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[Impact of highly active antiretroviral therapy in the clinical, immunological and virological response from AIDS patients]. / Impacto de la terapia antirretroviral de alta eficacia en la respuesta clinica e inmunovirológica en enfermos SIDA.
Reyes Corcho, Andrés; Mosquera Fernández, Miguel A; Bouza Jiménez, Yanelka; Pérez Avila, Jorge; Hernández, Vivian; Jam Morales, Blas; Alvarez Amador, Gustavo; Bouza Jiménez, Yadira.
Afiliação
  • Reyes Corcho A; Hospital General Universitario Gustavo Alderegía Lima, Cienfuegos, Cuba. rcorcho@ucf.edu.cu
Rev Cubana Med Trop ; 59(2): 139-48, 2007.
Article em Es | MEDLINE | ID: mdl-23427448
A longitudinal prospective study was made to evaluate the clinical, immunological and virological response of a cohort of 34 AIDS patients in Cienfuegos provinces, who had been treated with highly active antiretroviral therapy (HAART). Males comprised 67.6% of the total number and average age was 32 years. Sexual infection path was identified in 91.2% of cases. The CD4+ T counting under 200 cells defined AIDS in 79.4% of individuals. Twenty six patients suffered minor opportunistic infections (76.5%) whereas 32.4% got sick due to some major opportunistic disease prior to the therapy. After this therapy, these frequencies lowered to 20.6% and 11.8% respectively. Average CD4+ counting at the starting of HAART was 196 cell/mm3 and exceeded 400 cells in the rest of further countings. From a PVC average of 15 251 copies/mL one year after therapy, this figure reduced to 8 048 copies at 2 years. Only 10 cases required hospitalization after a HAART (29.4%). Treatment adherence reached over 80% and was correlated to immunological restoration. Survival after one year was 100% and only 2 patients died in the following 4 years. The positive impact of HAART on the frequency of opportunistic infections, immunological restoration and survival was proved.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Azatioprina / Viremia / Síndrome da Imunodeficiência Adquirida / Estavudina / Lamivudina / Fármacos Anti-HIV / Terapia Antirretroviral de Alta Atividade Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male País/Região como assunto: Caribe / Cuba Idioma: Es Revista: Rev Cubana Med Trop Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Cuba País de publicação: Cuba
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Azatioprina / Viremia / Síndrome da Imunodeficiência Adquirida / Estavudina / Lamivudina / Fármacos Anti-HIV / Terapia Antirretroviral de Alta Atividade Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male País/Região como assunto: Caribe / Cuba Idioma: Es Revista: Rev Cubana Med Trop Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Cuba País de publicação: Cuba