Tuberculosis-associated immune reconstitution inflammatory syndrome : case definitions for use in resource-limited settings
Identifieur interne : 008955 ( Main/Exploration ); précédent : 008954; suivant : 008956Tuberculosis-associated immune reconstitution inflammatory syndrome : case definitions for use in resource-limited settings
Auteurs : Graeme Meintjes [Afrique du Sud] ; Stephen D. Lawn [Afrique du Sud, Royaume-Uni] ; Fabio Scano [Suisse] ; Gary Maartens [Afrique du Sud] ; Martyn A. French [Australie] ; William Worodria [Ouganda] ; Julian H. Elliott [Australie] ; David Murdoch [États-Unis] ; Robert J. Wilkinson [Afrique du Sud, Royaume-Uni] ; Catherine Seyler [France] ; Laurence John [Royaume-Uni] ; Maarten Schim Van Der Loeff [Pays-Bas] ; Peter Reiss [Pays-Bas] ; Lut Lynen [Belgique] ; Edward N. Janoff [États-Unis] ; Charles Gilks [Suisse] ; Robert Colebunders [Belgique]Source :
- Lancet. Infectious diseases : (print) [ 1473-3099 ] ; 2008.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
The immune reconstitution inflammatory syndrome (IRIS) has emerged as an important early complication of antiretroviral therapy (ART) in resource-limited settings, especially in patients with tuberculosis. However, there are no consensus case definitions for IRIS or tuberculosis-associated IRIS. Moreover, previously proposed case definitions are not readily applicable in settings where laboratory resources are limited. As a result, existing studies on tuberculosis-associated IRIS have used a variety of non-standardised general case definitions. To rectify this problem, around 100 researchers, including microbiologists, immunologists, clinicians, epidemiologists, clinical trialists, and public-health specialists from 16 countries met in Kampala, Uganda, in November, 2006. At this meeting, consensus case definitions for paradoxical tuberculosis-associated IRIS, ART-associated tuberculosis, and unmasking tuberculosis-associated IRIS were derived, which can be used in high-income and resource-limited settings. It is envisaged that these definitions could be used by clinicians and researchers in a variety of settings to promote standardisation and comparability of data.
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Affiliations:
- Afrique du Sud, Australie, Belgique, France, Ouganda, Pays-Bas, Royaume-Uni, Suisse, États-Unis
- Angleterre, Aquitaine, Caroline du Nord, Grand Londres, Hollande-Septentrionale, Nouvelle-Aquitaine, Nouvelle-Galles du Sud, Province d'Anvers, Région flamande
- Amsterdam, Anvers, Bordeaux, Chapel Hill (Caroline du Nord), Londres, Sydney
- Université d'Anvers, Université de Caroline du Nord à Chapel Hill
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Lawn</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Desmond Tutu HIV Centre, Institute for Infectious Disease and Molecular Medicine, Faculty of Health Sciences, University of Cape Town</s1><s2>Cape Town</s2><s3>ZAF</s3><sZ>2 aut.</sZ></inist:fA14><country>Afrique du Sud</country><wicri:noRegion>Cape Town</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Clinical Research Unit, Department of Infectious andTropical Diseases, London School of Hygiene andTropical Medicine</s1><s2>London</s2><s3>GBR</s3><sZ>2 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Scano, Fabio" sort="Scano, Fabio" uniqKey="Scano F" first="Fabio" last="Scano">Fabio Scano</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>HTM/ STB/THD, WHO</s1><s2>Geneva</s2><s3>CHE</s3><sZ>3 aut.</sZ></inist:fA14><country>Suisse</country><wicri:noRegion>Geneva</wicri:noRegion></affiliation></author><author><name sortKey="Maartens, Gary" sort="Maartens, Gary" uniqKey="Maartens G" first="Gary" last="Maartens">Gary Maartens</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Division of Clinical Pharmacology, Department of Medicine, University of Cape Town</s1><s2>Cape Town</s2><s3>ZAF</s3><sZ>4 aut.