Tuberculosis-associated immune reconstitution inflammatory syndrome: case definitions for use in resource-limited settings.

作者: Graeme Meintjes , Stephen D Lawn , Fabio Scano , Gary Maartens , Martyn A French

DOI: 10.1016/S1473-3099(08)70184-1

关键词:

摘要: The immune reconstitution inflammatory syndrome (IRIS) has emerged as an important early complication of antiretroviral therapy (ART) in resource-limited settings, especially patients with tuberculosis. However, there are no consensus case definitions for IRIS or tuberculosis-associated IRIS. Moreover, previously proposed not readily applicable settings where laboratory resources limited. As a result, existing studies on have used variety non-standardised general definitions. To rectify this problem, around 100 researchers, including microbiologists, immunologists, clinicians, epidemiologists, clinical trialists, and public-health specialists from 16 countries met Kampala, Uganda, November, 2006. At meeting, paradoxical IRIS, ART-associated tuberculosis, unmasking were derived, which can be high-income settings. It is envisaged that these could by clinicians researchers to promote standardisation comparability data.

参考文章(43)
William Burman, William Burman, B. Mangura, C. LaHart, A. Khan, M. Weiner, A. Vernon, W. El-Sadr, W. El-Sadr, B. Jones, Stephen Weis, B. King, C. Silva, D. Benator, D. Benator, Frequency, severity and duration of immune reconstitution events in HIV-related tuberculosis International Journal of Tuberculosis and Lung Disease. ,vol. 11, pp. 1282- 1289 ,(2007)
Stephen D. Lawn, Guy Harling, Catherine Orrell, Robin Wood, Linda-Gail Bekker, Richard Kaplan, Matthew Mcnally, Conservation of first-line antiretroviral treatment regimen where therapeutic options are limited. Antiviral Therapy. ,vol. 12, pp. 83- 88 ,(2007)
Christos Michailidis, Anton L Pozniak, Sundhiya Mandalia, Sheena Basnayake, Mark R Nelson, Brian G Gazzard, None, Clinical characteristics of IRIS syndrome in patients with HIV and tuberculosis. Antiviral Therapy. ,vol. 10, pp. 417- 422 ,(2005)
Richard J. Hamill, Richard J. Hamill, Samuel A. Shelburne, The immune reconstitution inflammatory syndrome. Aids Reviews. ,vol. 5, pp. 67- 79 ,(2003)
Laurence John, Joshua Baalwa, Pearl Kalimugogo, Evelyn Nabankema, Barbara Castelnuovo, George Muhindo, Robert Colebunders, Andrew Kambugu, Response to 'Does immune reconstitution promote active tuberculosis in patients receiving highly active antiretroviral therapy?' AIDS, 22 July 2005. AIDS. ,vol. 19, pp. 2049- 2050 ,(2005) , 10.1097/01.AIDS.0000191922.08938.12
SAMUEL A. SHELBURNE, RICHARD J. HAMILL, MARIA C. RODRIGUEZ-BARRADAS, STEPHEN B. GREENBERG, ROBERT L. ATMAR, DANIEL M. MUSHER, JOSEPH C. GATHE, FEHMIDA VISNEGARWALA, BARBARA W. TRAUTNER, Immune reconstitution inflammatory syndrome: emergence of a unique syndrome during highly active antiretroviral therapy. Medicine. ,vol. 81, pp. 213- 227 ,(2002) , 10.1097/00005792-200205000-00005
David Coetzee, Katherine Hildebrand, Andrew Boulle, Gary Maartens, Francoise Louis, Veliswa Labatala, Hermann Reuter, Nonthutuzelo Ntwana, Eric Goemaere, Outcomes after two years of providing antiretroviral treatment in Khayelitsha South Africa. AIDS. ,vol. 18, pp. 887- 895 ,(2004) , 10.1097/00002030-200404090-00006