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HIV is associated with airway obstruction: a matched controlled study.

Makinson, Alain; Hayot, Maurice; Eymard-Duvernay, Sabrina; Ribet, Céline; Raffi, François; Pialoux, Gilles; Zucman, David; Poizot-Martin, Isabelle; Bonnet, Fabrice; Abgrall, Sophie; Tattevin, Pierre; Cheret, Antoine; Ferry, Tristan; Mauboussin, Jean-Marc; Marchand, Lucie; Rouzaud, Claire; Reynes, Jacques; Zins, Marie; Le Moing, Vincent.
AIDS; 32(2): 227-232, 2018 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-29135582

OBJECTIVE:

To explore whether airway obstruction is associated with HIV in a cohort of HIV-infected and uninfected smokers.

METHODS:

People living with HIV (PLWHIV) participated in the ANRS EP48 HIV CHEST study, an early lung cancer diagnosis study with low-dose chest tomography. HIV-uninfected study participants were from the CONSTANCES cohort. Inclusion criteria were an age greater than 40 years, a smoking history of at least 20 pack-years, and for PLWHIV, a CD4 T-lymphocyte nadir less than 350/µl and last CD4 cell count more than 100 cells/µl. Two randomly selected HIV-uninfected study participants were matched by age and sex with one PLWHIV. Prebronchodilatator forced expiratory volume in 1 s (FEV1) to forced vital capacity (FVC) ratio was the primary outcome, and association of FEV1/FVC ratio less than 0.70 and FEV1 less than 80% of the theoretical value, as a proxy of chronic obstructive pulmonary disease, the secondary outcome.

RESULTS:

In total, 351 PLWHIV and 702 HIV-uninfected study participants were included. Median age was 50 years, and 17% of study participants were women. Plasma HIV RNA was less than 50 copies/ml in 89% of PLWHIV, with a median CD4 cell count of 573 cells/µl. HIV (ß -2.19), age (per 10 years increase; ß -2.81), tobacco use (per 5 pack-years increase; ß -0.34), and hepatitis C virus serology (ß-2.50) were negatively associated with FEV1/FVC. HIV [odds ratio (OR: 1.72)], age (per 10 years increase; OR 1.77), and tobacco use (per 5 pack-years increase; OR 1.11) were significantly associated with the secondary outcome.

CONCLUSION:

Our study found a significant association of airway obstruction with HIV status in smokers aged more than 40 years with previous immunodeficiency.
Selo DaSilva