</sZ></inist:fA14><country>Afrique du Sud</country><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="French, Martyn A" sort="French, Martyn A" uniqKey="French M" first="Martyn A." last="French">Martyn A. French</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Clinical Immunology, Royal Perth Hospital and School of Pathology and Laboratory Medicine, University of Western Australia</s1><s2>Perth</s2><s3>AUS</s3><sZ>5 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Perth</wicri:noRegion></affiliation></author><author><name sortKey="Worodria, William" sort="Worodria, William" uniqKey="Worodria W" first="William" last="Worodria">William Worodria</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Infectious Diseases Institute, Makerere University</s1><s3>UGA</s3><sZ>6 aut.</sZ></inist:fA14><country>Ouganda</country><wicri:noRegion>Infectious Diseases Institute, Makerere University</wicri:noRegion></affiliation></author><author><name sortKey="Elliott, Julian H" sort="Elliott, Julian H" uniqKey="Elliott J" first="Julian H." last="Elliott">Julian H. Elliott</name><affiliation wicri:level="3"><inist:fA14 i1="08"><s1>National Centre in HIV Epidemiology and Clinical Research</s1><s2>Sydney</s2><s3>AUS</s3><sZ>7 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Murdoch, David" sort="Murdoch, David" uniqKey="Murdoch D" first="David" last="Murdoch">David Murdoch</name><affiliation wicri:level="4"><inist:fA14 i1="09"><s1>Duke University Medical Center, Durham, and University of North Carolina at Chapel Hill</s1><s2>Chapel Hill, NC</s2><s3>USA</s3><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Chapel Hill (Caroline du Nord)</settlement><region type="state">Caroline du Nord</region></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation></author><author><name sortKey="Wilkinson, Robert J" sort="Wilkinson, Robert J" uniqKey="Wilkinson R" first="Robert J." last="Wilkinson">Robert J. Wilkinson</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Institute of Infectious Diseases and Molecular Medicine and Department of Medicine, University of Cape Town</s1><s2>Cape Town</s2><s3>ZAF</s3><sZ>1 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Afrique du Sud</country><wicri:noRegion>Cape Town</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="10"><s1>National Institute for Medical Research</s1><s2>London</s2><s3>GBR</s3><sZ>9 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="11"><s1>Wellcome Trust Center for Research in Clinical Tropical Medicine, Division of Medicine, Imperial College London</s1><s3>GBR</s3><sZ>9 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Wellcome Trust Center for Research in Clinical Tropical Medicine, Division of Medicine, Imperial College London</wicri:noRegion></affiliation></author><author><name sortKey="Seyler, Catherine" sort="Seyler, Catherine" uniqKey="Seyler C" first="Catherine" last="Seyler">Catherine Seyler</name><affiliation wicri:level="3"><inist:fA14 i1="12"><s1>Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED), Bordeaux 2 University</s1><s2>Bordeaux</s2><s3>FRA</s3><sZ>10 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="John, Laurence" sort="John, Laurence" uniqKey="John L" first="Laurence" last="John">Laurence John</name><affiliation wicri:level="3"><inist:fA14 i1="13"><s1>Chelsea and Westminster Hospital</s1><s2>London</s2><s3>GBR</s3><sZ>11 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Schim Van Der Loeff, Maarten" sort="Schim Van Der Loeff, Maarten" uniqKey="Schim Van Der Loeff M" first="Maarten" last="Schim Van Der Loeff">Maarten Schim Van Der Loeff</name><affiliation wicri:level="3"><inist:fA14 i1="14"><s1>Center for for Poverty-related Communicable Diseases, Academic Medical Centre</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Reiss, Peter" sort="Reiss, Peter" uniqKey="Reiss P" first="Peter" last="Reiss">Peter Reiss</name><affiliation wicri:level="3"><inist:fA14 i1="14"><s1>Center for for Poverty-related Communicable Diseases, Academic Medical Centre</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Lynen, Lut" sort="Lynen, Lut" uniqKey="Lynen L" first="Lut" last="Lynen">Lut Lynen</name><affiliation wicri:level="1"><inist:fA14 i1="15"><s1>Institute of Tropical Medicine</s1><s2>Antwerp</s2><s3>BEL</s3><sZ>14 aut.