JAC Advance Access originally published online on January 6, 2003
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Journal of Antimicrobial Chemotherapy (2003) 51, 225-227
© 2003 The British Society for Antimicrobial Chemotherapy
Leading Article |
Treatment of advanced HIV infection
1 HIV CareUnit, Hospital Universitario 12 de Octubre, Ctra. Andalucia Km 5.4, 28041-Madrid; 2 HIV Care Unit, Internal Medicine Service, Hospital Universitario La Paz, Madrid, Spain
Keywords: efavirenz, protease inhibitors, advanced HIV infection
| The first 10% of the full text of this article appears below. |
One of the few aspects of HIV infection for which there is universal agreement is that patients with advanced HIV disease, such as those with a history of opportunistic diseases or severe immunological impairment (<100 CD4 lymphocytes/mm3), should receive antiretroviral treatment.1 It is ironic, however, that for this group of patients, who undoubtedly need treatment, there are virtually no controlled data to help clinicians choose the optimal combination of antiretroviral drugs.
Expert recommendations on initial therapy favour the use of regimens that include a single (or boosted) protease inhibitor, or a non-nucleoside reverse transcriptase inhibitor,1,2 without any specific preference based on the immunological status of the patient. Nevertheless, there is widespread belief among clinicians treating HIV infection in