首页> 外文期刊>Journal of Infection >Negative influence of age on CD4+ cell recovery after highly active antiretroviral therapy in naive HIV-1-infected patients with severe immunodeficiency.
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Negative influence of age on CD4+ cell recovery after highly active antiretroviral therapy in naive HIV-1-infected patients with severe immunodeficiency.

机译:年龄对初次感染HIV-1的严重免疫缺陷患者进行高活性抗逆转录病毒治疗后CD4 +细胞恢复的负面影响。

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摘要

OBJECTIVE: To study the effect of age on several outcomes among 187 antiretroviral-naive infected patients who started highly active antiretroviral therapy (HAART) with 500/microl at 6, 12 and 18 months after the initiation of HAART were 2.2 (95% CI: 1.5; 3.2), 1.8 (95% CI: 1.2; 2.6), and 1.8 (95% CI: 1.2; 2.9) times less likely, respectively. We also found that patients >or=45 years old had worse complete CD4(+) recovery (CD4(+)>500 cells/microl) than patients <45 years old. CONCLUSION: The CD4(+) recovery after HAART is a prolonged and continuous process which extends for several years. Age at baseline is inversely correlated with the magnitude and speed of CD4(+) recovery among HIV-1 infected patients.
机译:目的:研究年龄对开始使用≤200CD4(+)/ microl的高活性抗逆转录病毒疗法(HAART)的187例初次感染抗逆转录病毒的患者的影响。方法:我们进行了一项回顾性研究,以确定在CD4(+)计数至少从+ 100,+ 200,+ 300,+ 400和在随访期间的任何时候,+ 500细胞/微升,并且在至少6、12或18个月内达到并维持CD4(+)值高于特定设定值的几率(OR)。结果:调整后的HR增加+400 CD4(+)/微克和+500 CD4(+)/微克,分别慢了1.3倍(95%CI:1.1; 1.5)和1.3(95%CI:1.1; 1.6)倍在基线时每增加5岁。此外,每增加5岁,HAART启动后第6、12和18个月达到绝对CD4(+)细胞计数> 500 / microl的校正OR为2.2(95%CI:1.5; 3.2) )的可能性分别降低了1.8倍(95%CI:1.2; 2.6)和1.8倍(95%CI:1.2; 2.9)。我们还发现,年龄大于或等于45岁的患者的完全CD4(+)恢复(CD4(+)> 500个细胞/微升)要比小于45岁的患者更差。结论:HAART后CD4(+)的恢复是一个长期而连续的过程,该过程持续了数年。基线年龄与感染HIV-1的患者中CD4(+)恢复的幅度和速度成反比。

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