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Ixekizumab: an alternative for HIV-positive psoriasis patients. Ixekizumab:HIV 阳性银屑病患者的另一种选择。
IF 2.1 4区 医学
AIDS Research and Therapy Pub Date : 2024-11-28 DOI: 10.1186/s12981-024-00675-8
Fanghua Liu, Zhou Liu, Rongming Yang, Dandan Huang, Yongzhi Han
{"title":"Ixekizumab: an alternative for HIV-positive psoriasis patients.","authors":"Fanghua Liu, Zhou Liu, Rongming Yang, Dandan Huang, Yongzhi Han","doi":"10.1186/s12981-024-00675-8","DOIUrl":"10.1186/s12981-024-00675-8","url":null,"abstract":"<p><p>Psoriasis is a recurrent and protracted inflammatory disease. Generalized erythema, plaques, and silvery scales on the surface mainly characterize its skin lesions. Biologics bring new hope to psoriasis patients. However, HIV infection is a major concern before receiving biologics. Here, we present a case of the efficacy and safety of Ixekizumab, an interleukin 17 inhibitor, in the treatment of psoriasis patients living with HIV (PPLHIV).</p>","PeriodicalId":7503,"journal":{"name":"AIDS Research and Therapy","volume":"21 1","pages":"87"},"PeriodicalIF":2.1,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11603802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Compliance with reporting standards in Mobile App interventions for ART Adherence among PLHIV. 移动应用程序对艾滋病毒携带者坚持抗逆转录病毒疗法的干预是否符合报告标准。
IF 2.1 4区 医学
AIDS Research and Therapy Pub Date : 2024-11-22 DOI: 10.1186/s12981-024-00666-9
Abdulhammed O Babatunde, Dimeji A Olawuyi, Folashade A Olajuwon, Isaac O Ekundayo, Olatokun S Akano, Olutola V Awosiku
{"title":"Compliance with reporting standards in Mobile App interventions for ART Adherence among PLHIV.","authors":"Abdulhammed O Babatunde, Dimeji A Olawuyi, Folashade A Olajuwon, Isaac O Ekundayo, Olatokun S Akano, Olutola V Awosiku","doi":"10.1186/s12981-024-00666-9","DOIUrl":"10.1186/s12981-024-00666-9","url":null,"abstract":"<p><strong>Introduction: </strong>In recent decades, there has been a proliferation of mobile health (mHealth) interventions to address public health challenges such as HIV/AIDS. Hence, there is a need for standardizing the report of mHealth interventions and frameworks to enable effective knowledge sharing and promote developments. This study aims to review publications on mobile applications used for antiretroviral therapy (ART) adherence among people living with HIV (PLHIV) to evaluate their compliance with the standard reporting guideline by the WHO.</p><p><strong>Method: </strong>A comprehensive search of published literature was conducted on PubMed, PubMed Central, and MEDLINE databases. We selected randomized controlled trials reporting mobile applications used to improve ART adherence among PLHIV. Only studies published in the last 10 years and the English language were included. Each selected study was reviewed by two independent reviewers against the standard 16-item checklist developed by the WHO.</p><p><strong>Results: </strong>A total of 16 studies were included in the review. Most of the studies were conducted in the United States of America (n = 7). Only 4 (25%) of the studies reported more than 70% (11/16) of the items on the standard reporting checklist by WHO. More than 80% of the studies reported the intervention content (n = 15) and intervention delivery (n = 13). The least reported items were; interoperability/Health Information Systems (HIS) context (n = 2), infrastructure (population level such as electricity, internet connectivity, etc.) (n = 4), and cost assessment (n = 4). However, these are important factors that ensure the sustainability and usability of mHealth intervention, especially in low- and middle-income countries.</p><p><strong>Conclusion: </strong>Most mHealth interventions promoting ART adherence did not comply with the standard reporting guideline. The lack of standardization of mHealth interventions may be responsible for increased siloed mobile applications. Hence, there is a need for global adoption of the checklist by Ministries of Health, international organizations, journals, and relevant authorities.</p>","PeriodicalId":7503,"journal":{"name":"AIDS Research and Therapy","volume":"21 1","pages":"85"},"PeriodicalIF":2.1,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Traditional complementary and alternative medicine (TCAM) use among PLHIV on antiretroviral medication. 服用抗逆转录病毒药物的艾滋病毒感染者使用传统补充和替代医学(TCAM)的情况。
IF 2.1 4区 医学
AIDS Research and Therapy Pub Date : 2024-11-20 DOI: 10.1186/s12981-024-00673-w
