Early virological response of zidovudine/lamivudine/abacavir for patients co-infected with HIV and tuberculosis in Uganda

AIDS. 2007 Sep 12;21(14):1972-4. doi: 10.1097/QAD.0b013e32823ecf6e.

Abstract

Triple nucleoside reverse transcriptase inhibitors are recommended as an alternative regimen for HIV-infected patients undergoing tuberculosis treatment in resource-limited settings. Few data exist on the efficacy of such regimens in tuberculosis patients. In 34 tuberculosis/HIV-co-infected patients treated with zidovudine/lamivudine/abacavir, 76% achieved HIV RNA less than 50 copies/ml at 24 weeks. No cases of hypersensitivity or immune reconstitution syndrome were observed. These data support the continuing evaluation of nucleoside-based antiretroviral regimens as an alternative treatment for this population.

MeSH terms

  • Adult
  • Antitubercular Agents / therapeutic use
  • CD4 Lymphocyte Count
  • Dideoxynucleosides / adverse effects
  • Dideoxynucleosides / therapeutic use*
  • Drug Hypersensitivity / etiology
  • Drug Therapy, Combination
  • Female
  • HIV Infections / complications
  • HIV Infections / drug therapy*
  • HIV Infections / immunology
  • Humans
  • Lamivudine / adverse effects
  • Lamivudine / therapeutic use*
  • Male
  • Middle Aged
  • Neutropenia / chemically induced
  • RNA, Viral / analysis
  • Reverse Transcriptase Inhibitors / adverse effects
  • Reverse Transcriptase Inhibitors / therapeutic use*
  • Treatment Outcome
  • Tuberculosis, Pulmonary / complications
  • Tuberculosis, Pulmonary / drug therapy*
  • Tuberculosis, Pulmonary / immunology
  • Zidovudine / adverse effects
  • Zidovudine / therapeutic use*

Substances

  • Antitubercular Agents
  • Dideoxynucleosides
  • RNA, Viral
  • Reverse Transcriptase Inhibitors
  • Lamivudine
  • Zidovudine
  • abacavir