Discontinuation of chemoprophylaxis against Pneumocystis carinii pneumonia in patients with HIV infection. HIV Outpatient Study (HOPS) Investigators.

Abstract:

BACKGROUND:HIV-infected patients with sustained immunologic improvement from antiretroviral therapy may be able to discontinue chemoprophylaxis against Pneumocystis carinii pneumonia (PCP). OBJECTIVE:To compare PCP incidence in HIV-infected patients who had sustained CD4+ lymphocyte counts greater than 200 cells/mm3 and who either discontinued or continued PCP prophylaxis. DESIGN:Nonrandomized prospective cohort study. SETTING:10 HIV clinics in eight U.S. cities. PATIENTS:146 patients had follow-up visits for a mean of 18.2 months after discontinuation of PCP prophylaxis, and 345 patients who continued PCP prophylaxis had follow-up visits for a mean of 14.0 months. MEASUREMENTS:Incidence of PCP. RESULTS:Patients who discontinued PCP prophylaxis had higher maximum and minimum CD4+ cell counts and lower vira loads than patients who continued PCP prophylaxis. Pneumocystis carinii pneumonia did not develop in either group (upper 95% exact binomial confidence limit of incidence for those who discontinued PCP prophylaxis, 2.3/100 person-years). CONCLUSIONS:Discontinuation of PCP chemoprophylaxis may be appropriate for some HIV-infected ambulatory patients.

journal_name

Ann Intern Med

authors

Yangco BG,Von Bargen JC,Moorman AC,Holmberg SD

doi

10.7326/0003-4819-132-3-200002010-00005

subject

Has Abstract

pub_date

2000-02-01 00:00:00

pages

201-5

issue

3

eissn

0003-4819

issn

1539-3704

pii

200002010-00005

journal_volume

132

pub_type

杂志文章
  • Health care information and the protection of personal privacy: ethical and legal considerations.

    abstract::During the early 1990s, the U.S. government addressed the issue of providing universal health care to all its citizens. Although this issue has not been completely resolved, centralization of electronic data and sharing of health care information among insurers and providers have been pursued. The emergence of electro...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-127-8_part_2-199710151-00050

    authors: Gostin L

    更新日期:1997-10-15 00:00:00

  • Lipophilic Statins and Risk for Hepatocellular Carcinoma and Death in Patients With Chronic Viral Hepatitis: Results From a Nationwide Swedish Population.

    abstract:Background:Whether statin type influences hepatocellular carcinoma (HCC) incidence or mortality in chronic hepatitis B or C virus infection is unknown. Objective:To assess the relationship between lipophilic or hydrophilic statin use and HCC incidence and mortality in a nationwide population with viral hepatitis. Des...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M18-2753

    authors: Simon TG,Duberg AS,Aleman S,Hagstrom H,Nguyen LH,Khalili H,Chung RT,Ludvigsson JF

    更新日期:2019-09-03 00:00:00

  • Systemic lupus erythematosus in pregnancy.

    abstract::A retrospective analysis of the course of systemic lupus erythematosus in pregnant patients hospitalized at UCLA during a 15-year period provided important prognostic information. Women with systemic lupus erythematosus became pregnant if renal function was reasonably well preserved. Pregnancy infrequently posed a ser...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-94-5-667

    authors:

    更新日期:1981-05-01 00:00:00

  • Thyroid autoimmunity: increased frequency in relatives of insulin-dependent diabetes patients.

    abstract::Thyroid antibodies were found significantly more often in insulin-dependent diabetics than in their spouses or in non-insulin-dependent diabetics. The poor correlation between presence of thyroid autoimmunity and duration of disease and the significantly increased prevalence of thyroid antibodies in first-degree relat...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-83-2-170

    authors: Fialkow PJ,Zavala C,Nielsen R

    更新日期:1975-08-01 00:00:00

  • Immunopathologic studies of pneumonitis in systemic lupus erythematosus.

    abstract::We performed immunohistopathologic studies on biopsied lung tissue obtained from two patients with lupus pneumonitis using immunofluorescence, immunoperoxidase, electron microscopy, and acid-microelution. In both patients, immunofluorescence showed granular deposits of IgG, the third component of complement (C3), and ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-91-1-30

    authors: Inoue T,Kanayama Y,Ohe A,Kato N,Horiguchi T,Ishii M,Shiota K

    更新日期:1979-07-01 00:00:00

  • Substituting walnuts for monounsaturated fat improves the serum lipid profile of hypercholesterolemic men and women. A randomized crossover trial.

