Show simple item record

dc.contributor.authorChu, K M
dc.contributor.authorManzi, M
dc.contributor.authorZuniga, I
dc.contributor.authorBiot, M
dc.contributor.authorFord, N P
dc.contributor.authorRasschaert, F
dc.contributor.authorZachariah, R
dc.date.accessioned2013-01-29T16:41:01Z
dc.date.available2013-01-29T16:41:01Z
dc.date.issued2012-06
dc.identifier.citationNevirapine- and efavirenz-associated hepatotoxicity under programmatic conditions in Kenya and Mozambique. 2012, 23 (6):403-7 Int J STD AIDSen_GB
dc.identifier.issn1758-1052
dc.identifier.pmid22807533
dc.identifier.doi10.1258/ijsa.2009.009328
dc.identifier.urihttp://hdl.handle.net/10144/267533
dc.description.abstractTo describe the frequency, risk factors, and clinical signs and symptoms associated with hepatotoxicity (HT) in patients on nevirapine- or efavirenz-based antiretroviral therapy (ART), we conducted a retrospective cohort analysis of patients attending the ART clinic in Kibera, Kenya, from April 2003 to December 2006 and in Mavalane, Mozambique, from December 2002 to March 2007. Data were collected on 5832 HIV-positive individuals who had initiated nevirapine- or efavirenz-based ART. Median baseline CD4+ count was 125 cells/μL (interquartile range [IQR] 55-196). Over a median follow-up time of 426 (IQR 147-693) days, 124 (2.4%) patients developed HT. Forty-one (54.7%) of 75 patients with grade 3 HT compared with 21 (80.8%) of 26 with grade 4 had associated clinical signs or symptoms (P = 0.018). Four (5.7%) of 124 patients with HT died in the first six months compared with 271 (5.3%) of 5159 patients who did not develop HT (P = 0.315). The proportion of patients developing HT was low and HT was not associated with increased mortality. Clinical signs and symptoms identified 50% of grade 3 HT and most cases of grade 4 HT. This suggests that in settings where alanine aminotransferase measurement is not feasible, nevirapine- and efavirenz-based ART may be given safely without laboratory monitoring.
dc.language.isoenen
dc.relation.urlhttp://www.rsmpress.co.uk/std.htmen_GB
dc.rightsReproduced on this site with the permission of Royal Society of Medicine Press, London ([url]http://ijsa.rsmjournals.com[/url])en_GB
dc.titleNevirapine- and efavirenz-associated hepatotoxicity under programmatic conditions in Kenya and Mozambique.en
dc.contributor.departmentSouth African Medical Unit, Médecins Sans Frontières Johannesburg, PO Box 32117, Braamfontein 2017, South Africa. kathryn.chu@joburg.msf.orgen_GB
dc.identifier.journalInternational Journal of STD & AIDSen_GB
refterms.dateFOA2019-03-04T10:13:48Z
html.description.abstractTo describe the frequency, risk factors, and clinical signs and symptoms associated with hepatotoxicity (HT) in patients on nevirapine- or efavirenz-based antiretroviral therapy (ART), we conducted a retrospective cohort analysis of patients attending the ART clinic in Kibera, Kenya, from April 2003 to December 2006 and in Mavalane, Mozambique, from December 2002 to March 2007. Data were collected on 5832 HIV-positive individuals who had initiated nevirapine- or efavirenz-based ART. Median baseline CD4+ count was 125 cells/μL (interquartile range [IQR] 55-196). Over a median follow-up time of 426 (IQR 147-693) days, 124 (2.4%) patients developed HT. Forty-one (54.7%) of 75 patients with grade 3 HT compared with 21 (80.8%) of 26 with grade 4 had associated clinical signs or symptoms (P = 0.018). Four (5.7%) of 124 patients with HT died in the first six months compared with 271 (5.3%) of 5159 patients who did not develop HT (P = 0.315). The proportion of patients developing HT was low and HT was not associated with increased mortality. Clinical signs and symptoms identified 50% of grade 3 HT and most cases of grade 4 HT. This suggests that in settings where alanine aminotransferase measurement is not feasible, nevirapine- and efavirenz-based ART may be given safely without laboratory monitoring.


Files in this item

Thumbnail
Name:
Chu Nevirapine- and efavirenz - ...
Size:
139.6Kb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record