Absolute or total lymphocyte count as a marker for the CD4 T lymphocyte criterion for initiating antiretroviral therapy

被引:21
作者
Jacobson, MA [1 ]
Liu, L
Khayam-Bashi, H
Deeks, SG
Hecht, FM
Kahn, J
机构
[1] Univ Calif San Francisco, Dept Med, Posit Hlth Program, San Francisco, CA 94143 USA
[2] San Francisco Gen Hosp, Med Serv, San Francisco, CA 94110 USA
[3] Univ Calif San Francisco, Dept Lab Med, San Francisco, CA USA
[4] San Francisco Gen Hosp, Clin Lab, San Francisco, CA 94110 USA
关键词
D O I
10.1097/00002030-200304110-00019
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 analysed simultaneous CD4, absolute (ALC) and total (TLC) lymphocyte counts of 2057 patients. ALC of 1730 cells/mul or less optimized sensitivity and specificity for predicting CD4 cell counts less than 350 cells/mul. ALC sensitivity/specificity tended to be higher for blacks, patients under 50 years old, and patients with higher plasma HIV-RNA values. TLC values slightly higher than ALC provided virtually identical results. ALC or TLC may be helpful in deciding when to initiate antiretroviral therapy in resource-poor settings.
引用
收藏
页码:917 / 919
页数:3
相关论文
共 10 条
[1]  
BHIVA Writing Committee, 2000, HIV Med, V1, P76
[2]   TOTAL LYMPHOCYTE COUNT AS A PREDICTOR OF ABSOLUTE CD4+ COUNT AND CD4+ PERCENTAGE IN HIV-INFECTED PERSONS [J].
BLATT, SP ;
LUCEY, CR ;
BUTZIN, CA ;
HENDRIX, CW ;
LUCEY, DR .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 269 (05) :622-626
[3]   Antiretroviral therapy in adults - Updated recommendations of the International AIDS Society-USA Panel [J].
Carpenter, CCJ ;
Cooper, DA ;
Fischl, MA ;
Gatell, JM ;
Gazzard, BG ;
Hammer, SM ;
Hirsch, MS ;
Jacobsen, DM ;
Katzenstein, DA ;
Montaner, JSG ;
Richman, DD ;
Saag, MS ;
Schechter, M ;
Schooley, RT ;
Vella, S ;
Yeni, PG ;
Volberding, PA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 283 (03) :381-390
[4]   Rates of disease progression by baseline CD4 cell count and viral load after initiating triple-drug therapy [J].
Hogg, RS ;
Yip, B ;
Chan, KJ ;
Wood, E ;
Craib, KJP ;
O'Shaughnessy, MV ;
Montaner, JSG .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (20) :2568-2577
[5]   When to start highly active antiretroviral therapy in chronically HIV-infected patients: evidence from the ICONA study [J].
Lepri, AC ;
Phillips, AN ;
Monforte, AD ;
Castelli, F ;
Antinori, A ;
de Luca, A ;
Pezzotti, P ;
Alberici, F ;
Cargnel, A ;
Grima, P ;
Piscopo, R ;
Prestileo, T ;
Scalise, G ;
Vigevani, M ;
Moroni, M .
AIDS, 2001, 15 (08) :983-990
[6]  
*PAN CLIN PRACT TR, 2001, GUID US ANT HIV INF
[7]   HIV viral load response to antiretroviral therapy according to the baseline CD4 cell count and viral load [J].
Phillips, AN ;
Staszewski, S ;
Weber, R ;
Kirk, O ;
Francioli, P ;
Miller, V ;
Vernazza, P ;
Lundgren, JD ;
Ledergerber, B .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (20) :2560-2567
[8]   Initiating antiretroviral therapy during HIV infection - Confusion and clarity [J].
Pomerantz, RJ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (20) :2597-2599
[9]  
Post FA, 1996, QJM-MON J ASSOC PHYS, V89, P505
[10]   Correlation among total lymphocyte count, absolute CD4+ count, and CD4+ percentage in a group of HIV-1-infected South African patients [J].
van der Ryst, E ;
Kotze, M ;
Joubert, G ;
Steyn, M ;
Pieters, H ;
van der Westhuizen, M ;
van Staden, M ;
Venter, C .
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES AND HUMAN RETROVIROLOGY, 1998, 19 (03) :238-244