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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0001175,
umls-concept:C0008972,
umls-concept:C0008976,
umls-concept:C0009462,
umls-concept:C0014038,
umls-concept:C0019693,
umls-concept:C0030705,
umls-concept:C0034283,
umls-concept:C0034656,
umls-concept:C0199176,
umls-concept:C0205179,
umls-concept:C0205225,
umls-concept:C0376691,
umls-concept:C0449435,
umls-concept:C1274040
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pubmed:issue |
2
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pubmed:dateCreated |
1994-3-23
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pubmed:abstractText |
Pyrimethamine, 25 mg thrice weekly, was evaluated as primary prophylaxis for toxoplasmic encephalitis (TE) in a double-blind, randomized clinical trial in patients with human immunodeficiency virus (HIV) disease, absolute CD4 lymphocyte count of < 200/microL (or prior AIDS-defining opportunistic infection), and the presence of serum IgG to Toxoplasma gondii. Leucovorin was coadministered only for hematologic toxicity. There was a significantly higher death rate among patients receiving pyrimethamine (relative risk [RR], 2.5; 95% confidence interval [CI], 1.3-4.8; P = .006), even after adjusting for factors predictive of survival. The TE event rate was low in both treatment groups (not significant). Only 1 of 218 patients taking trimethoprim-sulfamethoxazole but 7 of 117 taking aerosolized pentamidine for prophylaxis against Pneumocystis carinii pneumonia developed TE (adjusted RR for the trimethoprim-sulfamethoxazole group, 0.16; 95% CI, 0.01-1.79; P = .14). Thus, for HIV-infected patients receiving trimethoprim-sulfamethoxazole, additional prophylaxis for TE appears unnecessary.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0022-1899
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
169
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
384-94
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8106772-AIDS-Related Opportunistic Infections,
pubmed-meshheading:8106772-Adult,
pubmed-meshheading:8106772-Double-Blind Method,
pubmed-meshheading:8106772-Female,
pubmed-meshheading:8106772-HIV Infections,
pubmed-meshheading:8106772-Humans,
pubmed-meshheading:8106772-Male,
pubmed-meshheading:8106772-Middle Aged,
pubmed-meshheading:8106772-Pneumonia, Pneumocystis,
pubmed-meshheading:8106772-Pyrimethamine,
pubmed-meshheading:8106772-Toxoplasmosis, Cerebral
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pubmed:year |
1994
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pubmed:articleTitle |
Primary prophylaxis with pyrimethamine for toxoplasmic encephalitis in patients with advanced human immunodeficiency virus disease: results of a randomized trial. Terry Beirn Community Programs for Clinical Research on AIDS.
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pubmed:affiliation |
Department of Medicine, University of California, San Francisco.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study
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