DocoLecompte, T ;
Modai, J ;
Molina, JM ;
Blanc, A ;
Delfraissy, JF ;
Guillevin, L ;
Jarrousse, B ;
Sehouane, R ;
Trogoff, B ;
Armengaud, M ;
Marchou, B ;
Meurisse, JJ ;
Gentilini, M ;
Guichard, A ;
Rogeaux, O ;
Livrozet, JM ;
Touraine, JL ;
Sereni, D ;
Rousseau, F ;
Pesce, A ;
Coulaud, JP ;
Detruchis, P ;
Fegueux, S ;
Maslo, C ;
Matheron, S ;
Raffi, F ;
Bassetti, D ;
Canessa, A ;
DelBono, V ;
DeLeo, P ;
Terragna, A .
CLINICAL INFECTIOUS DISEASES, 1996, 22 (02) :268-275
[5]  
MIRO J, 2000, 40 INT C ANT AG CHEM
[6]   Discontinuation of primary prophylaxis for Pneumocystis carinii pneumonia and toxoplasmic encephalitis in human immunodeficiency virus type I-infected patients:: The changes in opportunistic prophylaxis study [J].
Mussini, C ;
Pezzotti, P ;
Govoni, A ;
Borghi, V ;
Antinori, A ;
Monforte, AD ;
De Luca, A ;
Mongiardo, N ;
Cerri, MC ;
Chiodo, F ;
Concia, E ;
Bonazzi, L ;
Moroni, M ;
Ortona, L ;
Esposito, R ;
Cossarizza, A ;
De Rienzo, B .
JOURNAL OF INFECTIOUS DISEASES, 2000, 181 (05) :1635-1642
[7]   A RETROSPECTIVE STUDY ABOUT THE USE OF COTRIMOXAZOLE AS DIAGNOSTIC SUPPORT AND TREATMENT OF SUSPECTED CEREBRAL TOXOPLASMOSIS IN AIDS [J].
SOLBREUX, P ;
SONNET, J ;
ZECH, F .
ACTA CLINICA BELGICA, 1990, 45 (02) :85-96
[8]   Randomized trial of trimethoprim-sulfamethoxazole versus pyrimethamine-sulfadiazine for therapy of toxoplasmic encephalitis in patients with AIDS [J].
Torre, D ;
Casari, S ;
Speranza, F ;
Donisi, A ;
Gregis, G ;
Poggio, A ;
Ranieri, S ;
Orani, A ;
Angarano, G ;
Chiodo, F ;
Fiori, G ;
Carosi, G .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1998, 42 (06) :1346-1349
[9]  
*US PHS INF DIS SO, 2004, GUID PREV OPP INF PE
[10]  
2001, B EPIDEMIOLOG HEBDOM, V24, P111