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1. Incidence and Risk Factors for Severe Bacterial Infections in People Living with HIV. ANRS CO3 Aquitaine Cohort, 2000-2012.

Author

Amandine Collin, Fabien Le Marec, Marie-Anne Vandenhende, Estibaliz Lazaro, Pierre Duffau, Charles Cazanave, Yann Gérard, François Dabis, Mathias Bruyand, Fabrice Bonnet, and ANRS CO3 Aquitaine Cohort Study Group

Subjects
Medicine, Science
Abstract

Severe non-AIDS bacterial infections (SBI) are the leading cause of hospital admissions among people living with HIV (PLHIV) in industrialized countries. We aimed to estimate the incidence of SBI and their risk factors in a large prospective cohort of PLHIV patients over a 13-year period in France. Patients followed up in the ANRS CO3 Aquitaine cohort between 2000 and 2012 were eligible; SBI was defined as a clinical diagnosis associated with hospitalization of ≥48 hours or death. Survival analysis was conducted to identify risk factors for SBI.Total follow-up duration was 39,256 person-years [PY] (31,370 PY on antiretroviral treatment [ART]). The incidence of SBI decreased from 26.7/1000 PY [95% CI: 22.9-30.5] over the period 2000-2002 to 11.9/1000 PY [10.1-13.8] in 2009-2012 (p 50 copies/mL (Hazard Ratio [HR] = 5.1, 95% Confidence Interval: 4.2-6.2), CD4 count

Published
2016
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2. Incidence and Risk Factors for Severe Bacterial Infections in People Living with HIV. ANRS CO3 Aquitaine Cohort, 2000-2012

Author

Amandine Collin, Fabien Le Marec, Marie-Anne Vandenhende, Estibaliz Lazaro, Pierre Duffau, Charles Cazanave, Yann Gérard, François Dabis, Mathias Bruyand, Fabrice Bonnet, and ANRS CO3 Aquitaine Cohort Study Group

Subjects
0301 basic medicine, Male, Bacterial Diseases, RNA viruses, Pulmonology, lcsh:Medicine, HIV Infections, Pathology and Laboratory Medicine, Cohort Studies, 0302 clinical medicine, Endocrinology, Immunodeficiency Viruses, Risk Factors, Medicine and Health Sciences, Medicine, Public and Occupational Health, 030212 general & internal medicine, lcsh:Science, Prospective cohort study, Multidisciplinary, Incidence (epidemiology), Incidence, Hazard ratio, Bacterial Infections, Hematology, Middle Aged, Viral Load, Vaccination and Immunization, Infectious Diseases, Medical Microbiology, Viral Pathogens, Cohort, Viruses, Urinary Tract Infections, Coinfection, Female, France, Pathogens, Viral load, Cohort study, Research Article, Adult, medicine.medical_specialty, Endocrine Disorders, Urology, 030106 microbiology, Immunology, Antiretroviral Therapy, Microbiology, 03 medical and health sciences, Acquired immunodeficiency syndrome (AIDS), Antiviral Therapy, Internal medicine, Virology, Retroviruses, Diabetes Mellitus, Humans, Microbial Pathogens, business.industry, lcsh:R, Lentivirus, Organisms, Biology and Life Sciences, HIV, Bloodstream Infections, Pneumonia, medicine.disease, CD4 Lymphocyte Count, Metabolic Disorders, Co-Infections, HIV-1, lcsh:Q, Preventive Medicine, business
Abstract

Severe non-AIDS bacterial infections (SBI) are the leading cause of hospital admissions among people living with HIV (PLHIV) in industrialized countries. We aimed to estimate the incidence of SBI and their risk factors in a large prospective cohort of PLHIV patients over a 13-year period in France. Patients followed up in the ANRS CO3 Aquitaine cohort between 2000 and 2012 were eligible; SBI was defined as a clinical diagnosis associated with hospitalization of ≥48 hours or death. Survival analysis was conducted to identify risk factors for SBI.Total follow-up duration was 39,256 person-years [PY] (31,370 PY on antiretroviral treatment [ART]). The incidence of SBI decreased from 26.7/1000 PY [95% CI: 22.9-30.5] over the period 2000-2002 to 11.9/1000 PY [10.1-13.8] in 2009-2012 (p 50 copies/mL (Hazard Ratio [HR] = 5.1, 95% Confidence Interval: 4.2-6.2), CD4 count

Published
2015

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