    abstract:BACKGROUND:It has been reported that walnuts reduce serum cholesterol levels in normal young men. OBJECTIVE:To assess the acceptability of walnuts and their effects on serum lipid levels and low-density lipoprotein (LDL) oxidizability in free-living hypercholesterolemic persons. DESIGN:Randomized, crossover feeding t...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.7326/0003-4819-132-7-200004040-00005

    authors: Zambón D,Sabaté J,Muñoz S,Campero B,Casals E,Merlos M,Laguna JC,Ros E

    更新日期:2000-04-04 00:00:00

  • Diagnostic utility of ultrasonography of leg veins in patients suspected of having pulmonary embolism.

    abstract:BACKGROUND:The standard diagnostic approach in patients suspected of having pulmonary embolism starts with perfusion-ventilation lung scanning. If the resulting scan is not diagnostic, pulmonary angiography should be done. The use of tests for deep venous thrombosis has been advocated as an adjunct to establishing the ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-126-10-199705150-00005

    authors: Turkstra F,Kuijer PM,van Beek EJ,Brandjes DP,ten Cate JW,Büller HR

    更新日期:1997-05-15 00:00:00

  • Conservation in hospital resource use: treatment of pneumonias. An investigation of care in four hospitals over the past decade.

    abstract::An investigation of patient care in four hospitals compared levels of resource use between 1964 and 1974 for patients with a primary diagnosis of pneumonia. Results showed a decreased length of stay in all hospitals. Unique patterns of increases and decreases existed in each hospital for the changing use of diagnostic...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-85-5-648

    authors: Sheeley DR,Sherman H

    更新日期:1976-11-01 00:00:00

  • Computed tomography brain scanning in alcohol withdrawal seizures. Value of the neurologic examination.

    abstract::We evaluated the usefulness of computed tomography (CT) brain scanning in alcoholic patients with withdrawal seizures (n = 151) and other neurologic problems (n = 87) and compared the findings of a detailed neurologic examination to the results of CT scanning. In patients with seizures, nearly 50% of CT scans were nor...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-94-4-519

    authors: Feussner JR,Linfors EW,Blessing CL,Starmer CF

    更新日期:1981-04-01 00:00:00

  • Feasibility and utility of adding disease-specific outcome measures to administrative databases to improve disease management.

    abstract::To increase the utility of administrative databases, it has been recommended that they include disease-specific, patient-centered outcome measures. This paper reviews practical and theoretical considerations and the critical evidence to support this recommendation. The strengths and weaknesses of the recommended appro...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-127-8_part_2-199710151-00060

    authors: Liang MH,Shadick N

    更新日期:1997-10-15 00:00:00

  • Hydroxychloroquine in decompensated, treatment-refractory noninsulin-dependent diabetes mellitus. A new job for an old drug?

    abstract:STUDY OBJECTIVE:To evaluate the usefulness and safety of hydroxychloroquine in patients with decompensated, treatment-refractory noninsulin-dependent diabetes mellitus. DESIGN:Prospective, randomized, placebo, double-blind 6-month trial. PATIENTS:Thirty-eight patients with noninsulin-dependent diabetes resistant to c...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.7326/0003-4819-112-9-678

    authors: Quatraro A,Consoli G,Magno M,Caretta F,Nardozza A,Ceriello A,Giugliano D

    更新日期:1990-05-01 00:00:00

  • Effects of subclinical thyroid dysfunction on the heart.

    abstract:BACKGROUND:Mounting evidence indicates that subclinical thyroid dysfunction has important clinical effects and prognostic implications, supporting the view that it is not a compensated biochemical change sensu strictu. PURPOSE:To review clinical information on the effects of subclinical thyroid dysfunction on the hear...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-137-11-200212030-00011

    authors: Biondi B,Palmieri EA,Lombardi G,Fazio S

    更新日期:2002-12-03 00:00:00

  • Narrative review: tetanus-a health threat after natural disasters in developing countries.

    abstract::Tetanus is an expected complication when disasters strike in developing countries, where tetanus immunization coverage is often low or nonexistent. Collapsing structures and swirling debris inflict numerous crush injuries, fractures, and serious wounds. Clostridium tetani infects wounds contaminated with dirt, feces, ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-154-5-201103010-00007

    authors: Afshar M,Raju M,Ansell D,Bleck TP

    更新日期:2011-03-01 00:00:00

  • Manpower resources for research.