Mawulorm Ki Denu, Maame Araba E Buadu, Frederick Adrah, Cornelius A Normeshie, Kofi Poku Berko
{"title":"Traditional complementary and alternative medicine (TCAM) use among PLHIV on antiretroviral medication.","authors":"Mawulorm Ki Denu, Maame Araba E Buadu, Frederick Adrah, Cornelius A Normeshie, Kofi Poku Berko","doi":"10.1186/s12981-024-00673-w","DOIUrl":"10.1186/s12981-024-00673-w","url":null,"abstract":"<p><strong>Background: </strong>Traditional complementary and alternative medicine (TCAM) are products and practices that differ from conventional allopathic medicine. There continues to be an increase in the use of these methods of treatment in developed and developing countries worldwide. This often owes to the perceived ability of these treatment methods to cure chronic medical conditions like HIV. However, TCAM use among PLHIV may be associated with reduced compliance with antiretroviral medications, resulting in poor viral load suppression and increased risk for opportunistic infections. The concomitant use of antiretroviral drugs and TCAM practices may be influenced by some sociodemographic and health-related factors.</p><p><strong>Objective: </strong>To determine the prevalence of TCAM use and examine the sociodemographic and health-related factors associated with its use among PLHIV on antiretroviral medications at the Infectious Disease unit of Korle-Bu Teaching Hospital in Ghana.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among attendants at an adult HIV clinic. 420 study participants were selected by systematic sampling. Data related to TCAM use, sociodemographic and health-related factors were collected using a standardized questionnaire and patient chart review. Multivariate logistic regression model was used to determine the association between TCAM use, sociodemographic and health-related factors.</p><p><strong>Results: </strong>Of the 420 study participants, majority were female (76.2%) and urban community dwellers (77.9%). 77.4% of participants had been diagnosed with HIV for [Formula: see text] 5 years and had been on anti-retroviral medications for more than 5 years. The prevalence of TCAM use among PLHIV was 25.2%. No sociodemographic or HIV-related health factor was significantly associated with TCAM use in the study population.</p><p><strong>Conclusion: </strong>TCAM use was high among PLHIV. No sociodemographic or health-related factor was found to be associated with TCAM use. Further studies employing a qualitative approach using key informant interviews and focused group discussions are needed to explore reasons for its use. Care providers and policy-makers should look beyond sociodemographic and health-related factors in addressing TCAM use among PLHIV.</p>","PeriodicalId":7503,"journal":{"name":"AIDS Research and Therapy","volume":"21 1","pages":"84"},"PeriodicalIF":2.1,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clustering affordable care act qualified health plans to understand how and where insurance facilitates or impedes access to HIV prevention. 对符合《可负担医疗法案》规定的医疗计划进行分组,以了解保险如何以及在哪些方面促进或阻碍了艾滋病预防工作的开展。
IF 2.1 4区 医学
AIDS Research and Therapy Pub Date : 2024-11-19 DOI: 10.1186/s12981-024-00674-9
Samuel D Powers, Karen M Schmidt, Amy Killelea, Andrew Strumpf, Kathleen A McManus
{"title":"Clustering affordable care act qualified health plans to understand how and where insurance facilitates or impedes access to HIV prevention.","authors":"Samuel D Powers, Karen M Schmidt, Amy Killelea, Andrew Strumpf, Kathleen A McManus","doi":"10.1186/s12981-024-00674-9","DOIUrl":"10.1186/s12981-024-00674-9","url":null,"abstract":"<p><strong>Background: </strong>With access to and uptake of pre-exposure prophylaxis (PrEP), the United States can prevent new HIV infections. To end the HIV epidemic, health insurance plans must facilitate access to comprehensive preventive care benefits. Since plan benefit designs vary considerably by plan, it is difficult to systematically determine plans that facilitate and restrict preventive services for PrEP.</p><p><strong>Methods: </strong>We applied an unsupervised machine learning method to cluster 17,061 Qualified Health Plans offered to individuals. We examined the clusters to draw conclusions about the types of benefits insurance companies tend to group together in plans. Then we analyzed the geographic distribution of those clusters across the United States to assess geographic inequities in access to HIV preventive care.