Le SIDA au Ghana (serveur d'exploration)

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Liver Fibrosis by Transient Elastography and Virologic Outcomes After Introduction of Tenofovir in Lamivudine-Experienced Adults With HIV and Hepatitis B Virus Coinfection in Ghana.

Identifieur interne : 000211 ( PubMed/Checkpoint ); précédent : 000210; suivant : 000212

Liver Fibrosis by Transient Elastography and Virologic Outcomes After Introduction of Tenofovir in Lamivudine-Experienced Adults With HIV and Hepatitis B Virus Coinfection in Ghana.

Auteurs : Alexander J. Stockdale [Royaume-Uni] ; Richard Odame Phillips [Ghana] ; Apostolos Beloukas [Royaume-Uni] ; Lambert Tetteh Appiah [Ghana] ; David Chadwick ; Sanjay Bhagani [Royaume-Uni] ; Laura Bonnett ; Fred Stephen Sarfo [Ghana] ; Geoffrey Dusheiko [Royaume-Uni] ; Anna Maria Geretti [Royaume-Uni]

Source :

RBID : pubmed:26021992

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English descriptors

Abstract

Antiretroviral treatment (ART) programs in sub-Saharan Africa have for many years included lamivudine as the sole hepatitis B virus (HBV) inhibitor. Long-term outcomes and the effects of introducing tenofovir as part of ART in these populations have not been characterized.

DOI: 10.1093/cid/civ421
PubMed: 26021992


Affiliations:


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pubmed:26021992

Le document en format XML

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<term>Adult</term>
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<term>Coinfection (drug therapy)</term>
<term>Cross-Sectional Studies</term>
<term>Elasticity Imaging Techniques</term>
<term>Female</term>
<term>Ghana</term>
<term>HIV Infections (complications)</term>
<term>HIV-1 (classification)</term>
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<term>Liver Cirrhosis (epidemiology)</term>
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<term>Charge virale</term>
<term>Cirrhose du foie (diagnostic)</term>
<term>Cirrhose du foie (épidémiologie)</term>
<term>Co-infection (traitement médicamenteux)</term>
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<term>Hépatite B chronique (virologie)</term>
<term>Imagerie d'élasticité tissulaire</term>
<term>Infections à VIH ()</term>
<term>Lamivudine (usage thérapeutique)</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
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<term>Virus de l'hépatite B (isolement et purification)</term>
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<term>Études transversales</term>
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<term>Tenofovir</term>
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<term>Africa South of the Sahara</term>
<term>Ghana</term>
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<keywords scheme="MESH" qualifier="classification" xml:lang="en">
<term>HIV-1</term>
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<term>HIV Infections</term>
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<term>Hepatitis B, Chronic</term>
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<term>VIH-1 (Virus de l'Immunodéficience Humaine de type 1)</term>
<term>Virus de l'hépatite B</term>
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<term>HIV-1</term>
<term>Hepatitis B virus</term>
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<term>VIH-1 (Virus de l'Immunodéficience Humaine de type 1)</term>
<term>Virus de l'hépatite B</term>
</keywords>
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<term>Co-infection</term>
<term>Hépatite B chronique</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Antiviraux</term>
<term>Lamivudine</term>
<term>Ténofovir</term>
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<term>Hépatite B chronique</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en">
<term>Hepatitis B, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Cirrhose du foie</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Cross-Sectional Studies</term>
<term>Elasticity Imaging Techniques</term>
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<term>Humans</term>
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<term>Middle Aged</term>
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<term>Treatment Outcome</term>
<term>Viral Load</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Afrique subsaharienne</term>
<term>Charge virale</term>
<term>Femelle</term>
<term>Ghana</term>
<term>Humains</term>
<term>Hépatite B chronique</term>
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<term>Résultat thérapeutique</term>
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<term>Études prospectives</term>
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<div type="abstract" xml:lang="en">Antiretroviral treatment (ART) programs in sub-Saharan Africa have for many years included lamivudine as the sole hepatitis B virus (HBV) inhibitor. Long-term outcomes and the effects of introducing tenofovir as part of ART in these populations have not been characterized.</div>
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<DateCreated>
<Year>2015</Year>
<Month>08</Month>
<Day>28</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>06</Month>
<Day>06</Day>
</DateCompleted>
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<Year>2015</Year>
<Month>08</Month>
<Day>28</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1537-6591</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>61</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2015</Year>
<Month>Sep</Month>
<Day>15</Day>
</PubDate>
</JournalIssue>
<Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title>
<ISOAbbreviation>Clin. Infect. Dis.</ISOAbbreviation>
</Journal>
<ArticleTitle>Liver Fibrosis by Transient Elastography and Virologic Outcomes After Introduction of Tenofovir in Lamivudine-Experienced Adults With HIV and Hepatitis B Virus Coinfection in Ghana.</ArticleTitle>
<Pagination>
<MedlinePgn>883-91</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1093/cid/civ421</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Antiretroviral treatment (ART) programs in sub-Saharan Africa have for many years included lamivudine as the sole hepatitis B virus (HBV) inhibitor. Long-term outcomes and the effects of introducing tenofovir as part of ART in these populations have not been characterized.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The study comprised a cross-sectional analysis of 106 human immunodeficiency virus (HIV)/HBV-coinfected subjects maintained on lamivudine, as well as a prospective analysis of 76 lamivudine-experienced subjects who introduced tenofovir. Patients underwent assessment of liver fibrosis by transient elastography (TE) and testing to characterize HIV type 1 (HIV-1) and HBV replication.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">After a median of 45 months of lamivudine treatment, HIV-1 RNA and HBV DNA were detectable in 35 of 106 (33.0%) and 54 of 106 (50.9%) subjects, respectively, with corresponding drug resistance rates of 17 of 106 (16.0%) and 31 of 106 (29.2%), respectively. Median TE values were 5.7 kPa (interquartile range, 4.7-7.2 kPa) and independently associated with HBV DNA load, aspartate aminotransferase levels, and platelet counts; 13 of 106 (12.3%) subjects had TE measurements >9.4 kPa. Twelve months after the first assessment, and a median of 7.8 months after introducing tenofovir, HBV DNA levels declined by a mean of 1.5 log10 IU/mL (P < .001). TE values changed by a mean of -0.2 kPa (P = .097), and declined significantly in subjects who had pretenofovir HBV DNA levels >2000 IU/mL (mean, -0.8 kPa; P = .048) or TE values >7.6 kPa (mean, -1.2 kPa; P = .021). HIV-1 RNA detection rates remained unchanged.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A proportion of HIV/HBV-coinfected patients on long-term lamivudine-containing ART had poor HIV and HBV suppression, drug resistance, and TE values indicative of advanced liver fibrosis. Tenofovir improved HBV control and reduced liver stiffness in subjects with high HBV DNA load and TE values.</AbstractText>
<CopyrightInformation>© The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.</CopyrightInformation>
</Abstract>