    abstract::Several trends in medical education affect our supply of future physicians. The number of new physicians has increased so that each year there is an excess of about 6000 over the number of physicians produced per year a decade ago. Increasing numbers of women and members of minority groups are entering the profession ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-89-5-806

    authors: Cooper JA

    更新日期:1978-11-01 00:00:00

  • Health implications of overweight and obesity in the United States.

    abstract::The second National Health and Nutrition Examination Survey found that 26% of U.S. adults, or about 34 million people aged 20 to 75 years, are overweight. The survey used a body mass index of 27.8 kg/m2 or greater for men and 27.3 or greater for women to define overweight. Prevalence of overweight increases with advan...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-103-6-983

    authors: Van Itallie TB

    更新日期:1985-12-01 00:00:00

  • The common hyperlipoproteinemias: an understanding of disease mechanisms and their control.

    abstract::Our review focuses on low density lipoprotein (LD lipoprotein) and very low density lipoprotein (VLD lipoprotein) in their roles as transporters of cholesterol and triglyceride and as factors contributing to premature arteriovascular disease. We describe the clinical manifestations of the common, primary hyperlipoprot...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-85-4-497

    authors: Fisher WR,Truitt DH

    更新日期:1976-10-01 00:00:00

  • The reversible dementias: do they reverse?

    abstract::Thirty-two studies (2889 subjects) that investigated the prevalence of the causes of dementia were critically reviewed. Particular attention was paid to potential and actual reversibility. Although dementia manifests itself primarily in old age (particularly age 75 and older), the mean age of patients for the studies ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-109-6-476

    authors: Clarfield AM

    更新日期:1988-09-15 00:00:00

  • Effects of alcohol and fluvastatin on lipid metabolism and hepatic function.

    abstract:OBJECTIVE:To determine the effects of fluvastatin, a synthetic 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor, combined with moderate alcohol consumption on lipid profiles and hepatic function in patients with primary hypercholesterolemia. DESIGN:Randomized, placebo-controlled, crossover study. S...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.7326/0003-4819-122-9-199505010-00006

    authors: Smit JW,Wijnne HJ,Schobben F,Sitsen A,De Bruin TW,Erkelens DW

    更新日期:1995-05-01 00:00:00

  • Arteriohepatic dysplasia: a benign syndrome of intrahepatic cholestasis with multiple organ involvement.

    abstract::Arteriohepatic dysplasia (Alagille's syndrome) is presumed to be one of the familial intrahepatic cholestatic syndromes, all of which present with neonatal jaundice or failure to thrive, or both. We report the findings in five patients with this syndrome, four of whom have been followed into adulthood. In addition to ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-91-4-520

    authors: Riely CA,Cotlier E,Jensen PS,Klatskin G

    更新日期:1979-10-01 00:00:00

  • Harms Reporting in Randomized Controlled Trials of Interventions Aimed at Modifying Microbiota: A Systematic Review.

    abstract:Background:Probiotics, prebiotics, and synbiotics are used increasingly, although the safety and potential harms of these interventions are poorly understood. Purpose:To examine how harms-related information is reported in publications of randomized controlled trials (RCTs) of probiotics, prebiotics, and synbiotics. ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M18-0343

    authors: Bafeta A,Koh M,Riveros C,Ravaud P

    更新日期:2018-08-21 00:00:00

  • How variability in the institutional review board review process affects minimal-risk multisite health services research.

    abstract:BACKGROUND:The Department of Health and Human Services recently called for public comment on human subjects research protections. OBJECTIVE:To assess variability in reviews across institutional review boards (IRBs) for a multisite, minimal-risk trial of financial incentives for evidence-based hypertension care and to ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.7326/0003-4819-156-10-201205150-00011

    authors: Petersen LA,Simpson K,Sorelle R,Urech T,Chitwood SS

    更新日期:2012-05-15 00:00:00

  • Hepatitis type A and hemodialysis: a seroepidemiologic study in 15 U.S. centers.

    abstract::Four hundred sixty patients and staff from 15 U.S. dialysis centers were surveyed by the immune adherence hemagglutination technique for antibody to hepatitis A antigen (anti-HA). The age-standardized anti-HA prevalence was 42.9% in patients and 42.1% in staff. These rates are almost identical to those of socioeconomi...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-87-1-8

    authors: Szmuness W,Dienstag JL,Purcell RH,Prince AM,Stevens CE,Levine RW

    更新日期:1977-07-01 00:00:00

  • Cardiovascular mortality associated with 5 leading risk factors: national and state preventable fractions estimated from survey data.

