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Rhinosinusitis in HIV-infected children undergoing antiretroviral therapy.
Pinheiro Neto, Carlos Diógenes; Weber, Raimar; Araújo-Filho, Bernardo Cunha; Miziara, Ivan Dieb.
Afiliación
  • Pinheiro Neto CD; Divisão de Clínica Otorrinolaringológica, Departamento de Otorrinolaringologia e Oftalmologia, Faculdade de Medicina, Universidade de São Paulo.
Braz J Otorhinolaryngol ; 75(1): 70-5, 2009.
Article en En | MEDLINE | ID: mdl-19488563
UNLABELLED: The association of protease inhibitors (PI) to antiretroviral therapy has generated sensible changes in morbidity and mortality of HIV-infected patients. AIM: Aims at evaluating the impact of this association on the prevalence of rhinosinusitis (RS) and CD4+ lymphocyte count in HIV-infected children. METHODS: Retrospective cross-sectional study of the medical charts of 471 HIV-infected children. In 1996, protease inhibitors were approved for use as an association drug in antiretroviral therapy. Children were divided into two groups: one which did not receive PI and another which received PI after 1996. The prevalence of RS and CD4+ lymphocyte counts were compared between these groups. RESULTS: 14.4% of HIV-infected children had RS. Chronic RS was more prevalent the its acute counterpart. Children under 6 years old who were taking protease inhibitors presented with a significant higher prevalence of acute RS. The association of PI with the antiretroviral regimen was associated to higher mean CD4+ lymphocyte count and lower prevalence of chronic RS. CONCLUSIONS: The use of protease inhibitors was associated to higher mean CD4+ lymphocyte count. Children under 6 years of age in antiretroviral therapy associated with PI presented a lower likelihood of developing chronic RS.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sinusitis / Infecciones por VIH / Rinitis / Terapia Antirretroviral Altamente Activa Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Child / Child, preschool / Female / Humans / Infant / Male / Newborn País/Región como asunto: America do sul / Brasil Idioma: En Revista: Braz J Otorhinolaryngol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2009 Tipo del documento: Article Pais de publicación: Brasil

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sinusitis / Infecciones por VIH / Rinitis / Terapia Antirretroviral Altamente Activa Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Child / Child, preschool / Female / Humans / Infant / Male / Newborn País/Región como asunto: America do sul / Brasil Idioma: En Revista: Braz J Otorhinolaryngol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2009 Tipo del documento: Article Pais de publicación: Brasil