Long-Term Nonprogressors and HIV Controllers: Definitions and Prevalence
SUMMARY AND COMMENT
Very few HIV-positive patients met strict criteria for immunologic stability, virologic control, or both, in a large, prospective cohort study in France.
Reviewing:
Grabar S et al., AIDS 2009 Jun 1; 23:1163
High Rate of New HIV Infection in Late Pregnancy
SUMMARY AND COMMENT
Among pregnant women in South Africa, repeat testing conducted between 36 and 40 weeks of gestation revealed new HIV infection in 3%.
Reviewing:
Moodley D et al., AIDS 2009 May 18
ART and HCV Activity
SUMMARY AND COMMENT
ART may decrease hepatic necroinflammatory activity in HIV/HCV-coinfected patients with CD4 counts >350 cells/mm3 .
Reviewing:
Pascual-Pareja JF et al., AIDS 2009 May 15; 23:971
HIV Testing — Targeting High-Risk Populations
SUMMARY AND COMMENT
In an innovative program of bathhouse-based HIV testing, 4% of participants were found to be HIV-infected.
Reviewing:
Daskalakis D et al., Clin Infect Dis 2009 Jun 1; 48:1609
No Harm, No Benefit from Maraviroc in Patients with Non-R5 HIV
SUMMARY AND COMMENT
The addition of maraviroc to optimized background therapy was well tolerated but conferred no virologic benefit in treatment-experienced patients with dual- or mixed-tropic virus.
Reviewing:
Saag M et al., J Infect Dis 2009 Jun 1; 199:1638
The Puzzle of CD4-Cell Depletion Despite Good Viral Suppression
SUMMARY AND COMMENT
In some patients, CD4-cell counts fail to rise as expected. Could extensive lymph node fibrosis be responsible?
Reviewing:
Nies-Kraske E et al., J Infect Dis 2009 Jun 1; 199:1648
NPEP and High-Risk Behavior
SUMMARY AND COMMENT
May 22, 2009
Raphael J. Landovitz, MD
In an Australian cohort, use of nonoccupational postexposure prophylaxis did not increase high-risk behavior, but men who received such prophylaxis remained at high risk for HIV seroconversion.
Reviewing:
Poynten IM et al., AIDS 2009 Jun 1; 23:1119
Does More HIV Testing Identify More New HIV Cases?
SUMMARY AND COMMENT
Retrospective analysis of New York City registry data demonstrated that the proportion of newly identified HIV cases varied significantly across testing sites during a period of increased Western blot testing.
Reviewing:
Hanna DB et al., J Acquir Immune Defic Syndr 2009 May 7
Are Raltegravir–Etravirine Interactions Underestimated?
SUMMARY AND COMMENT
Several patients had lower-than-predicted raltegravir levels when the drug was coadministered with etravirine.
Reviewing:
Ménard A et al., AIDS 2009 Apr 27; 23:869
More on the Timing of ART Initiation During an Acute OI
SUMMARY AND COMMENT
May 18, 2009
Philip Grant, MD, and Andrew Zolopa, MD
A retrospective study conducted in Brazil adds to the evidence supporting early ART in patients with acute OIs.
Reviewing:
Croda J et al., Crit Care Med 2009 May; 37:1605