Le SIDA en Afrique subsaharienne (serveur d'exploration)

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Antiretroviral treatment changes in adults from Côte d'Ivoire: the roles of tuberculosis and pregnancy.

Identifieur interne : 000928 ( Ncbi/Merge ); précédent : 000927; suivant : 000929

Antiretroviral treatment changes in adults from Côte d'Ivoire: the roles of tuberculosis and pregnancy.

Auteurs : Eugène Messou [France] ; Xavier Anglaret ; Julien Duvignac ; Eric Konan-N'Dri ; Eric Komena ; Joachim Gnokoro ; Sophie Karcher ; Anthony Tanoh ; Thérèse N'Dri-Yoman ; Catherine Seyler

Source :

RBID : pubmed:19935382

Descripteurs français

English descriptors

Abstract

To determine the rates and causes of first antiretroviral treatment changes in HIV-infected adults in Côte d'Ivoire.

DOI: 10.1097/QAD.0b013e32832ec1c3
PubMed: 19935382

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pubmed:19935382

Le document en format XML

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<term>Cote d'Ivoire (epidemiology)</term>
<term>Drug Substitution (statistics & numerical data)</term>
<term>Female</term>
<term>HIV Infections (drug therapy)</term>
<term>HIV Infections (immunology)</term>
<term>HIV Infections (virology)</term>
<term>HIV-1 (immunology)</term>
<term>Humans</term>
<term>Male</term>
<term>Pregnancy</term>
<term>Pregnancy Complications, Infectious (drug therapy)</term>
<term>Pregnancy Complications, Infectious (virology)</term>
<term>Tuberculosis (drug therapy)</term>
<term>Tuberculosis (immunology)</term>
<term>Tuberculosis (virology)</term>
<term>Viral Load</term>
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<term>Agents antiVIH (effets indésirables)</term>
<term>Agents antiVIH (usage thérapeutique)</term>
<term>Charge virale</term>
<term>Complications de la grossesse et maladies infectieuses (traitement médicamenteux)</term>
<term>Complications de la grossesse et maladies infectieuses (virologie)</term>
<term>Côte d'Ivoire (épidémiologie)</term>
<term>Femelle</term>
<term>Grossesse</term>
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<term>Infections à VIH (immunologie)</term>
<term>Infections à VIH (traitement médicamenteux)</term>
<term>Infections à VIH (virologie)</term>
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<term>Antiretroviral Therapy, Highly Active</term>
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<term>HIV Infections</term>
<term>Pregnancy Complications, Infectious</term>
<term>Tuberculosis</term>
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<term>Drug Substitution</term>
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<term>Tuberculose</term>
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<div type="abstract" xml:lang="en">To determine the rates and causes of first antiretroviral treatment changes in HIV-infected adults in Côte d'Ivoire.</div>
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<PMID Version="1">19935382</PMID>
<DateCreated>
<Year>2009</Year>
<Month>12</Month>
<Day>02</Day>
</DateCreated>
<DateCompleted>
<Year>2010</Year>
<Month>12</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>10</Month>
<Day>25</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1473-5571</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>24</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2010</Year>
<Month>Jan</Month>
<Day>02</Day>
</PubDate>
</JournalIssue>
<Title>AIDS (London, England)</Title>
<ISOAbbreviation>AIDS</ISOAbbreviation>
</Journal>
<ArticleTitle>Antiretroviral treatment changes in adults from Côte d'Ivoire: the roles of tuberculosis and pregnancy.</ArticleTitle>
<Pagination>
<MedlinePgn>93-9</MedlinePgn>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the rates and causes of first antiretroviral treatment changes in HIV-infected adults in Côte d'Ivoire.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We evaluated adults who initiated antiretroviral treatment in an outpatient clinic in Abidjan. We recorded baseline and follow-up data, including drug prescriptions and reasons for changing to alternative first-line regimens (drug substitution for any reason but failure) or second-line regimens (switch for failure).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Two thousand and twelve HIV-infected adults (73% women) initiated antiretroviral treatment. At baseline, 9% of all patients were on treatment for tuberculosis and 3% of women were pregnant. First-line antiretroviral treatment consisted of two nucleoside reverse transcriptase inhibitors (58% stavudine-lamivudine, 42% zidovudine-lamivudine) and efavirenz (63%), nevirapine (32%) or indinavir (5%). Median follow-up time was 16.9 months. During this time, 205 (10%) patients died and 261 (13%) were lost to follow-up. Overall, the rate of treatment modifications was 20.7/100 patient-years. The most common modifications were drug substitutions for intolerance (12.4/100 patient-years), pregnancy (4.5/100 patient-years) and tuberculosis (2.5/100 patient-years). The rates of intolerance-related substitutions were 17.9/100 patient-years for stavudine, 6.3/100 patient-years for nevirapine, 3.9/100 patient-years for zidovudine and 0.1/100 patient-years for efavirenz. Twenty percent of efavirenz substitutions resulted from pregnancy and 18% of nevirapine substitutions were related to tuberculosis treatment.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">During the first months following antiretroviral treatment initiation, a third of all treatment changes occurred for reasons other than intolerance to the drug or treatment failure. In Africa, drug forecasting is crucial to ensuring the success of HIV treatment programmes. Drugs that do not require interruptions during pregnancy or tuberculosis treatment should be made more readily available as first-line drugs in sub-Saharan Africa.</AbstractText>
