Timing of Antiretroviral Therapy for HIV in the Setting of TB Treatment

The convergent human immunodeficiency virus (HIV) and tuberculosis (TB) pandemics continue to collectively exact significant morbidity and mortality worldwide. Highly active antiretroviral therapy (HAART) has been a critical component in combating the scourge of these two conditions as both a preem...

Full description

Saved in:
Bibliographic Details
Main Authors: Damani A. Piggott, Petros C. Karakousis
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2011/103917
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832554182142328832
author Damani A. Piggott
Petros C. Karakousis
author_facet Damani A. Piggott
Petros C. Karakousis
author_sort Damani A. Piggott
collection DOAJ
description The convergent human immunodeficiency virus (HIV) and tuberculosis (TB) pandemics continue to collectively exact significant morbidity and mortality worldwide. Highly active antiretroviral therapy (HAART) has been a critical component in combating the scourge of these two conditions as both a preemptive and therapeutic modality. However, concomitant administration of antiretroviral and antituberculous therapies poses significant challenges, including cumulative drug toxicities, drug-drug interactions, high pill burden, and the immune reconstitution inflammatory syndrome (IRIS), thus complicating the management of coinfected individuals. This paper will review data from recent studies regarding the optimal timing of HAART initiation relative to TB treatment, with the ultimate goal of improving coinfection-related morbidity and mortality while mitigating toxicity resulting from concurrent treatment of both infections.
format Article
id doaj-art-d46e230eb3bc43f89c0cea2f6def21d3
institution Kabale University
issn 1740-2522
1740-2530
language English
publishDate 2011-01-01
publisher Wiley
record_format Article
series Clinical and Developmental Immunology
spelling doaj-art-d46e230eb3bc43f89c0cea2f6def21d32025-02-03T05:52:15ZengWileyClinical and Developmental Immunology1740-25221740-25302011-01-01201110.1155/2011/103917103917Timing of Antiretroviral Therapy for HIV in the Setting of TB TreatmentDamani A. Piggott0Petros C. Karakousis1Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, 1550 Orleans Street, Rm 110, Baltimore, MD 21231, USADivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, 1550 Orleans Street, Rm 110, Baltimore, MD 21231, USAThe convergent human immunodeficiency virus (HIV) and tuberculosis (TB) pandemics continue to collectively exact significant morbidity and mortality worldwide. Highly active antiretroviral therapy (HAART) has been a critical component in combating the scourge of these two conditions as both a preemptive and therapeutic modality. However, concomitant administration of antiretroviral and antituberculous therapies poses significant challenges, including cumulative drug toxicities, drug-drug interactions, high pill burden, and the immune reconstitution inflammatory syndrome (IRIS), thus complicating the management of coinfected individuals. This paper will review data from recent studies regarding the optimal timing of HAART initiation relative to TB treatment, with the ultimate goal of improving coinfection-related morbidity and mortality while mitigating toxicity resulting from concurrent treatment of both infections.http://dx.doi.org/10.1155/2011/103917
spellingShingle Damani A. Piggott
Petros C. Karakousis
Timing of Antiretroviral Therapy for HIV in the Setting of TB Treatment
Clinical and Developmental Immunology
title Timing of Antiretroviral Therapy for HIV in the Setting of TB Treatment
title_full Timing of Antiretroviral Therapy for HIV in the Setting of TB Treatment
title_fullStr Timing of Antiretroviral Therapy for HIV in the Setting of TB Treatment
title_full_unstemmed Timing of Antiretroviral Therapy for HIV in the Setting of TB Treatment
title_short Timing of Antiretroviral Therapy for HIV in the Setting of TB Treatment
title_sort timing of antiretroviral therapy for hiv in the setting of tb treatment
url http://dx.doi.org/10.1155/2011/103917
work_keys_str_mv AT damaniapiggott timingofantiretroviraltherapyforhivinthesettingoftbtreatment
AT petrosckarakousis timingofantiretroviraltherapyforhivinthesettingoftbtreatment