Source:http://linkedlifedata.com/resource/pubmed/id/12487822
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
16
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pubmed:dateCreated |
2002-12-18
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pubmed:abstractText |
A community-based study of human immunodeficiency virus type 2 (HIV-2) infection was conducted in a rural village in northern Guinea Bissau, West Africa to assess the relationship between plasma HIV-2 RNA levels, CD4 lymphocyte percentage, and survival over an 8-year period. The cohort of 133 HIV-2-infected individuals and 160 HIV-uninfected controls enrolled in 1991 were followed up at home until 1998. Thirty-one (23%) HIV-2-infected and 24 (16%) HIV-uninfected individuals died over the follow-up period (mortality hazard ratio 1.7, 95% CI 1.0, 2.9; p= 0.06). In HIV-2-infected individuals, the median HIV-2 RNA level was 347 copies/ml and the mean CD4% was 28.6. Both plasma viremia and CD4% were independent predictors of survival, with hazard ratios increasing by 1.6 (95% CI, 1.1, 2.3) for each log(10) increase of plasma viremia and 1.7 (1.1, 2.6) for each 10% decrease of CD4%. Infected subjects with a plasma viral load >or= the median (347 copies/ml) and a CD4% <or= the mean (28.6%) had a mortality hazard ratio of 3.1 (95% CI 1.7, 5.8) compared to uninfected controls, whereas the remaining infected subjects had a mortality rate similar to uninfected controls, the mortality hazard ratio being 1.0 (95% CI, 0.5, 2.1.) In those who survived between 1991 and 1996, HIV-2 RNA levels were unchanged overall and CD4 lymphocyte counts remained high. In conclusion, baseline HIV-2 RNA levels predicted a normal survival for the majority, with low and stable levels of plasma viremia characterizing HIV-2 infections in this rural West African community.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0889-2229
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pubmed:author |
pubmed-author:AabyPeterP,
pubmed-author:AriyoshiKoyaK,
pubmed-author:BerryNeilN,
pubmed-author:DiasFranciscoF,
pubmed-author:HardingElizabethE,
pubmed-author:JaffarShabbarS,
pubmed-author:N'GomPa TambaPT,
pubmed-author:RicardDominicD,
pubmed-author:Schim van der LoeffMaartenM,
pubmed-author:TedderRichardR,
pubmed-author:WhittleHiltonH,
pubmed-author:WilkinsAndrewA
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pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1167-73
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:12487822-Adult,
pubmed-meshheading:12487822-Aged,
pubmed-meshheading:12487822-CD4 Lymphocyte Count,
pubmed-meshheading:12487822-Case-Control Studies,
pubmed-meshheading:12487822-Female,
pubmed-meshheading:12487822-Guinea-Bissau,
pubmed-meshheading:12487822-HIV Infections,
pubmed-meshheading:12487822-HIV-2,
pubmed-meshheading:12487822-Humans,
pubmed-meshheading:12487822-Male,
pubmed-meshheading:12487822-Middle Aged,
pubmed-meshheading:12487822-Multivariate Analysis,
pubmed-meshheading:12487822-Survival Rate,
pubmed-meshheading:12487822-Viral Load
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pubmed:year |
2002
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pubmed:articleTitle |
Low level viremia and high CD4% predict normal survival in a cohort of HIV type-2-infected villagers.
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pubmed:affiliation |
Department of Virology, Royal Free and University College Medical School, London, UK.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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