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dc.contributor.authorWeerawat Manosuthien_US
dc.contributor.authorSomnuek Sungkanuparphen_US
dc.contributor.authorSomsit Tansuphaswadikulen_US
dc.contributor.authorYaowarat Inthongen_US
dc.contributor.authorWisit Prasithsirikulen_US
dc.contributor.authorSuthat Chottanapunden_US
dc.contributor.authorWiroj Mankatithamen_US
dc.contributor.authorSukanya Chimsuntornen_US
dc.contributor.authorChayanan Sittibusayaen_US
dc.contributor.authorVisal Moolasarten_US
dc.contributor.authorNopphanath Chumpathaten_US
dc.contributor.authorPatamavadee Termvisesen_US
dc.contributor.authorAchara Chaovavanichen_US
dc.contributor.otherThailand Ministry of Public Healthen_US
dc.contributor.otherMahidol Universityen_US
dc.identifier.citationInternational Journal of STD and AIDS. Vol.18, No.11 (2007), 782-786en_US
dc.description.abstractThe objective of the study was to determine cumulative incidence and risk factors of nevirapine (NVP)-associated rashes that lead to NVP discontinuation among HIV-infected patients with CD4 <250 cells/μL. A retrospective cohort study was conducted among antiretroviral-naïve HIV-infected patients who had baseline CD4 <250 cells/μL and were initiated NVP-based antiretroviral therapy (ART) between January 2003 and October 2005. There were 910 patients with a mean age of 35.4 years and 43% were women. Median CD4 cell count was 27 cells/μL and median HIV RNA was 5.5 log copies/mL. Cumulative incidences of rashes at 0.5, 1, 2, 3 and 6 months after ART were 3.7%, 6.2%, 8.1%, 8.5% and 8.5%, respectively. By Kaplan-Meier analysis, the higher baseline CD4 cell counts had a higher probability of NVP-associated rashes (log-rank test, P = 0.041). By Cox regression analysis, higher baseline CD4 cell count was associated with a higher incidence of rashes (hazard ratio = 1.244, 95% confidence interval = 1.045-1.482, for every 50 cells/μL increment of baseline CD4 stratum). In conclusion, NVP-associated skin rashes that lead to NVP discontinuation are common among HIV-infected patients with baseline CD4 <250 cells/μL. Despite the low baseline in this population, the higher number of baseline CD4 cells is continuously associated with a higher risk for skin rashes.en_US
dc.rightsMahidol Universityen_US
dc.subjectImmunology and Microbiologyen_US
dc.titleIncidence and risk factors of nevirapine-associated skin rashes among HIV-infected patients with CD4 cell counts &lt;250 cells/μLen_US
Appears in Collections:Scopus 2006-2010

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