Tuberculosis-associated immune reconstitution inflammatory syndrome: case definitions for use in resource-limited settings
Identifieur interne : 000425 ( Ncbi/Merge ); précédent : 000424; suivant : 000426Tuberculosis-associated immune reconstitution inflammatory syndrome: case definitions for use in resource-limited settings
Auteurs : Graeme Meintjes ; Stephen D. Lawn ; Fabio Scano ; Gary Maartens ; Martyn A. French ; William Worodria ; Julian H. Elliott ; David Murdoch ; Robert J. Wilkinson ; Catherine Seyler ; Laurence John ; Maarten Schim Van Der Loeff ; Peter Reiss ; Lut Lynen ; Edward N. Janoff ; Charles Gilks ; Robert ColebundersSource :
- The Lancet infectious diseases [ 1473-3099 ] ; 2008.
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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DOI: 10.1016/S1473-3099(08)70184-1
PubMed: 18652998
PubMed Central: 2804035
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Lawn</name></author><author><name sortKey="Scano, Fabio" sort="Scano, Fabio" uniqKey="Scano F" first="Fabio" last="Scano">Fabio Scano</name></author><author><name sortKey="Maartens, Gary" sort="Maartens, Gary" uniqKey="Maartens G" first="Gary" last="Maartens">Gary Maartens</name></author><author><name sortKey="French, Martyn A" sort="French, Martyn A" uniqKey="French M" first="Martyn A" last="French">Martyn A. French</name></author><author><name sortKey="Worodria, William" sort="Worodria, William" uniqKey="Worodria W" first="William" last="Worodria">William Worodria</name></author><author><name sortKey="Elliott, Julian H" sort="Elliott, Julian H" uniqKey="Elliott J" first="Julian H" last="Elliott">Julian H. Elliott</name></author><author><name sortKey="Murdoch, David" sort="Murdoch, David" uniqKey="Murdoch D" first="David" last="Murdoch">David Murdoch</name></author><author><name sortKey="Wilkinson, Robert J" sort="Wilkinson, Robert J" uniqKey="Wilkinson R" first="Robert J" last="Wilkinson">Robert J. 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Janoff</name></author><author><name sortKey="Gilks, Charles" sort="Gilks, Charles" uniqKey="Gilks C" first="Charles" last="Gilks">Charles Gilks</name></author><author><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name></author></analytic><series><title level="j">The Lancet infectious diseases</title><idno type="ISSN">1473-3099</idno><idno type="eISSN">1474-4457</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">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.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101130150</journal-id><journal-id journal-id-type="pubmed-jr-id">27022</journal-id><journal-id journal-id-type="nlm-ta">Lancet Infect Dis</journal-id><journal-id journal-id-type="iso-abbrev">Lancet Infect Dis</journal-id><journal-title-group><journal-title>The Lancet infectious diseases</journal-title></journal-title-group><issn pub-type="ppub">1473-3099</issn><issn pub-type="epub">1474-4457</issn></journal-meta><article-meta><article-id pub-id-type="pmid">18652998</article-id><article-id pub-id-type="pmc">2804035</article-id><article-id pub-id-type="doi">10.1016/S1473-3099(08)70184-1</article-id><article-id pub-id-type="manuscript">UKMS5154</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Tuberculosis-associated immune reconstitution inflammatory syndrome: case definitions for use in resource-limited settings</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Meintjes</surname><given-names>Graeme</given-names></name></contrib><contrib contrib-type="author"><name><surname>Lawn</surname><given-names>Stephen D</given-names></name></contrib><contrib contrib-type="author"><name><surname>Scano</surname><given-names>Fabio</given-names></name></contrib><contrib contrib-type="author"><name><surname>Maartens</surname><given-names>Gary</given-names></name></contrib><contrib contrib-type="author"><name><surname>French</surname><given-names>Martyn A</given-names></name></contrib><contrib contrib-type="author"><name><surname>Worodria</surname><given-names>William</given-names></name></contrib><contrib contrib-type="author"><name><surname>Elliott</surname><given-names>Julian H</given-names></name></contrib><contrib contrib-type="author"><name><surname>Murdoch</surname><given-names>David</given-names></name></contrib><contrib contrib-type="author"><name><surname>Wilkinson</surname><given-names>Robert J</given-names></name></contrib><contrib contrib-type="author"><name><surname>Seyler</surname><given-names>Catherine</given-names></name></contrib><contrib contrib-type="author"><name><surname>John</surname><given-names>Laurence</given-names></name></contrib><contrib contrib-type="author"><name><surname>van der Loeff</surname><given-names>Maarten Schim</given-names></name></contrib><contrib contrib-type="author"><name><surname>Reiss</surname><given-names>Peter</given-names></name></contrib><contrib contrib-type="author"><name><surname>Lynen</surname><given-names>Lut</given-names></name></contrib><contrib contrib-type="author"><name><surname>Janoff</surname><given-names>Edward N</given-names></name></contrib><contrib contrib-type="author"><name><surname>Gilks</surname><given-names>Charles</given-names></name></contrib><contrib