Le SIDA au Ghana (serveur d'exploration)

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Long-term responses to first-line antiretroviral therapy in HIV and hepatitis B co-infection in Ghana.

Identifieur interne : 000091 ( PubMed/Corpus ); précédent : 000090; suivant : 000092

Long-term responses to first-line antiretroviral therapy in HIV and hepatitis B co-infection in Ghana.

Auteurs : Fred Stephen Sarfo ; Adetayo Kasim ; Richard Phillips ; Anna Maria Geretti ; David R. Chadwick

Source :

RBID : pubmed:24975175

English descriptors

Abstract

To observe the long term response to first-line antiretroviral therapy (ART) in HIV and hepatitis B virus (HBV) co-infected patients in Ghana and explore predictors of poor clinical outcomes.

DOI: 10.1016/j.jinf.2014.06.012
PubMed: 24975175

Links to Exploration step

pubmed:24975175

Le document en format XML

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<title xml:lang="en">Long-term responses to first-line antiretroviral therapy in HIV and hepatitis B co-infection in Ghana.</title>
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<name sortKey="Sarfo, Fred Stephen" sort="Sarfo, Fred Stephen" uniqKey="Sarfo F" first="Fred Stephen" last="Sarfo">Fred Stephen Sarfo</name>
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<nlm:affiliation>Komfo Anokye Teaching Hospital, Kumasi, Ghana; Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.</nlm:affiliation>
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<name sortKey="Kasim, Adetayo" sort="Kasim, Adetayo" uniqKey="Kasim A" first="Adetayo" last="Kasim">Adetayo Kasim</name>
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<nlm:affiliation>Wolfson Research Institute for Health and Wellbeing, Durham University, Stockton-on-Tees TS17 6BH, UK.</nlm:affiliation>
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<name sortKey="Phillips, Richard" sort="Phillips, Richard" uniqKey="Phillips R" first="Richard" last="Phillips">Richard Phillips</name>
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<name sortKey="Geretti, Anna Maria" sort="Geretti, Anna Maria" uniqKey="Geretti A" first="Anna Maria" last="Geretti">Anna Maria Geretti</name>
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<name sortKey="Chadwick, David R" sort="Chadwick, David R" uniqKey="Chadwick D" first="David R" last="Chadwick">David R. Chadwick</name>
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<term>Adult</term>
<term>Anti-HIV Agents (adverse effects)</term>
<term>Anti-HIV Agents (therapeutic use)</term>
<term>Antiretroviral Therapy, Highly Active (adverse effects)</term>
<term>CD4 Lymphocyte Count</term>
<term>Coinfection</term>
<term>Female</term>
<term>Ghana</term>
<term>HIV Infections (complications)</term>
<term>HIV Infections (drug therapy)</term>
<term>HIV Infections (immunology)</term>
<term>Hepatitis B (complications)</term>
<term>Hepatitis B (immunology)</term>
<term>Humans</term>
<term>Liver (drug effects)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Time Factors</term>
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<term>Anti-HIV Agents</term>
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<term>Anti-HIV Agents</term>
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<term>Ghana</term>
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<term>Antiretroviral Therapy, Highly Active</term>
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<term>HIV Infections</term>
<term>Hepatitis B</term>
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<term>Liver</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>HIV Infections</term>
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<term>HIV Infections</term>
<term>Hepatitis B</term>
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<term>Adult</term>
<term>CD4 Lymphocyte Count</term>
<term>Coinfection</term>
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<term>Humans</term>
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<div type="abstract" xml:lang="en">To observe the long term response to first-line antiretroviral therapy (ART) in HIV and hepatitis B virus (HBV) co-infected patients in Ghana and explore predictors of poor clinical outcomes.</div>
</front>
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<Month>10</Month>
<Day>13</Day>
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<DateCompleted>
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<Month>07</Month>
<Day>06</Day>
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<DateRevised>
<Year>2017</Year>
<Month>09</Month>
<Day>02</Day>
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<ISSN IssnType="Electronic">1532-2742</ISSN>
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<Volume>69</Volume>
<Issue>5</Issue>
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<Year>2014</Year>
<Month>Nov</Month>
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<Title>The Journal of infection</Title>
<ISOAbbreviation>J. Infect.</ISOAbbreviation>
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<ArticleTitle>Long-term responses to first-line antiretroviral therapy in HIV and hepatitis B co-infection in Ghana.</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To observe the long term response to first-line antiretroviral therapy (ART) in HIV and hepatitis B virus (HBV) co-infected patients in Ghana and explore predictors of poor clinical outcomes.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Retrospective cohort study of hepatitis B surface antigen (HBsAg) positive and negative patients receiving predominantly NNRTI-based ART with lamivudine plus either zidovudine or stavudine for up to seven years. Cox proportional hazards and Kaplan Meier survival analyses compared clinical outcomes and identified baseline characteristics predictive of poor outcomes. A mixed effects model compared changes in CD4 counts.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 299 HBsAg-positive and 1869 HBsAg-negative patients started ART between 2004 and 2008. Over a median 35 months of follow-up, HBsAg-positive patients were more likely to die or default care than HBsAg-negative patients, aHR 1.36 (95% CI, 1.03-1.80). HBsAg-positive patients were also more likely to develop Grade 3/4 hepatotoxicity than HBsAg-negative patients, HR 1.99 (1.16-3.40) on survival analysis. There was no significant difference in CD4 responses between HBsAg-positive and HBsAg-negative patients.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">HBsAg-positive patients are at significantly increased risk of adverse clinical outcomes after starting ART. Further studies are warranted to evaluate whether these risks remain now that tenofovir is becoming routinely available in Ghana.</AbstractText>
<CopyrightInformation>Copyright © 2014 The British Infection Association. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
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