Acute retroviral syndrome and high baseline viral load are predictors of rapid HIV progression among untreated Argentinean seroconverters

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dc.contributor.authorSocias, Maria E.
dc.contributor.authorSued, Omar
dc.contributor.authorLaufer, Natalia
dc.contributor.authorLázaro, Maria E.
dc.contributor.authorMingrone, Hugo
dc.contributor.authorRemondegui, Claudio
dc.contributor.authorFigueroa, Maria Ines
dc.contributor.authorCesar, Carina
dc.contributor.authorGun, Ana
dc.contributor.authorTurk, Gabriela
dc.contributor.authorBouzas, Maria B.
dc.contributor.authorKavasery, Rosanna
dc.contributor.authorKrolewiecki, Alejandro J.
dc.contributor.authorPerez, Hector
dc.contributor.authorSalomon, Horacio
dc.contributor.authorPryluka, Damian
dc.date.accessioned2024-05-23T18:53:33Z
dc.date.available2024-05-23T18:53:33Z
dc.date.issued2011
dc.description.abstractBackground Diagnosis of primary HIV infection (PHI) has important clinical and public health implications. HAART initiation at this stage remains controversial. Methods Our objective was to identify predictors of disease progression among Argentinean seroconverters during the first year of infection, within a multicentre registry of PHI-patients diagnosed between 1997 and 2008. Cox regression was used to analyze predictors of progression (LT-CD4 < 350 cells/mm3, B, C events or death) at 12 months among untreated patients. Results Among 134 subjects, 74% presented with acute retroviral syndrome (ARS). Seven opportunistic infections (one death), nine B events, and 10 non-AIDS defining serious events were observed. Among the 92 untreated patients, 24 (26%) progressed at 12 months versus three (7%) in the treated group (p = 0.01). The 12-month progression rate among untreated patients with ARS was 34% (95% CI 22.5-46.3) versus 13% (95% CI 1.1-24.7) in asymptomatic patients (p = 0.04). In univariate analysis, ARS, baseline LT-CD4 < 350 cells/mm3, and baseline and six-month viral load (VL) > 100,000 copies/mL were associated with progression. In multivariate analysis, only ARS and baseline VL > 100,000 copies/mL remained independently associated; HR: 8.44 (95% CI 0.97-73.42) and 9.44 (95% CI 1.38-64.68), respectively. Conclusions In Argentina, PHI is associated with significant morbidity. HAART should be considered in PHI patients with ARS and high baseline VL to prevent disease progression.
dc.identifier.citationSocias, M. E., Sued, O., Laufer, N., Lázaro, M. E., Mingrone, H., Remondegui, C., Figueroa, M. I., Cesar, C., Gun, A., Turk, G., Bouzas, M. B., Kavasery, R., Krolewiecki, A. J., Perez, H., Salomon, H., & Cahn, P. (2011). Acute retroviral syndrome and high baseline viral load are predictors of rapid HIV progression among untreated Argentinean seroconverters. Journal of the International AIDS Society.
dc.identifier.otherDOI: 10.1186/1758-2652-14-40
dc.identifier.urihttps://repositorio.huesped.org.ar/handle/123456789/1088
dc.relation.ispartofseriesJournal of the International AIDS Society
dc.subjectAcute retroviral syndrome
dc.subjectbaseline viral load
dc.subjectHIV progression
dc.titleAcute retroviral syndrome and high baseline viral load are predictors of rapid HIV progression among untreated Argentinean seroconverters

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