More on Blood β-Glucan to Diagnose PCP
SUMMARY AND COMMENT
September 28, 2009
Paul E. Sax, MD
In a study conducted in Japan, 96% of patients with HIV-related PCP had abnormal β-glucan levels.
Reviewing:
Watanabe T et al., Clin Infect Dis 2009 Oct 1; 49:1128
Diabetes Care in HIV-Infected Patients
SUMMARY AND COMMENT
September 21, 2009
Nancy Kim, MD, PhD, and Amy C. Justice, MD, PhD
In a single-center, cross-sectional study, more than half of the HIV-infected patients with diabetes met the 2008 ADA goals for hemoglobin A1c levels, blood pressure, and lipid levels.
Reviewing:
Adeyemi O et al., Clin Infect Dis 2009 Sep 1; 49:799
Early Mortality After ART Initiation
SUMMARY AND COMMENT
September 4, 2009
Keith Henry, MD
In Uganda, 14% of those who started ART died within the first year, mostly from HIV-related causes; only 5% of those deaths were attributable to immune reconstitution inflammatory syndrome.
Reviewing:
Castelnuovo B et al., Clin Infect Dis 2009 Sep 15; 49:965
Davies MA and Meintjes G., Clin Infect Dis 2009 Sep 15; 49:973
ART and the Risk for Sexual HIV Transmission
SUMMARY AND COMMENT
In this study, no transmissions occurred in HIV-infected patients with viral loads <400 copies/mL on ART. However, evidence is still insufficient to estimate the risk of transmission directly or to provide guidance on the use of ART for preventing HIV transmission.
Reviewing:
Attia S et al., AIDS 2009 Jul 17; 23:1397
Maraviroc — Probably Not the Silver Bullet for Patients with Impaired CD4-Cell Recovery
SUMMARY AND COMMENT
In a small retrospective study, maraviroc did not significantly improve CD4-cell counts in patients with discordant responses to combination antiretroviral therapy.
Reviewing:
Stepanyuk O et al., AIDS 2009 Sep 10; 23:1911
STD Screening Among MSM
SUMMARY AND COMMENT
During a 2-year period, STD testing was performed at 23% of all MSM visits to a Boston clinic. At least one STD was diagnosed at 11% of those visits.
Reviewing:
Mimiaga MJ et al., Sex Transm Dis 2009 Aug; 36:507
Low-Level Viremia Affects Immunity in Elite Controllers
SUMMARY AND COMMENT
September 4, 2009
Abigail Zuger, MD
Higher levels of detectable virus on an ultrasensitive assay correlated with stronger antibody responses but had no relation to HIV-specific T-cell response.
Reviewing:
Pereyra F et al., J Infect Dis 2009 Sep 15; 200:984
ALTAIR — The End of NRTI-Only Regimens
MEETING REPORT
In a randomized study, standard combination therapy was preferable to a quadruple-NRTI regimen in terms of both virologic control and adverse effects.
Etravirine Can Cause Severe Skin and Hypersensitivity Reactions
DRUG WATCH
August 31, 2009
Paul E. Sax, MD
Severe skin or hypersensitivity reactions should prompt immediate cessation of the drug.
Report from the 5th IAS Conference on HIV Pathogenesis, Treatment and Prevention
MEETING REPORT
August 31, 2009
ACC Editors
Our physician-editors detail the most important findings from this year's meeting