contrib-type="author"><name><surname>Colebunders</surname><given-names>Robert</given-names></name><on-behalf-of>for the International Network for the Study of HIV-associated IRIS</on-behalf-of></contrib><aff id="A1">Institute of Infectious Diseases and Molecular Medicine and Department of Medicine (G Meintjes FCP[SA], R J Wilkinson FRCP), Desmond Tutu HIV Centre, Institute for Infectious Disease and Molecular Medicine, Faculty of Health Sciences (S D Lawn MD), and Division of Clinical Pharmacology, Department of Medicine (G Maartens FCP[SA]), University of Cape Town, Cape Town, South Africa; Clinical Research Unit, Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK (S D Lawn); HTM/STB/THD, WHO, Geneva, Switzerland (F Scano MD); Department of Clinical Immunology, Royal Perth Hospital and School of Pathology and Laboratory Medicine, University of Western Australia, Perth, Australia (M A French MD); Infectious Diseases Institute, Makerere University, Uganda (W Worodria MD); National Centre in HIV Epidemiology and Clinical Research, Sydney, Australia (J H Elliott MD); Duke University Medical Center, Durham, and University of North Carolina at Chapel Hill, Chapel Hill, NC, USA (D Murdoch MD); National Institute for Medical Research, London, UK (R J Wilkinson); Wellcome Trust Center for Research in Clinical Tropical Medicine, Division of Medicine, Imperial College London, UK (R J Wilkinson); Institut de Santé Publique, d’Épidémiologie et de Développement (ISPED), Bordeaux 2 University, Bordeaux, France (C Seyler MD); Chelsea and Westminster Hospital, London, UK (L John MRCP); Center for Poverty-related Communicable Diseases, Academic Medical Centre, Amsterdam, Netherlands (M Schim van der Loeff MD, P Reiss MD); Institute of Tropical Medicine, Antwerp, Belgium (L Lynen MD, R Colebunders MD); Colorado Center for AIDS Research, University of Colorado at Denver and Health Sciences Center, Denver Veterans Affairs Medical Center, Denver, CO, USA (E N Janoff MD); HIV Department, WHO, Geneva, Switzerland (C Gilks FRCP); and Faculty of Medicine, University of Antwerp, Antwerp, Belgium (R Colebunders)</aff></contrib-group><author-notes><corresp id="CR1">Correspondence to: Prof Robert Colebunders, Institute of Tropical Medicine, Nationalestraat 155, Antwerp, Belgium <email>bcoleb@itg.be</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>20</day><month>7</month><year>2009</year></pub-date><pub-date pub-type="ppub"><month>8</month><year>2008</year></pub-date><pub-date pub-type="pmc-release"><day>10</day><month>1</month><year>2010</year></pub-date><volume>8</volume><issue>8</issue><fpage>516</fpage><lpage>523</lpage><abstract><p id="P1">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.</p></abstract><funding-group><award-group><funding-source country="United Kingdom">Wellcome Trust : </funding-source><award-id>072070 || WT</award-id></award-group></funding-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name><name sortKey="Elliott, Julian H" sort="Elliott, Julian H" uniqKey="Elliott J" first="Julian H" last="Elliott">Julian H. Elliott</name><name sortKey="French, Martyn A" sort="French, Martyn A" uniqKey="French M" first="Martyn A" last="French">Martyn A. French</name><name sortKey="Gilks, Charles" sort="Gilks, Charles" uniqKey="Gilks C" first="Charles" last="Gilks">Charles Gilks</name><name sortKey="Janoff, Edward N" sort="Janoff, Edward N" uniqKey="Janoff E" first="Edward N" last="Janoff">Edward N. Janoff</name><name sortKey="John, Laurence" sort="John, Laurence" uniqKey="John L" first="Laurence" last="John">Laurence John</name><name sortKey="Lawn, Stephen D" sort="Lawn, Stephen D" uniqKey="Lawn S" first="Stephen D" last="Lawn">Stephen D. Lawn</name><name sortKey="Lynen, Lut" sort="Lynen, Lut" uniqKey="Lynen L" first="Lut" last="Lynen">Lut Lynen</name><name sortKey="Maartens, Gary" sort="Maartens, Gary" uniqKey="Maartens G" first="Gary" last="Maartens">Gary Maartens</name><name sortKey="Meintjes, Graeme" sort="Meintjes, Graeme" uniqKey="Meintjes G" first="Graeme" last="Meintjes">Graeme Meintjes</name><name sortKey="Murdoch, David" sort="Murdoch, David" uniqKey="Murdoch D" first="David" last="Murdoch">David Murdoch</name><name sortKey="Reiss, Peter" sort="Reiss, Peter" uniqKey="Reiss P" first="Peter" last="Reiss">Peter Reiss</name><name sortKey="Scano, Fabio" sort="Scano, Fabio" uniqKey="Scano F" first="Fabio" last="Scano">Fabio Scano</name><name sortKey="Seyler, Catherine" sort="Seyler, Catherine" uniqKey="Seyler C" first="Catherine" last="Seyler">Catherine Seyler</name><name sortKey="Van Der Loeff, Maarten Schim" sort="Van Der Loeff, Maarten Schim" uniqKey="Van Der Loeff M" first="Maarten Schim" last="Van Der Loeff">Maarten Schim Van Der Loeff</name><name sortKey="Wilkinson, Robert J" sort="Wilkinson, Robert J" uniqKey="Wilkinson R" first="Robert J" last="Wilkinson">Robert J. Wilkinson</name><name sortKey="Worodria, William" sort="Worodria, William" uniqKey="Worodria W" first="William" last="Worodria">William Worodria</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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