</p><p><strong>Results: </strong>Our method uncovered three cohesive clusters of plans. Plans in Cluster 1: the least restrictive cluster, facilitate access to preventive care using copays over coinsurance on almost all benefits; Cluster 2: the moderately restrictive cluster, plans cover HIV prevention benefits with copays but restrict access to general health benefits with coinsurance; and Cluster 3: the most restrictive cluster, plans cover almost all benefits using coinsurance. Overall, increased prior authorization requirements tend to accompany reductions in out-of-pocket costs. Examining the geographic plan distribution, states with at least one rating area where at least 75% of plans offered are in the most restrictive cluster included: Georgia, Illinois, Missouri, Oklahoma, Texas, Virginia, and Wyoming.</p><p><strong>Conclusions: </strong>Insurance plan design is complex. To address the ambitious call to end the HIV epidemic in this country, plans should also take into account both public health and health equity factors to create plan designs that ensure access to critical preventive services for people who need them most. Addressing the growing disparities in PrEP access along racial and ethnic lines should be a national priority, and federal and state insurance regulators as well as insurance plans themselves should be part of the conversation about how to ensure people who would benefit from PrEP can access it. Better state/federal regulation of plan design to ensure access is consistent, equitable, and based on clinical recommendations will reduce the variability across plan designs.</p>","PeriodicalId":7503,"journal":{"name":"AIDS Research and Therapy","volume":"21 1","pages":"83"},"PeriodicalIF":2.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142674882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of CREB and MAPK signaling pathways in ATLL patients. CREB 和 MAPK 信号通路在 ATLL 患者中的作用。
IF 2.1 4区 医学
AIDS Research and Therapy Pub Date : 2024-11-11 DOI: 10.1186/s12981-024-00664-x
Mohammad Mehdi Akbarin, Seyed Abdolrahim Rezaee, Zahra Farjami, Hossein Rahimi, Houshang Rafatpanah
{"title":"The role of CREB and MAPK signaling pathways in ATLL patients.","authors":"Mohammad Mehdi Akbarin, Seyed Abdolrahim Rezaee, Zahra Farjami, Hossein Rahimi, Houshang Rafatpanah","doi":"10.1186/s12981-024-00664-x","DOIUrl":"10.1186/s12981-024-00664-x","url":null,"abstract":"<p><strong>Background: </strong>HTLV-1 is a worldwide distribution retrovirus with 10-20 million infected individuals. ATLL is an Adult T-cell leukaemia lymphoma caused by aggressive T-cell proliferation that is infected by HTLV-1 and is associated with an inferior prognosis. The exact molecular pathogenesis has yet to be fully understood. CREB, a transcription factor, acts as a molecular switch that controls the expression of numerous genes in response to various extracellular signals. Its activation is primarily mediated through phosphorylation by multiple kinases, including MAPKs. MAPKs, a family of serine/threonine kinases, serve as crucial mediators of intracellular signaling cascades.</p><p><strong>Method and material: </strong>This study investigated, 38 HTLV-I-infected individuals, including 18 HTLV-1 asymptomatic carriers (ACs) and 20 ATLL subjects. mRNA was extracted and converted to cDNA from Peripheral blood mononuclear cells (PBMCs), and then the expression of TAX, HBZ, CREB, and MAPK was analyzed by TaqMan qPCR. The genomic HTLV-1 Proviral loads were examined among the study group.</p><p><strong>Results: </strong>The data analysis showed a significant difference in the mean of CREB expression amongst study groups (ATLL and carriers, (p = 0.002). There is no statistical difference between the MAPK gene expression (p = 0.35). HBZ, TAX, and HTLV-1 proviral load weree significantly higher in ATLL subjects compared to  ACs  (p = 0.002, 0.000, and 0.000), respectively. Moreover, our results, demonstrated a direct positive correlation among HBZ, CREB, and TAX gene expression in ATLL patients (p = 0.001), whilst between the  ACs, TAX gene expression had a positive significant correlation with HBZ and HTLV-1 proviral load (p = 0.007 and p = 0.004, respectively).</p><p><strong>Conclusion: </strong>The present study demonstrated that CREB gene expression was higher in the ATLL group than ACs, while there was no difference for MAPK. Therefore, this pathway may not strongly involve in the activation of CREB. The CREB may be a prognostic factor for the development of HTLV-I-associated diseases and can be used as a monitoring marker for the efficiency of the therapeutic regime and prognosis.</p>","PeriodicalId":7503,"journal":{"name":"AIDS Research and Therapy","volume":"21 1","pages":"81"},"PeriodicalIF":2.1,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142612145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between differentiated HIV care delivery model and low-level viremia among people living with HIV in Rwanda. 卢旺达艾滋病毒感染者中差异化艾滋病毒护理服务模式与低水平病毒血症之间的关系。
