Low incidence of community-acquired pneumonia among human immunodeficiency virus-infected patients after interruption of Pneumocystis carinii pneumonia prophylaxis

被引:9
作者
Eigenmann, C
Flepp, M
Bernasconi, E
Schiffer, V
Telenti, A
Bucher, H
Wagels, T
Egger, M
Furrer, H [1 ]
机构
[1] Univ Hosp Bern, Div Infect Dis, CH-3010 Bern, Switzerland
[2] Univ Zurich Hosp, CH-8091 Zurich, Switzerland
[3] Reg Hosp Lugano, Lugano, Switzerland
[4] Univ Hosp Geneva, Geneva, Switzerland
[5] Univ Lausanne Hosp, Lausanne, Switzerland
[6] Cantonal Hosp St Gall, St Gallen, Switzerland
[7] Univ Basel Hosp, Basel Inst Clin Epidemiol, CH-4031 Basel, Switzerland
关键词
D O I
10.1086/368190
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 incidence of bacterial pneumonia among 336 patients who discontinued trimethoprim-sulfamethoxazole (TMP-SMX) as prophylaxis against Pneumocystis carinii pneumonia (PCP) with that among 75 patients who fulfilled the criteria for discontinuation but continued receiving prophylaxis. The difference in the overall incidence rates for the 2 groups (1.2 events per 100 person-years) was not statistically significant. Discontinuation of TMP-SMX prophylaxis against PCP is not associated with a significant increase in the incidence of bacterial pneumonia among patients with a sustained CD4 cell count increase to >200 cells/muL.
引用
收藏
页码:917 / 921
页数:5
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