</sZ><sZ>17 aut.</sZ></inist:fA14><country>Belgique</country><wicri:noRegion>Institute of Tropical Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Janoff, Edward N" sort="Janoff, Edward N" uniqKey="Janoff E" first="Edward N." last="Janoff">Edward N. Janoff</name><affiliation wicri:level="1"><inist:fA14 i1="16"><s1>Colorado Center for AIDS Research, University of Colorado at Denver and Health Sciences Center, Denver Veterans Affairs Medical Center</s1><s2>Denver, CO</s2><s3>USA</s3><sZ>15 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Denver, CO</wicri:noRegion></affiliation></author><author><name sortKey="Gilks, Charles" sort="Gilks, Charles" uniqKey="Gilks C" first="Charles" last="Gilks">Charles Gilks</name><affiliation wicri:level="1"><inist:fA14 i1="17"><s1>HIV Department, WHO</s1><s2>Geneva</s2><s3>CHE</s3><sZ>16 aut.</sZ></inist:fA14><country>Suisse</country><wicri:noRegion>Geneva</wicri:noRegion></affiliation></author><author><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name><affiliation wicri:level="1"><inist:fA14 i1="15"><s1>Institute of Tropical Medicine</s1><s2>Antwerp</s2><s3>BEL</s3><sZ>14 aut.</sZ><sZ>17 aut.</sZ></inist:fA14><country>Belgique</country><wicri:noRegion>Institute of Tropical Medicine</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="18"><s1>Faculty of Medicine, University of Antwerp</s1><s2>Antwerp</s2><s3>BEL</s3><sZ>17 aut.</sZ></inist:fA14><country>Belgique</country><placeName><settlement type="city">Anvers</settlement><region>Région flamande</region><region type="district" nuts="2">Province d'Anvers</region></placeName><orgName type="university">Université d'Anvers</orgName></affiliation></author></analytic><series><title level="j" type="main">Lancet. Infectious diseases : (print)</title><title level="j" type="abbreviated">Lancet. Infect. dis. : (print)</title><idno type="ISSN">1473-3099</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Lancet. Infectious diseases : (print)</title><title level="j" type="abbreviated">Lancet. Infect. dis. : (print)</title><idno type="ISSN">1473-3099</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Definition</term><term>Immune reconstitution syndrome</term><term>Tuberculosis</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Tuberculose</term><term>Syndrome de restauration immunitaire</term><term>Définition</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The immune reconstitution inflammatory syndrome (IRIS) has emerged as an important early complication of antiretroviral therapy (ART) in resource-limited settings, especially in patients with tuberculosis. However, there are no consensus case definitions for IRIS or tuberculosis-associated IRIS. Moreover, previously proposed case definitions are not readily applicable in settings where laboratory resources are limited. As a result, existing studies on tuberculosis-associated IRIS have used a variety of non-standardised general case definitions. To rectify this problem, around 100 researchers, including microbiologists, immunologists, clinicians, epidemiologists, clinical trialists, and public-health specialists from 16 countries met in Kampala, Uganda, in November, 2006. At this meeting, consensus case definitions for paradoxical tuberculosis-associated IRIS, ART-associated tuberculosis, and unmasking tuberculosis-associated IRIS were derived, which can be used in high-income and resource-limited settings. It is envisaged that these definitions could be used by clinicians and researchers in a variety of settings to promote standardisation and comparability of data.