Addendum: Does More HIV Testing Identify More New HIV Cases?
CORRECTION
June 22, 2009
The Editors
An addendum to a summary published on May 22, 2009
HIV Viremia Linked with Lymphoma Risk in ART-Treated Patients
SUMMARY AND COMMENT
The more time that antiretroviral-treated patients had detectable viremia, the higher their risk for developing lymphoma, regardless of their CD4-cell counts.
Reviewing:
Zoufaly A et al., J Infect Dis 2009 Jul 1; 200:79
Sabin CA., J Infect Dis 2009 Jul 1; 200:8
Can Early ART Help to Protect HIV-Positive Children Against Vaccine-Preventable Illnesses?
SUMMARY AND COMMENT
Among children with vertically transmitted HIV infection, those who initiated antiretroviral therapy by age 1 had better B-cell function and greater evidence of protection from childhood vaccines than did children who started ART later.
Reviewing:
Pensieroso S et al., Proc Natl Acad Sci U S A 2009 May 12; 106:7939
Should HIV Patients with Opportunistic Infections Receive Immediate ART?
SUMMARY AND COMMENT
In a randomized trial, the incidence of AIDS progression or death by 48 weeks was significantly lower among patients who received antiretroviral therapy soon after their OI treatment had started than among those for whom ART was delayed.
Reviewing:
Zolopa AR et al., PLoS One 2009 May 18; 4:e5575
HIV Infection and the Risk for Carotid Atherosclerosis
SUMMARY AND COMMENT
In a cross-sectional study, HIV infection was independently associated with increased carotid-artery intima–media thickness, a marker of preclinical atherosclerosis, at a magnitude similar to that of traditional cardiovascular risk factors.
Reviewing:
Grunfeld C et al., AIDS 2009 May 18
A Profile of Hospitalized HIV-Positive Patients in Two U.S. Cities
SUMMARY AND COMMENT
Most HIV-positive patients hospitalized at two urban medical centers reported a lack of previous outpatient HIV care and no current use of antiretrovirals.
Reviewing:
Metsch LR et al., Am J Public Health 2009 Jun; 99:1045
CNS Penetration of ART and Cognitive Performance: An Unexpected Finding
SUMMARY AND COMMENT
June 8, 2009
Jennifer Johnson, MD, and Paul E. Sax, MD
Increased CNS penetration effectiveness of the ART regimen was associated with poorer neurocognitive outcomes, despite increased rates of CSF viral suppression.
Reviewing:
Marra CM et al., AIDS 2009 May 6
ART for HIV/TB-Coinfected Patients Taking Rifampicin: Efavirenz or Nevirapine?
SUMMARY AND COMMENT
June 8, 2009
Salim S. Abdool Karim, MD, PhD , and Tanuja Gengiah, M Clin Pharm, MS(Epi)
A study conducted in Thailand suggests that an efavirenz-based regimen might be preferable to a nevirapine-based one in HIV/TB-coinfected patients taking rifampicin.
Reviewing:
Manosuthi W et al., Clin Infect Dis 2009 Jun 15; 48:1752
Lalloo UG., Clin Infect Dis 2009 Jun 15; 48:1760
Growing HIV Epidemic in China Among MSM
SUMMARY AND COMMENT
Results from surveys conducted in 2006 and 2007 in Chongqing show worrisome increases in HIV prevalence among MSM who frequent bathhouses or saunas, those younger than 25, and those who are married.
Reviewing:
Feng L et al., J Acquir Immune Defic Syndr 2009 May 14
How Deep Are the Reservoirs of Antiretroviral Resistance?
SUMMARY AND COMMENT
An assay that measures HIV-derived DNA in peripheral blood mononuclear cells detected more resistance mutations in more patients than did standard serum resistance testing.
Reviewing:
Ellis GM et al., J Acquir Immune Defic Syndr 2009 Apr 24