Article
Effectiveness of Highly Active Antiretroviral Therapy (HAART) Used Concomitantly With Rifampicin in Patients with Tuberculosis and AIDS
Registro en:
SANT`ANNA, Flavia Marinho; et al. Effectiveness of Highly Active Antiretroviral Therapy (HAART) Used Concomitantly With Rifampicin in Patients with Tuberculosis and AIDS. .Brazilian Journal of Infectious Diseases, v.13, n.5, p.362-366, 2009.
1413-8670
1678-4391
Autor
Sant`Anna, Flávia Marinho
Velasque, Luciane
Costa, Marli Jane
Schmaltz, Carolina Arana
Morgado, Mariza Gonçalves
Lourenço, Maria Cristina
Grinsztejn, Beatriz
Rolla, Valéria Cavalcanti
Resumen
This study evaluated the effectiveness of two HAART regimens concomitant to rifampicin based tuberculosis (TB)
treatment. Patients with TB/HIV diagnosis followed at the TB program between June 2000 and March 2005 were
prospectively evaluated. The different HAART regimens in antiretrovirals (ARV) treatment naïve and ARV experienced
patients were compared. The effectiveness of HAART was defined as a VL <80 copies/mL from month 4 to month 10
after TB treatment. One hundred and forty-two patients were included. Among these, 68 (47%) were treatment naïve
and 76 (53%) previously exposed. Odds ratio (OR) in naïve patients treated with efavirenz (EFV) based regimen
(n=42) compared to ritonavir/saquinavir (RTV/SQV) based regimen (n=26) was 8.0 (CI=1.67-38.35, p=0.008). OR
from ARV experienced patients treated with RTV/SQV based regimen compared to EFV was 3.08 (CI=0.65-14.6,
p=0.15), although with no statistical significance. Better effectiveness and tolerability were observed in antiretrovirals
treatment naïve patients using EFV based regimens. Although not statistically significant, a favorable virologic
response and a better tolerability were observed in the ARV experienced patients group who received a RTV/SQV
based regimen. 2030-01-01