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<LastName>Messou</LastName>
<ForeName>Eugène</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>INSERM U897, Université Victor Segalen Bordeaux 2, Bordeaux, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Anglaret</LastName>
<ForeName>Xavier</ForeName>
<Initials>X</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Duvignac</LastName>
<ForeName>Julien</ForeName>
<Initials>J</Initials>
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<LastName>Konan-N'dri</LastName>
<ForeName>Eric</ForeName>
<Initials>E</Initials>
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<Author ValidYN="Y">
<LastName>Komena</LastName>
<ForeName>Eric</ForeName>
<Initials>E</Initials>
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<ForeName>Joachim</ForeName>
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<ForeName>Sophie</ForeName>
<Initials>S</Initials>
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<ForeName>Anthony</ForeName>
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<ForeName>Thérèse</ForeName>
<Initials>T</Initials>
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<Author ValidYN="Y">
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<ForeName>Catherine</ForeName>
<Initials>C</Initials>
</Author>
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<Language>eng</Language>
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<Grant>
<GrantID>R01 AI058736</GrantID>
<Acronym>AI</Acronym>
<Agency>NIAID NIH HHS</Agency>
<Country>United States</Country>
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<MedlineTA>AIDS</MedlineTA>
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<ISSNLinking>0269-9370</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<CitationSubset>X</CitationSubset>
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<DescriptorName UI="D011251" MajorTopicYN="N">Pregnancy Complications, Infectious</DescriptorName>
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<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014376" MajorTopicYN="N">Tuberculosis</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
<QualifierName UI="Q000276" MajorTopicYN="N">immunology</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019562" MajorTopicYN="N">Viral Load</DescriptorName>
</MeshHeading>
</MeshHeadingList>
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<OtherID Source="NLM">PMC3936254</OtherID>
</MedlineCitation>
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<PubMedPubDate PubStatus="entrez">
<Year>2009</Year>
<Month>11</Month>
<Day>26</Day>
<Hour>6</Hour>
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<PubMedPubDate PubStatus="pubmed">
<Year>2009</Year>
<Month>11</Month>
<Day>26</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2010</Year>
<Month>12</Month>
<Day>29</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
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<ArticleId IdType="pubmed">19935382</ArticleId>
<ArticleId IdType="doi">10.1097/QAD.0b013e32832ec1c3</ArticleId>
<ArticleId IdType="pmc">PMC3936254</ArticleId>
<ArticleId IdType="mid">NIHMS517976</ArticleId>
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<country>
<li>France</li>
</country>
<region>
<li>Aquitaine</li>
<li>Nouvelle-Aquitaine</li>
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<settlement>
<li>Bordeaux</li>
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</list>
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<name sortKey="Anglaret, Xavier" sort="Anglaret, Xavier" uniqKey="Anglaret X" first="Xavier" last="Anglaret">Xavier Anglaret</name>
<name sortKey="Duvignac, Julien" sort="Duvignac, Julien" uniqKey="Duvignac J" first="Julien" last="Duvignac">Julien Duvignac</name>
<name sortKey="Gnokoro, Joachim" sort="Gnokoro, Joachim" uniqKey="Gnokoro J" first="Joachim" last="Gnokoro">Joachim Gnokoro</name>
<name sortKey="Karcher, Sophie" sort="Karcher, Sophie" uniqKey="Karcher S" first="Sophie" last="Karcher">Sophie Karcher</name>
<name sortKey="Komena, Eric" sort="Komena, Eric" uniqKey="Komena E" first="Eric" last="Komena">Eric Komena</name>
<name sortKey="Konan N Dri, Eric" sort="Konan N Dri, Eric" uniqKey="Konan N Dri E" first="Eric" last="Konan-N'Dri">Eric Konan-N'Dri</name>
<name sortKey="N Dri Yoman, Therese" sort="N Dri Yoman, Therese" uniqKey="N Dri Yoman T" first="Thérèse" last="N'Dri-Yoman">Thérèse N'Dri-Yoman</name>
<name sortKey="Seyler, Catherine" sort="Seyler, Catherine" uniqKey="Seyler C" first="Catherine" last="Seyler">Catherine Seyler</name>
<name sortKey="Tanoh, Anthony" sort="Tanoh, Anthony" uniqKey="Tanoh A" first="Anthony" last="Tanoh">Anthony Tanoh</name>
</noCountry>
<country name="France">
<region name="Nouvelle-Aquitaine">
<name sortKey="Messou, Eugene" sort="Messou, Eugene" uniqKey="Messou E" first="Eugène" last="Messou">Eugène Messou</name>
</region>
</country>
</tree>
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