IF 2.1 4区 医学
AIDS Research and Therapy Pub Date : 2024-11-01 DOI: 10.1186/s12981-024-00650-3
Jackson Sebeza, Mariam S Mbwana, Habib O Ramadhani, Zuhura M Ally, Taylor Lascko, Peter Memiah, Simeon Tuyishime, Galican Rwibasira
{"title":"Association between differentiated HIV care delivery model and low-level viremia among people living with HIV in Rwanda.","authors":"Jackson Sebeza, Mariam S Mbwana, Habib O Ramadhani, Zuhura M Ally, Taylor Lascko, Peter Memiah, Simeon Tuyishime, Galican Rwibasira","doi":"10.1186/s12981-024-00650-3","DOIUrl":"10.1186/s12981-024-00650-3","url":null,"abstract":"<p><strong>Background: </strong>Low-level viremia (LLV) (HIV-RNA 51-999 copies/mL) is associated with increased risk of non viral load suppression (HIV-RNA ≥ 1000 copies/mL). We assessed the association between differentiated service delivery model (DSDM) and LLV among people living with HIV (PLHIV) in Rwanda.</p><p><strong>Methods: </strong>We conducted a retrospective cohort analysis using routinely collected data of adults living with HIV from 28-healthcare facilities in Rwanda before and after the introduction of DSDM. Under DSDM, PLHIV initiated treatment within seven days of HIV diagnosis and medication pick-up up to six months for those with sustained viral load suppression suppression. Proportions of LLV at 6,12 and 18 months were quantified. Multivariable log binomial regression models were used to assess the effect of DSDM on LLV. To handle missing data, multiple imputations was performed.</p><p><strong>Results: </strong>Of 976 people living with HIV, 645(66.0%) were female and 463(47.4%) initiated treatment during DSDM. The median age was 37 (interquartile range: 32-43) years. LLV was 7.4%, 6.6% and 5.4%, at 6,12 and 18 months, respectively. Compared to those who initiated treatment before DSDM, starting treatment during DSDM increased six-month LLV [adjusted risk ratio (aRR) = 2.8: 95%CI (1.15-6.91)] but not at 12 [aRR = 2.3: 95%CI (0.93-5.75)] and 18 months [aRR = 0.3: 95%CI (0.09-1.20)]. Using imputed datasets, the association between DSDM and LLV persisted.</p><p><strong>Conclusions: </strong>DSDM was associated with increased risk of LLV at 6-months. possibly due to the minimal amount of time PLHIV had in pondering and accepting the HIV diagnosis. Continued support is needed among people receiving early antiretroviral therapy initiation to prevent development of LLV.</p>","PeriodicalId":7503,"journal":{"name":"AIDS Research and Therapy","volume":"21 1","pages":"79"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11529002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142563738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Brief communication: comorbidities and aging in people living with HIV. 简讯:艾滋病毒感染者的合并症和老龄化。
IF 2.1 4区 医学
AIDS Research and Therapy Pub Date : 2024-10-26 DOI: 10.1186/s12981-024-00667-8
Laura Beatriz de Camargo Vicioli, E Lenice do Rosário de Souza
{"title":"Brief communication: comorbidities and aging in people living with HIV.","authors":"Laura Beatriz de Camargo Vicioli, E Lenice do Rosário de Souza","doi":"10.1186/s12981-024-00667-8","DOIUrl":"10.1186/s12981-024-00667-8","url":null,"abstract":"<p><p>The main objective of the study was to assess the occurrence of non-aids-related comorbidities typical of aging in people living with HIV diagnosis 20 years ago or more and under treatment with antiretroviral drugs for a long time. The associations between the same age group in people living with HIV with reported ART use 20 + years and people living with HIV with reported ART use between two and five years in relation to the risk of comorbidities studied, there was a predominance of metabolic alterations in the 50-60 and 60 + age groups (p < 0.003). The conclusion was that exists a higher risk of comorbidities associated with people living with HIV for more than 20 years, but the length of treatment did not necessarily influence this risk.</p>","PeriodicalId":7503,"journal":{"name":"AIDS Research and Therapy","volume":"21 1","pages":"77"},"PeriodicalIF":2.1,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11513635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Virologically suppressed switch to Dolutegravir/Lamivudine 2-Drug regimen versus switch to commonly prescribed 3-Drug regimens in the United States. 在美国,病毒被抑制后改用多鲁曲韦/拉米夫定两药方案与改用常用的三药方案。