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>Australie</li><li>Belgique</li><li>France</li><li>Ouganda</li><li>Pays-Bas</li><li>Royaume-Uni</li><li>Suisse</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Aquitaine</li><li>Caroline du Nord</li><li>Grand Londres</li><li>Hollande-Septentrionale</li><li>Nouvelle-Aquitaine</li><li>Nouvelle-Galles du Sud</li><li>Province d'Anvers</li><li>Région flamande</li></region><settlement><li>Amsterdam</li><li>Anvers</li><li>Bordeaux</li><li>Chapel Hill (Caroline du Nord)</li><li>Londres</li><li>Sydney</li></settlement><orgName><li>Université d'Anvers</li><li>Université de Caroline du Nord à Chapel Hill</li></orgName></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Meintjes, Graeme" sort="Meintjes, Graeme" uniqKey="Meintjes G" first="Graeme" last="Meintjes">Graeme Meintjes</name></noRegion><name sortKey="Lawn, Stephen D" sort="Lawn, Stephen D" uniqKey="Lawn S" first="Stephen D." last="Lawn">Stephen D. Lawn</name><name sortKey="Maartens, Gary" sort="Maartens, Gary" uniqKey="Maartens G" first="Gary" last="Maartens">Gary Maartens</name><name sortKey="Wilkinson, Robert J" sort="Wilkinson, Robert J" uniqKey="Wilkinson R" first="Robert J." last="Wilkinson">Robert J. Wilkinson</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Lawn, Stephen D" sort="Lawn, Stephen D" uniqKey="Lawn S" first="Stephen D." last="Lawn">Stephen D. Lawn</name></region><name sortKey="John, Laurence" sort="John, Laurence" uniqKey="John L" first="Laurence" last="John">Laurence John</name><name sortKey="Wilkinson, Robert J" sort="Wilkinson, Robert J" uniqKey="Wilkinson R" first="Robert J." last="Wilkinson">Robert J. Wilkinson</name><name sortKey="Wilkinson, Robert J" sort="Wilkinson, Robert J" uniqKey="Wilkinson R" first="Robert J." last="Wilkinson">Robert J. Wilkinson</name></country><country name="Suisse"><noRegion><name sortKey="Scano, Fabio" sort="Scano, Fabio" uniqKey="Scano F" first="Fabio" last="Scano">Fabio Scano</name></noRegion><name sortKey="Gilks, Charles" sort="Gilks, Charles" uniqKey="Gilks C" first="Charles" last="Gilks">Charles Gilks</name></country><country name="Australie"><noRegion><name sortKey="French, Martyn A" sort="French, Martyn A" uniqKey="French M" first="Martyn A." last="French">Martyn A. French</name></noRegion><name sortKey="Elliott, Julian H" sort="Elliott, Julian H" uniqKey="Elliott J" first="Julian H." last="Elliott">Julian H. Elliott</name></country><country name="Ouganda"><noRegion><name sortKey="Worodria, William" sort="Worodria, William" uniqKey="Worodria W" first="William" last="Worodria">William Worodria</name></noRegion></country><country name="États-Unis"><region name="Caroline du Nord"><name sortKey="Murdoch, David" sort="Murdoch, David" uniqKey="Murdoch D" first="David" last="Murdoch">David Murdoch</name></region><name sortKey="Janoff, Edward N" sort="Janoff, Edward N" uniqKey="Janoff E" first="Edward N." last="Janoff">Edward N. Janoff</name></country><country name="France"><region name="Nouvelle-Aquitaine"><name sortKey="Seyler, Catherine" sort="Seyler, Catherine" uniqKey="Seyler C" first="Catherine" last="Seyler">Catherine Seyler</name></region></country><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Schim Van Der Loeff, Maarten" sort="Schim Van Der Loeff, Maarten" uniqKey="Schim Van Der Loeff M" first="Maarten" last="Schim Van Der Loeff">Maarten Schim Van Der Loeff</name></region><name sortKey="Reiss, Peter" sort="Reiss, Peter" uniqKey="Reiss P" first="Peter" last="Reiss">Peter Reiss</name></country><country name="Belgique"><noRegion><name sortKey="Lynen, Lut" sort="Lynen, Lut" uniqKey="Lynen L" first="Lut" last="Lynen">Lut Lynen</name></noRegion><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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