IMPROVING ANTIRETROVIRAL THERAPY IN CHILDREN WITH HIV INFECTION

The objective — to characterize the effectiveness of different schemes of antiretroviral therapy in children with HIV infection and on the basis of the obtained data to improve of the disease treatment.Patients and Methods: A clinical, immunological and virological examination of 45 children with HI...

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Main Authors: V. B. Denisenko, E. N. Simovanyan
Format: Article
Language:Russian
Published: LLC "Diagnostics and Vaccines" 2018-07-01
Series:Детские инфекции (Москва)
Subjects:
Online Access:https://detinf.elpub.ru/jour/article/view/362
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author V. B. Denisenko
E. N. Simovanyan
author_facet V. B. Denisenko
E. N. Simovanyan
author_sort V. B. Denisenko
collection DOAJ
description The objective — to characterize the effectiveness of different schemes of antiretroviral therapy in children with HIV infection and on the basis of the obtained data to improve of the disease treatment.Patients and Methods: A clinical, immunological and virological examination of 45 children with HIV infection were carried. Patients received antiretroviral therapy — abacavire and lamivudine in combination with lopinavir/ritonavir (24 patients) or nevirapine (21 children).Results: Using both antiretroviral therapy schemes leads to suppression of HIV replication, improvement of clinical and immunological parameters. However, the treatment with lopinavir/ritonavir revealed a significant positive changes of HIV blood viral load, immune status and clinical picture. Testing of clinical and laboratory parameters prior to treatment in the Cox hazard model showed that the independent predictor of prolonging the effectiveness of therapy is the lopinavir/ritonavir use. As a side effect of lopinavir/ritonavir developed dyspeptic symptoms.Conclusion: High efficiency and safety of lopinavir/ritonavir allow us to recommend the inclusion of this drug in the selection schemes of antiretroviral therapy in HIV infected children.
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spelling doaj-art-a606defaac6741c4aa594708a2ce3b132025-08-20T03:15:20ZrusLLC "Diagnostics and Vaccines"Детские инфекции (Москва)2072-81072018-07-01172343910.22627/2072-8107-2018-17-2-34-39339IMPROVING ANTIRETROVIRAL THERAPY IN CHILDREN WITH HIV INFECTIONV. B. Denisenko0E. N. Simovanyan1Rostov State Medical UniversityRostov State Medical UniversityThe objective — to characterize the effectiveness of different schemes of antiretroviral therapy in children with HIV infection and on the basis of the obtained data to improve of the disease treatment.Patients and Methods: A clinical, immunological and virological examination of 45 children with HIV infection were carried. Patients received antiretroviral therapy — abacavire and lamivudine in combination with lopinavir/ritonavir (24 patients) or nevirapine (21 children).Results: Using both antiretroviral therapy schemes leads to suppression of HIV replication, improvement of clinical and immunological parameters. However, the treatment with lopinavir/ritonavir revealed a significant positive changes of HIV blood viral load, immune status and clinical picture. Testing of clinical and laboratory parameters prior to treatment in the Cox hazard model showed that the independent predictor of prolonging the effectiveness of therapy is the lopinavir/ritonavir use. As a side effect of lopinavir/ritonavir developed dyspeptic symptoms.Conclusion: High efficiency and safety of lopinavir/ritonavir allow us to recommend the inclusion of this drug in the selection schemes of antiretroviral therapy in HIV infected children.https://detinf.elpub.ru/jour/article/view/362hiv infectionchildrenantiretroviral therapylopinavir/ritonavirnevirapine
spellingShingle V. B. Denisenko
E. N. Simovanyan
IMPROVING ANTIRETROVIRAL THERAPY IN CHILDREN WITH HIV INFECTION
Детские инфекции (Москва)
hiv infection
children
antiretroviral therapy
lopinavir/ritonavir
nevirapine
title IMPROVING ANTIRETROVIRAL THERAPY IN CHILDREN WITH HIV INFECTION
title_full IMPROVING ANTIRETROVIRAL THERAPY IN CHILDREN WITH HIV INFECTION
title_fullStr IMPROVING ANTIRETROVIRAL THERAPY IN CHILDREN WITH HIV INFECTION
title_full_unstemmed IMPROVING ANTIRETROVIRAL THERAPY IN CHILDREN WITH HIV INFECTION
title_short IMPROVING ANTIRETROVIRAL THERAPY IN CHILDREN WITH HIV INFECTION
title_sort improving antiretroviral therapy in children with hiv infection
topic hiv infection
children
antiretroviral therapy
lopinavir/ritonavir
nevirapine
url https://detinf.elpub.ru/jour/article/view/362
work_keys_str_mv AT vbdenisenko improvingantiretroviraltherapyinchildrenwithhivinfection
AT ensimovanyan improvingantiretroviraltherapyinchildrenwithhivinfection