Engelsk titel: Tuberculosis among HIV-infected persons in Norway
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Författare:
Ormaasen V
;
Maeland A
Email: vidar.ormaasen@ioks.uio.no
Språk: Nor
Antal referenser: 40
Dokumenttyp:
Översikt
UI-nummer: 02011500
Sammanfattning
BACKGROUND : HIV-infected persons have a considerably higher risk of developing active tuberculosis than immunocompetent individuals. Tuberculosis is the only opportunistic infection among HIV-infected persons that presents a potential health risk to the general population.
MATERIAL AND METHODS : We present a review on this topic based on relevant literature and clinical experience.
RESULTS : Treatment options are limited because of interactions between rifamycins and protease inhibitors and non-nucleoside analogues. When concomitant therapy against HIV infection and tuberculosis is indicated, we suggest a first-line regimen of rifabutin combined with either indinavir or nelfinavir. For patients without severe immunodeficiency, anti-retroviral therapy can be postponed until the end of the initial phase of the anti-tuberculosis treatment.
INTERPRETATION : Treatment of concurrent HIV infection and tuberculosis is complex and may involve multiple drug regimens. Treating the latent infection could in many cases prevent active tuberculosis. All HIV-infected persons should be evaluated with respect to active tuberculosis and latent infection.