Modeling CD4+ cell count increase over a six-year period in HIV-1-infected patients on highly active antiretroviral therapy in Senegal

To assess the extents and determinants of long-term CD4 cell increases after initiation of antiretroviral therapy (ART), changes in CD4 cell counts were analyzed in a cohort of HIV-1-infected Senegalese using a mixed-effects model. After a median follow-up of 54 months, an average of 483 CD4 cells/mm3 (95% confidence interval [CI] = 331; 680) was reached. The average asymptote level was approximately 421 cells/mm3 (95% CI = 390; 454) in patients with < 200 cells/mm3 at baseline and approximately 500 cells/mm3 in patients with > 200 cells/mm3. The independent predictors of long-term CD4 cell reconstitution were the baseline CD4 cell count and the monthly average viral load over the entire follow-up. This good long-term immune reconstitution, optimal in subjects with low average viral loads and > 200 CD4 cells/mm3 at baseline, argues in favor of the earliest possible access to ART and underlines the importance of strict compliance with the treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2009

Erschienen:

2009

Enthalten in:

Zur Gesamtaufnahme - volume:80

Enthalten in:

The American journal of tropical medicine and hygiene - 80(2009), 6 vom: 15. Juni, Seite 1047-53

Sprache:

Englisch

Beteiligte Personen:

De Beaudrap, Pierre [VerfasserIn]
Etard, Jean-François [VerfasserIn]
Diouf, Assane [VerfasserIn]
Ndiaye, Ibrahima [VerfasserIn]
Guèye, Ndèye Fatou [VerfasserIn]
Guèye, Pape Mandoumbé [VerfasserIn]
Sow, Papa Salif [VerfasserIn]
Mboup, Souleymane [VerfasserIn]
Ndoye, Ibra [VerfasserIn]
Ecochard, René [VerfasserIn]
Eric, Delaporte [VerfasserIn]
ANRS 1215/90 Study Group [VerfasserIn]
Ndoye, I [Sonstige Person]
Delaporte, E [Sonstige Person]
Etard, J F [Sonstige Person]
Laurent, C [Sonstige Person]
Taverne, B [Sonstige Person]
Thierry-Mieg, M [Sonstige Person]
Bitèye, M M [Sonstige Person]
Dieng, A B [Sonstige Person]
Diouf, A [Sonstige Person]
Sarr, A [Sonstige Person]
Zié, L [Sonstige Person]
Cilote, V [Sonstige Person]
Lanièce, I [Sonstige Person]
Ndiaye, I [Sonstige Person]
Ndir, A [Sonstige Person]
Ndour, C T [Sonstige Person]
Senghor, C S [Sonstige Person]
Sow, P S [Sonstige Person]
Basty Fall, M [Sonstige Person]
Dia Badiane, N M [Sonstige Person]
Diakhaté, N [Sonstige Person]
Diallo, M [Sonstige Person]
Diouf, L M [Sonstige Person]
Ngom Guèye, N F [Sonstige Person]
Ba Fall, K [Sonstige Person]
Guèye, P M [Sonstige Person]
Périno, C [Sonstige Person]
Diaw, P A [Sonstige Person]
Diop Ndiaye, H [Sonstige Person]
Mboup, S [Sonstige Person]
Touré Kane, N C [Sonstige Person]
Sow, K [Sonstige Person]
Diop, K [Sonstige Person]
Ndiaye, B [Sonstige Person]
Ciss, M [Sonstige Person]
Desclaux, A [Sonstige Person]

Themen:

Anti-HIV Agents
Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 25.06.2009

Date Revised 29.05.2009

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM188866329