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1 6 th CROI, Montreal, 200 9 . Hotel AC Forum, Barcelona – February 20 th 2009. Summary: Opportunistic Infections HCV/HBVCo-Infections &Tumors. José M. Miró Infectious Diseases Unit - ICMiD Hospital Clinic - IDIBAPS University of Barcelona Barcelona (Spain).
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16th CROI, Montreal, 2009. Hotel AC Forum, Barcelona – February 20th 2009 Summary: Opportunistic Infections HCV/HBVCo-Infections &Tumors • José M. Miró • Infectious Diseases Unit - ICMiD • Hospital Clinic - IDIBAPS • University of Barcelona • Barcelona (Spain) E-mail address: jmmiro@ub.edu
OIs, Hepatitis Coinfections & Tumors • Tuberculosis • Other opportunistic infections • IRIS • HBV & HCV co-infections • Cirrhosis & liver transplantation • Tumors N= 44 N= 19 N= 11 N= 77 N= 5 N= 17 ~173 abstracts in 20 min. ! http://www.retroconference.org/2009
OIs, Hepatitis Coinfections & Tumors • Tuberculosis • Other opportunistic infections • IRIS • HBV & HCV co-infections • Cirrhosis & liver transplantation • Tumors
OIs, Hepatitis Coinfections & Tumors • Tuberculosis • Other opportunistic infections • IRIS • HBV & HCV co-infections • Cirrhosis & liver transplantation • Tumors
Clinical Relevance of CMV viremiaBoffi E, et al. CROI 2009, Montreal; Abstract 795. 1,170 Patients: CMV specific IgG positive, CD4≤ 100; Swiss HIV Cohort.
OIs, Hepatitis Coinfections & Tumors • Tuberculosis • Other opportunistic infections • IRIS • HBV & HCV co-infections • Cirrhosis & liver transplantation • Tumors
Immediate vs. Deferred cART in the Setting of Acute AIDS-Related OIs (ACTG A5164)Zolopa AR, et al. CROI 2008, Boston; Abstract 142. Study schema OI/BI Treatment Starts Immediate Arm Start ART 48 wks Deferred Arm Start ART 48 wks Recommended Start window -14 0 2 28 42 84 224 Study day Higher mortality deferred arm ! Enrollment
Immediate vs. Deferred cART in the Setting of Acute AIDS-Related OIs (ACTG A5164)Zolopa AR, et al. CROI 2008, Boston; Abstract 142.
Risk Factors for IRIS during a RCT of Early vs. Deferred cART in AIDS-Related OIs (ACTG A5164)Grant P, et al. CROI 2009, Montreal; Abstract 775.
OIs, Hepatitis Coinfections & Tumors • Tuberculosis • Other opportunistic infections • IRIS • HBV & HCV co-infections • Cirrhosis & Liver transplantation • Tumors
Efficacy of rGM-CSF as an Adjuvant for HBV Vaccination in Adults Infected with HIV-1Parker S. CROI 2009, Montreal; Abstract 808.
Does Telbivudine (Tyzeka) Have Activity Against HIV?CROI 2009, Montreal; Abstracts 813a & 813b. Yes, Case Report Suggests Anti-HIV Activity Lab Studies Say No ! Entecavir Telbivudine Avila C et al. Abs. 813b Low E et al. Abs. 813a