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dc.contributor.authorTrikalinos, T. A.en
dc.contributor.authorIoannidis, J. P.en
dc.date.accessioned2015-11-24T19:24:15Z-
dc.date.available2015-11-24T19:24:15Z-
dc.identifier.issn1537-6591-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/22444-
dc.rightsDefault Licence-
dc.subjectAIDS-Related Opportunistic Infections/complications/*prevention & controlen
dc.subjectAntiretroviral Therapy, Highly Activeen
dc.subjectFollow-Up Studiesen
dc.subjectFungal Vaccines/adverse effectsen
dc.subjectHIV Infections/*complications/immunology/mortalityen
dc.subjectHumansen
dc.subjectImmunocompromised Hosten
dc.subjectMarkov Chainsen
dc.subjectPneumocystis/immunologyen
dc.subjectPneumonia, Pneumocystis/complications/*prevention & controlen
dc.titleDiscontinuation of Pneumocystis carinii prophylaxis in patients infected with human immunodeficiency virus: a meta-analysis and decision analysisen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1086/323198-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/11692302-
heal.identifier.secondaryhttp://cid.oxfordjournals.org/content/33/11/1901.full.pdf-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2001-
heal.abstractWe performed a meta-analysis and a decision analysis on the discontinuation of prophylaxis for Pneumocystis carinii pneumonia (PCP) in patients infected with human immunodeficiency virus who had adequate immune recovery while receiving highly active antiretroviral therapy. In the meta-analysis (14 studies with 3584 subjects who had discontinued prophylaxis), 8 cases of PCP occurred during 3449 person-years (0.23 cases per 100 person-years [95% confidence interval, 0.10-0.46]). In the decision analysis, mortality and time spent alive without immunodeficiency in the modeled discontinuation strategy were similar to those in the continuation strategy. For patients who received primary prophylaxis, the discontinuation strategy led to slightly fewer episodes of PCP and fewer toxicity-related prophylaxis withdrawals (e.g., 8.6 vs. 34.5 cases per 100 patients during a 10-year period). Patients on the discontinuation strategy were more likely to be receiving trimethoprim-sulfamethoxazole when they became immunodeficient. Comparative results were similar for patients with prior PCP. Discontinuation of PCP prophylaxis in patients with adequate immune recovery is a useful strategy that should be widely considered.en
heal.journalNameClin Infect Disen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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