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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1991-12-16
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pubmed:abstractText |
30 patients with HIV infection were enrolled to evaluate the clinical efficacy and toxicity of zidovudine (AZT), 0.5 g/day p.o. (Group A) vs. AZT 0.5 g/day p.o. plus intravenous immunoglobulins (IVIG), 0.4 g/kg of body weight for three consecutive days, followed by one treatment of 0.6 g/kg of body weight every fourth week (Group B), over a period of one year. The study was open and randomized. The treatment groups were compared using the following study variables: 1) type of infections, recurrences and severity; 2) change in CD4+ T and CD8+ T cell count; 3) change in platelet count; 4) change in TNF alpha serum levels; 5) the probability of not developing an opportunistic infection over a period of 12 months. Patients from Group B developed less pathological events in comparison to Group A. No significative differences were evident with regard to values of T cell subsets obtained before and after treatment in each group and between the two groups. On the contrary, in 12 out of 15 patients from Group B there was a significant increase in platelet count. In both groups there was a significant decrease of mean serum levels of TNF alpha when a comparison was made between time 12 vs. time 6. However, when data were expressed as single values, in three subjects from Group B TNF alpha was still detectable by time 12 vs. 9 individuals in Group A. The cumulative probabilities of developing an opportunistic infection over the 12 months of treatment in the Group A subjects were significantly higher than in the Group B subjects (p less than 0.01). Adverse effects--nausea and gastric pain--were reported for 3 individuals (20%) from Group A and 4 patients (26%) from Group B. In conclusion, patients treated with AZT are especially likely to benefit from IVIG prophylaxis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0892-3973
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
13
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
447-58
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pubmed:dateRevised |
2009-5-14
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pubmed:meshHeading |
pubmed-meshheading:1940058-Adult,
pubmed-meshheading:1940058-Female,
pubmed-meshheading:1940058-HIV Infections,
pubmed-meshheading:1940058-Humans,
pubmed-meshheading:1940058-Immunoglobulins, Intravenous,
pubmed-meshheading:1940058-Leukocyte Count,
pubmed-meshheading:1940058-Male,
pubmed-meshheading:1940058-Platelet Count,
pubmed-meshheading:1940058-Tumor Necrosis Factor-alpha,
pubmed-meshheading:1940058-Zidovudine
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pubmed:year |
1991
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pubmed:articleTitle |
Clinical and immunologic effects of combination therapy with intravenous immunoglobulins and AZT in HIV-infected patients.
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pubmed:affiliation |
Insegnamento di Malattie Infettive, Università, L'Aquila.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
|