2004, Número 3
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Rev Mex Pediatr 2004; 71 (3)
Utilidad del esquema antirretroviral con dos inhibidores de la transcriptasa inversa más nelfinavir en el tratamiento de niños con VIH/SIDA
Borjas-Ale P, Alonzo-Vázquez F, Palma-Chan A
Idioma: Español
Referencias bibliográficas: 30
Paginas: 128-132
Archivo PDF: 59.59 Kb.
RESUMEN
Objetivo. Conocer la utilidad del esquema con dos inhibidores de la transcriptasa inversa más nelfinavir, en niños con VIH-SIDA.
Material y métodos. Doce niños con VIH-SIDA tratados con
dos inhibidores de la transcriptasa inversa más nelfinavir. Se
registraron datos de exploración física, somatometría, clasificación
clínica a su ingreso y cada mes durante seis meses. Se midió la carga
viral, la subpoblación linfocitaria, biometría hemática, química
sanguínea y pruebas de funcionamiento hepático, al inicio, a los tres y
seis meses. El peso, la carga viral, y los linfocitos CD4 del inicio y
los seis meses de tratamiento fueron comparados con t pareada y
Wilcoxon.
Resultados. Los 12 pacientes incluidos tuvieron ganancia
significativa en peso y talla y presentaron mejoría tanto clínica como
inmunológica. La carga viral tuvo una diferencia no significativa a
seis meses del tratamiento. Sin alteraciones relevantes de laboratorio.
Conclusiones. Los pacientes tuvieron ganancia en peso y talla
estadísticamente significativas. Sin diferencias estadísticas entre la
carga viral, las cifras de CD4 y CD8. Sin embargo, hubo decremento de
la carga viral e incremento de los CD4, principalmente en niños sin
tratamiento previo. El hecho de no encontrar significancia estadística
probablemente se deba al tamaño de la muestra y a la heterogeneidad de
los pacientes.
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