IF 2.1 4区 医学
AIDS Research and Therapy Pub Date : 2024-10-26 DOI: 10.1186/s12981-024-00668-7
Gerald Pierone, Jennifer S Fusco, Laurence Brunet, Vani Vannappagari, Supriya Sarkar, Cassidy E Henegar, Jean van Wyk, Michael B Wohlfeiler, Anthony Mills, Gregory P Fusco
{"title":"Virologically suppressed switch to Dolutegravir/Lamivudine 2-Drug regimen versus switch to commonly prescribed 3-Drug regimens in the United States.","authors":"Gerald Pierone, Jennifer S Fusco, Laurence Brunet, Vani Vannappagari, Supriya Sarkar, Cassidy E Henegar, Jean van Wyk, Michael B Wohlfeiler, Anthony Mills, Gregory P Fusco","doi":"10.1186/s12981-024-00668-7","DOIUrl":"10.1186/s12981-024-00668-7","url":null,"abstract":"<p><strong>Background: </strong>Two-drug regimens (2DRs) have been introduced in recent years to potentially reduce antiretroviral therapy (ART) toxicities and drug-drug interactions while demonstrating comparable efficacy to three-drug regimens (3DRs) for people with HIV (PWH). The objective of this study was to compare the real-world effectiveness and durability of a single-tablet 2DR of dolutegravir/lamivudine (DTG/3TC) with that of commonly prescribed 3DRs in ART-experienced, virologically suppressed PWH during the first 24 months of DTG/3TC availability in the United States.</p><p><strong>Methods: </strong>Virologically suppressed (viral load [VL] < 200 copies/mL) adult PWH initiating DTG/3TC 2DR, bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF), or a DTG-based 3DR between 01MAY2019 and 31OCT2020 were identified in the OPERA<sup>®</sup> cohort and followed through 30APR2021. Univariate Poisson regression (incidence rates) and marginal structural Cox proportional hazards models with inverse probability of treatment weights (hazard ratios) were used to quantify relationships between regimen type and confirmed virologic failure (2 consecutive VLs ≥ 200 copies/mL) or regimen discontinuation. Reasons for discontinuation were examined.</p><p><strong>Results: </strong>A total of 8,037 ART-experienced, virologically suppressed PWH met the inclusion criteria and switched to DTG/3TC (n = 1,450), BIC/FTC/TAF (n = 5,691), or a DTG-based 3DR (n = 896). Incidence rates of confirmed virologic failure were low for all groups, at 0.66 (DTG/3TC), 0.84 (BIC/FTC/TAF), and 1.78 (DTG 3DR) per 100 person-years (py). Compared to DTG/3TC, only the DTG 3DRs were associated with a statistically significant increased hazard of confirmed virologic failure (hazard ratio: 5.21, 95% confidence interval: 1.85, 14.67). Discontinuation rates per 100 py were highest in the DTG 3DR group (24.90), followed by the DTG/3TC group (17.69) and the BIC/FTC/TAF group (8.30). Regardless of regimen, discontinuations were infrequently attributed to effectiveness (VL ≥ 200 copies/mL; 4%) or tolerability (adverse diagnoses, side effects, or lab abnormalities; 6%).</p><p><strong>Conclusions: </strong>Among virologically suppressed PWH initiating a new regimen, few individuals experienced virologic failure in real-world clinical care. While rates of regimen discontinuation were high, most discontinuations could not be attributed to a lack of virologic control or poor tolerability. These findings suggest that DTG/3TC is an effective option for ART-experienced, virologically suppressed PWH.</p>","PeriodicalId":7503,"journal":{"name":"AIDS Research and Therapy","volume":"21 1","pages":"76"},"PeriodicalIF":2.1,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11515283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mucosal leishmaniasis of the lips and cheeks: a first concomitant presentation of visceral and mucosal leishmaniasis in a patient living with HIV/AIDS in Monastir, Tunisia. 嘴唇和脸颊粘膜利什曼病:突尼斯莫纳斯提尔一名艾滋病毒/艾滋病感染者首次同时患上内脏和粘膜利什曼病。
IF 2.1 4区 医学
AIDS Research and Therapy Pub Date : 2024-10-23 DOI: 10.1186/s12981-024-00660-1
Latifa Berrezouga, Ikbel Kooli, Sameh Belgacem, Wafa Marrakchi, Seifeddine Ben Hamouda, Adnene Toumi, Hamouda Babba, Abdelfattah Zakhama, Mohamed Chakroun