    abstract:BACKGROUND:Impressive decreases in cardiovascular mortality have been achieved through risk factor reduction and clinical intervention, yet cardiovascular disease remains a leading cause of death nationally. OBJECTIVE:To estimate up-to-date preventable fractions of cardiovascular mortality associated with elimination ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M14-1753

    authors: Patel SA,Winkel M,Ali MK,Narayan KM,Mehta NK

    更新日期:2015-08-18 00:00:00

  • Insurance Expansion and Hospital Emergency Department Access: Evidence From the Affordable Care Act.

    abstract:Background:Little is known about whether insurance expansion affects the location and type of emergency department (ED) use. Understanding these changes can inform state-level decisions about the Medicaid expansion under the Patient Protection and Affordable Care Act (ACA). Objective:To investigate the effect of the 2...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.7326/M16-0086

    authors: Garthwaite C,Gross T,Notowidigdo M,Graves JA

    更新日期:2017-02-07 00:00:00

  • Economic savings versus health losses: the cost-effectiveness of generic antiretroviral therapy in the United States.

    abstract:BACKGROUND:U.S. HIV treatment guidelines recommend branded once-daily, 1-pill efavirenz-emtricitabine-tenofovir as first-line antiretroviral therapy (ART). With the anticipated approval of generic efavirenz in the United States, a once-daily, 3-pill alternative (generic efavirenz, generic lamivudine, and tenofovir) wil...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-158-2-201301150-00002

    authors: Walensky RP,Sax PE,Nakamura YM,Weinstein MC,Pei PP,Freedberg KA,Paltiel AD,Schackman BR

    更新日期:2013-01-15 00:00:00

  • A professional response to demands for accountability: practical recommendations regarding ethical aspects of patient care. Working Group on Accountability.

    abstract::Forceful new demands for accountability in medicine are arising from many interested parties. To maintain professional standards, physicians need to establish which demands are desirable and which are not. We adopt a model of stratified accountability that includes three major components: the accountable parties, the ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-124-2-199601150-00008

    authors: Emanuel LL

    更新日期:1996-01-15 00:00:00

  • ESPACOMP Medication Adherence Reporting Guideline (EMERGE).

    abstract::Research on assessing or managing medication adherence applies approaches from observational, interventional, and implementation science that spans many disciplines and demands coherent conceptualization, valid methods, appropriate analyses, and complete and accurate reporting. To ensure such reporting, the European S...

    journal_title:Annals of internal medicine

    pub_type: 指南,杂志文章

    doi:10.7326/M18-0543

    authors: De Geest S,Zullig LL,Dunbar-Jacob J,Helmy R,Hughes DA,Wilson IB,Vrijens B

    更新日期:2018-07-03 00:00:00

  • Positive end-expiratory pressure increases the right-to-left shunt in mechanically ventilated patients with patent foramen ovale.

    abstract:OBJECTIVE:To determine the effect of the presence of a patent foramen ovale on the right-to-left shunt in patients with respiratory failure who receive positive end-expiratory pressure (PEEP). DESIGN:Convenience sample with randomized application of PEEP. SETTING:General intensive care unit of a university teaching h...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-119-9-199311010-00004

    authors: Cujec B,Polasek P,Mayers I,Johnson D

    更新日期:1993-11-01 00:00:00

  • Osteoporosis in hemochromatosis: iron excess, gonadal deficiency, or other factors?

    abstract:STUDY OBJECTIVE:To define the prevalence, severity, type and pathogenesis of osteopenia in idiopathic hemochromatosis. DESIGN:Prospective study conducted over 18 months. SETTING:Tertiary care center. SUBJECTS:Twenty-two men with idiopathic hemochromatosis and 20 age-matched controls. There were 5 hypogonadal patient...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-110-6-430

    authors: Diamond T,Stiel D,Posen S

    更新日期:1989-03-15 00:00:00

  • Iron overload, public health, and genetics: evaluating the evidence for hemochromatosis screening.

    abstract::Population screening for hemochromatosis done by using the transferrin saturation test has been advocated by experts to permit the initiation of therapeutic phlebotomy before the onset of clinical disease. The discovery of a gene associated with hemochromatosis has made DNA testing another option for screening and dia...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-129-11_part_2-199812011-00008

    authors: Cogswell ME,McDonnell SM,Khoury MJ,Franks AL,Burke W,Brittenham G

    更新日期:1998-12-01 00:00:00