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Association between HIV-1 RNA level and CD4 cell count among untreated HIV-infected individuals

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  • Lima, V.D.
  • Fink, V.
  • Yip, B.
  • Hogg, R.S.
  • Harrigan, P.R.
  • Montaner, J.S.

Abstract

OBJECTIVES: We examined the significance of plasma HIV-1 RNA levels (or viral load alone) in predicting CD4 cell decline in untreated HIV-infected individuals. METHODS: Data were obtained from the British Columbia Centre for Excellence in HIV/AIDS. Participants included all residents who ever had a viral load determination in the province and who had never taken antiretroviral drugs (N = 890). We analyzed a total of 2074 viral load measurements and 2332 CD4 cell counts. Linear mixed-effects models were used to predict CD4 cell decline over time. RESULTS: Longitudinal viral load was strongly associated with CD4 cell decline over time; an average of 1 log(10) increase in viral load was associated with a 55-cell/mm(3) decrease in CD4 cell count. CONCLUSIONS: Our results support the combined use of CD4 cell count and viral load as prognostic markers in HIV-infected individuals before the introduction of antiretroviral therapy.

Suggested Citation

  • Lima, V.D. & Fink, V. & Yip, B. & Hogg, R.S. & Harrigan, P.R. & Montaner, J.S., 2009. "Association between HIV-1 RNA level and CD4 cell count among untreated HIV-infected individuals," American Journal of Public Health, American Public Health Association, vol. 99(S1), pages 193-196.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.137901_6
    DOI: 10.2105/AJPH.2008.137901
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    Cited by:

    1. Asres Berhan & Yifru Berhan, 2013. "Virologic Response to Tipranavir-Ritonavir or Darunavir-Ritonavir Based Regimens in Antiretroviral Therapy Experienced HIV-1 Patients: A Meta-Analysis and Meta-Regression of Randomized Controlled Clin," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-7, April.

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