{"title":"Mucosal leishmaniasis of the lips and cheeks: a first concomitant presentation of visceral and mucosal leishmaniasis in a patient living with HIV/AIDS in Monastir, Tunisia.","authors":"Latifa Berrezouga, Ikbel Kooli, Sameh Belgacem, Wafa Marrakchi, Seifeddine Ben Hamouda, Adnene Toumi, Hamouda Babba, Abdelfattah Zakhama, Mohamed Chakroun","doi":"10.1186/s12981-024-00660-1","DOIUrl":"10.1186/s12981-024-00660-1","url":null,"abstract":"<p><strong>Background: </strong>Visceral Leishmaniasis (VL) is the most severe and fatal disease if left untreated. In people living with HIV/AIDS (PLHA), VL is considered an emerging opportunistic infection. The aim of this manuscript was to report a first case in Tunisia of a concomitant presentation of visceral and oral leishmaniasis in a patient LHA. A systematic review of the literature was performed according to PRISMA guidelines, as well.</p><p><strong>Case presentation: </strong>The patient, a 43-year-old heterosexual man, treated for HIV/AIDS was referred for macrocheilitis of the upper and lower lips. A noticeable nodular and painless swelling extending to the cheeks' mucosa was noted. The patient's poor oral hygiene was evident due to the presence of multiple dental caries. Histological analysis of the biopsied lower lip sample revealed the presence of numerous Leishmania amastigotes. The diagnosis of VL was clinically confirmed by the presence of a mild splenomegaly and pancytopenia and biologically by the identification of the parasite using PCR Lei and the species L. infantum involved using RFLP-PCR and culture. The treatment consisted of an intravenous administration of liposomal Amphotericin B (Ambisome®, 40 mg/kg/weight) for a period of 6 weeks. A favorable outcome was noted after one year with the resolution of clinical symptoms and a negative Leishmania blood PCR test. After 2 years, the patient remained asymptomatic but showed a positive Leishmania blood PCR test. Dolutegravir® was introduced in the patient's ART regimen.</p><p><strong>Conclusions: </strong>To the best of our knowledge, this is the first case report in Tunisia of atypical VL diagnosed through an uncommon oral location in an HIV/AIDS co-infected patient . Since VL is a severe and potentially fatal disease, it is essential for dentists to perform a thorough clinical examination and adopt a multidisciplinary approach in order to ensure an early diagnosis and an effective treatment outcome.</p>","PeriodicalId":7503,"journal":{"name":"AIDS Research and Therapy","volume":"21 1","pages":"73"},"PeriodicalIF":2.1,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11515565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Brief communication: coagulation profiles of HIV positive patients on antiretroviral therapy (ART) at the Mampong Municipal Hospital, Ashanti-Region, Ghana: a case control study. 简讯:加纳阿散蒂地区曼蓬市立医院接受抗逆转录病毒疗法(ART)的艾滋病毒阳性患者的凝血状况:病例对照研究。
IF 2.1 4区 医学
AIDS Research and Therapy Pub Date : 2024-10-22 DOI: 10.1186/s12981-024-00665-w
Freddie Boateng Opoku, Akua Koaso Yalley, Nicholas Israel Nii-Trebi, Ekoutiame Ahlin, Abena Asefuaba Yalley, Ransford Kyeremeh
{"title":"Brief communication: coagulation profiles of HIV positive patients on antiretroviral therapy (ART) at the Mampong Municipal Hospital, Ashanti-Region, Ghana: a case control study.","authors":"Freddie Boateng Opoku, Akua Koaso Yalley, Nicholas Israel Nii-Trebi, Ekoutiame Ahlin, Abena Asefuaba Yalley, Ransford Kyeremeh","doi":"10.1186/s12981-024-00665-w","DOIUrl":"https://doi.org/10.1186/s12981-024-00665-w","url":null,"abstract":"<p><p>This study aimed to ascertain how the current two ART regimens used in Ghana affected HIV patients' coagulation profiles. A case-control study was conducted on 102 HIV positive patients at the Mampong Municipal Hospital. Coagulation parameters measured showed APTT was normal in majority of ART-experienced participants but prolonged in majority of ART-naïve participants. The mean platelet count was significantly higher in ART-experienced participants. No significant differences were found between the coagulation profiles of ART-experienced patients on two different drug regimens. In conclusion, current ART can enhance the coagulation profiles in HIV-infected patients, by improving platelet count and APTT.</p>","PeriodicalId":7503,"journal":{"name":"AIDS Research and Therapy","volume":"21 1","pages":"72"},"PeriodicalIF":2.1,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11494772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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