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<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Institute of Infection and Global Health, University of Liverpool, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Appiah</LastName>
<ForeName>Lambert Tetteh</ForeName>
<Initials>LT</Initials>
<AffiliationInfo>
<Affiliation>Komfo Anokye Teaching Hospital, Kumasi, Ghana.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Chadwick</LastName>
<ForeName>David</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>Centre for Clinical Infection, James Cook University Hospital, Middlesbrough.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bhagani</LastName>
<ForeName>Sanjay</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Department of Infectious Diseases, Royal Free Hospital, London.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bonnett</LastName>
<ForeName>Laura</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Institute of Infection and Global Health, University of Liverpool, United Kingdom Department of Biostatistics, University of Liverpool.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Sarfo</LastName>
<ForeName>Fred Stephen</ForeName>
<Initials>FS</Initials>
<AffiliationInfo>
<Affiliation>Department of Medicine, Kwame Nkrumah University of Science and Technology Komfo Anokye Teaching Hospital, Kumasi, Ghana.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Dusheiko</LastName>
<ForeName>Geoffrey</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Division of Medicine, University College London, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Geretti</LastName>
<ForeName>Anna Maria</ForeName>
<Initials>AM</Initials>
<AffiliationInfo>
<Affiliation>Institute of Infection and Global Health, University of Liverpool, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<CollectiveName>Hepatitis B Infection in Kumasi (HEPIK) Study Group</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2015</Year>
<Month>05</Month>
<Day>28</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>United States</Country>
<MedlineTA>Clin Infect Dis</MedlineTA>
<NlmUniqueID>9203213</NlmUniqueID>
<ISSNLinking>1058-4838</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D000998">Antiviral Agents</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>2T8Q726O95</RegistryNumber>
<NameOfSubstance UI="D019259">Lamivudine</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>99YXE507IL</RegistryNumber>
<NameOfSubstance UI="D000068698">Tenofovir</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<CommentsCorrectionsList>
<CommentsCorrections RefType="CommentIn">
<RefSource>Clin Infect Dis. 2016 Jan 1;62(1):128-30</RefSource>
<PMID Version="1">26338780</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="CommentIn">
<RefSource>Clin Infect Dis. 2016 Jan 1;62(1):130-1</RefSource>
<PMID Version="1">26338792</PMID>
</CommentsCorrections>
</CommentsCorrectionsList>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D017954" MajorTopicYN="N" Type="Geographic">Africa South of the Sahara</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000998" MajorTopicYN="N">Antiviral Agents</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D060085" MajorTopicYN="N">Coinfection</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D054459" MajorTopicYN="N">Elasticity Imaging Techniques</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015497" MajorTopicYN="N">HIV-1</DescriptorName>
<QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName>
<QualifierName UI="Q000235" MajorTopicYN="N">genetics</QualifierName>
<QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006515" MajorTopicYN="N">Hepatitis B virus</DescriptorName>
<QualifierName UI="Q000235" MajorTopicYN="N">genetics</QualifierName>
<QualifierName UI="Q000302" MajorTopicYN="Y">isolation & purification</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019694" MajorTopicYN="N">Hepatitis B, Chronic</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019259" MajorTopicYN="N">Lamivudine</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008103" MajorTopicYN="N">Liver Cirrhosis</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000068698" MajorTopicYN="N">Tenofovir</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019562" MajorTopicYN="N">Viral Load</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Africa</Keyword>
<Keyword MajorTopicYN="N">hepatitis B</Keyword>
<Keyword MajorTopicYN="N">lamivudine</Keyword>
<Keyword MajorTopicYN="N">tenofovir</Keyword>
<Keyword MajorTopicYN="N">transient elastography</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2015</Year>
<Month>03</Month>
<Day>13</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2015</Year>
<Month>05</Month>
<Day>11</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2015</Year>
<Month>5</Month>
<Day>30</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2015</Year>
<Month>5</Month>
<Day>30</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2016</Year>
<Month>6</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">26021992</ArticleId>
<ArticleId IdType="pii">civ421</ArticleId>
<ArticleId IdType="doi">10.1093/cid/civ421</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Ghana</li>
<li>Royaume-Uni</li>
</country>
<region>
<li>Angleterre</li>
<li>Grand Londres</li>
</region>
<settlement>
<li>Londres</li>
</settlement>
<orgName>
<li>University College de Londres</li>
</orgName>
</list>
<tree>
<noCountry>
<name sortKey="Bonnett, Laura" sort="Bonnett, Laura" uniqKey="Bonnett L" first="Laura" last="Bonnett">Laura Bonnett</name>
<name sortKey="Chadwick, David" sort="Chadwick, David" uniqKey="Chadwick D" first="David" last="Chadwick">David Chadwick</name>
</noCountry>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="Stockdale, Alexander J" sort="Stockdale, Alexander J" uniqKey="Stockdale A" first="Alexander J" last="Stockdale">Alexander J. Stockdale</name>
</noRegion>
<name sortKey="Beloukas, Apostolos" sort="Beloukas, Apostolos" uniqKey="Beloukas A" first="Apostolos" last="Beloukas">Apostolos Beloukas</name>
<name sortKey="Bhagani, Sanjay" sort="Bhagani, Sanjay" uniqKey="Bhagani S" first="Sanjay" last="Bhagani">Sanjay Bhagani</name>
<name sortKey="Dusheiko, Geoffrey" sort="Dusheiko, Geoffrey" uniqKey="Dusheiko G" first="Geoffrey" last="Dusheiko">Geoffrey Dusheiko</name>
<name sortKey="Geretti, Anna Maria" sort="Geretti, Anna Maria" uniqKey="Geretti A" first="Anna Maria" last="Geretti">Anna Maria Geretti</name>
</country>
<country name="Ghana">
<noRegion>
<name sortKey="Phillips, Richard Odame" sort="Phillips, Richard Odame" uniqKey="Phillips R" first="Richard Odame" last="Phillips">Richard Odame Phillips</name>
</noRegion>
<name sortKey="Appiah, Lambert Tetteh" sort="Appiah, Lambert Tetteh" uniqKey="Appiah L" first="Lambert Tetteh" last="Appiah">Lambert Tetteh Appiah</name>
<name sortKey="Sarfo, Fred Stephen" sort="Sarfo, Fred Stephen" uniqKey="Sarfo F" first="Fred Stephen" last="Sarfo">Fred Stephen Sarfo</name>
</country>
</tree>
</affiliations>
</record>

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