evolution of patients with aids after cart: clinical and laboratory evolution of patients with aids after 48 weeks of antiretroviral treatment

evolution of patients with aids after cart: clinical and laboratory evolution of patients with aids after 48 weeks of antiretroviral treatment

;Ana Esther Carvalho Gomes Fukumoto;Cristiano Claudino Oliveira;Karen Ingrid Tasca;Lenice do Rosario de Souza
2017 12th international conference for internet technology and secured transactions, icitst 2017 2013 Vol. 55 pp. 267-273
342
fukumoto2013revistaevolution

Abstract

SUMMARY Combination Antiretroviral Therapy (cART) aims to inhibit viral replication, delay immunodeficiency progression and improve survival in AIDS patients. The objective of this study was to compare two different schemes of cART, based on plasma viral load (VL) and CD4+ T lymphocyte count, during 48 weeks of treatment. For this purpose, 472 medical charts of a Specialized Outpatient Service were reviewed from 1998 to 2005. Out of these, 58 AIDS patients who had received a triple drug scheme as the initial treatment were included in the study and two groups were formed: Group 1 (G1): 47 individuals treated with two nucleoside reverse-transcriptase inhibitors (NRTI) and one non-nucleoside reverse-transcriptase inhibitor; Group 2 (G2): 11 patients treated with two NRTI and one protease inhibitor. In G1 and G2, 53.2% and 81.8% respectively were patients with an AIDS-defining disease. The T CD4+ lymphocyte count increased progressively up until the 24th week of treatment in all patients, while VL became undetectable in 68.1% of G1 and in 63.6% of G2. The study concluded that the evolutions of laboratory tests were similar in the two treatment groups and that both presented a favorable clinical evolution.

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10.1590/S0036-46652013000400008
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