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Management of Mycobacterial Infections in AIDS

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Book cover AIDS and Respiratory Medicine

Abstract

The treatment of tuberculosis in association with HIV is essentially not different from that of patients without HIV infection and follows well-established principles. The choice of chemotherapy regimen may be limited by cost or toxicity or be influenced by the likelihood of multiple drug resistance. Because patients with HIV are likely to be immunosuppressed and to become more so with time, there is some debate about whether one or more drugs should be continued after completing a course of treatment. As patients with HIV are more likely to relapse or acquire new infection, preventive therapy for life may be desirable. In areas of high prevalence of HIV and tuberculosis (as in Sub-Saharan Africa), tuberculosis remains the major cause of death in AIDS (Kassim et al., 1995). Strategies for chemoprophylaxis in these high risk groups must be considered.

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References

  • Ackah, A.N., Coulibaly, D., Digbeu, H. et al. (1995) Response to treatment, mortality, and CD4 lymphocyte counts in HIV-infected persons with tuberculosis in Abidjan, Côte d’Ivoire. Lancet, 345 607–10.

    Article  PubMed  CAS  Google Scholar 

  • Adal, K.A., Anglim, A.M., Palumbo, C.L. et al. (1994) The use of high-efficiency particulate air-filter respirators to protect hospital workers from tuberculosis. New England Journal of Medicine, 331, 169–73.

    Article  PubMed  CAS  Google Scholar 

  • Advisory Committee for Elimination of Tuberculosis (ACET), Centers for Disease Control (1989) Tuberculosis and Human Immunodeficiency virus infection. Morbidity and Mortality Weekly Reports, 38, 236–50.

    Google Scholar 

  • Advisory Committee for the Elimination of Tuberculosis, Centers for Disease Control (1990) Screening for tuberculosis and tuberculous infection in high risk populations and the use of preventive therapy for tuberculosis in the US. Morbidity and Mortality Weekly Reports, 39, RR8: 1–12.

    Google Scholar 

  • Agins, B.D., Berman, D.S., Spicehandler, D. et al. (1989) Effect of combined therapy with ansamycin, clofazimine, ethambutol and isoniazid for Mycobacterium avium infection in patients with AIDS. Journal of Infectious Diseases, 159, 784–7.

    Article  PubMed  CAS  Google Scholar 

  • Alwood, K., Keruly, J., Moore-Rice, K. et al. (1994) Effectiveness of supervised intermittent therapy for tuberculosis on HIV-infected patients. AIDS, 8, 1103–8.

    Article  PubMed  CAS  Google Scholar 

  • Aquinas, Sr. M., Allan, W.G.L., Horsfall, P.A.L. et al. (1972) Adverse reactions to daily and intermittent rifampicin regimens for pulmonary tuberculosis in Hong Kong. British Medical Journal, 1, 765–71.

    Article  PubMed  CAS  Google Scholar 

  • Bahal, N. and Nahata, M. (1992) The new macrolide antibiotics: azithromycin, clarithromycin, dirithromycin and roxithromycin. Annals of Pharmacotherapeutics, 26, 46–55.

    CAS  Google Scholar 

  • Banks, J. (1989) Treatment of pulmonary disease caused by opportunist mycobacteria. Thorax, 44, 449–54.

    Article  PubMed  CAS  Google Scholar 

  • Bass, J.B., Farer, L.S., Hopewell, P.C. et al. (1995) Treatment of tuberculosis and tuberculosis infection in adults and children. Clinical Infectious Diseases, 21, 9–27.

    Article  Google Scholar 

  • Bregère, P. (1988) BCG vaccination and AIDS. Bulletin of the International Union against Tuberculosis, 63, 40–1.

    Google Scholar 

  • Centers for Disease Control (1989) Tuberculosis and human immunodeficiency virus infections: recommendations of the Advisory Committee for the Elimination of Tuberculosis (ACET). Morbidity and Mortality Weekly Reports, 38, 236–8, 243–50.

    Google Scholar 

  • Centers for Disease Control (1991) Nosocomial transmission of multi-drug resistant tuberculosis amongst HIV-infected persons — Florida and New York 1988–1991. Morbidity and Mortality Weekly Reports, 40, 585–91.

    Google Scholar 

  • Centers for Disease Control (1994) Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care facilities. Morbidity and Mortality Weekly Reports, 40, 585–91.

    Google Scholar 

  • Chaisson, R.E., Schecter, G.F., Theuer, C.P. et al. (1987) Tuberculosis in patients with the acquired immunodeficiency syndrome. American Review of Respiratory Disease, 136, 570–4.

    Article  PubMed  CAS  Google Scholar 

  • Chaisson, R.E., Benson, C.A., Dube, M.P. et al. (1994) Clarithromycin therapy for bacteremic Mycobacterium avium complex disease. Annals of Internal Medicine, 121, 905–11.

    Article  PubMed  CAS  Google Scholar 

  • Chiu, J., Nussbaum, J., Bozette, S. et al. (1990) Treatment of disseminated Mycobacterium avium complex infection in AIDS with amikacin, ethambutol, rifampin and ciprofloxacin. Annals of Internal Medicine, 113, 358–61.

    Article  PubMed  CAS  Google Scholar 

  • Cohn, D.L., Fisher, E., Franchino, B. et al. (1996) Comparison of two doses of clarithromycin in a randomised trial of four 3-drug regimens for treatment of disseminated Mycobacterium avium complex disease in AIDS: excess mortality associated with high-dose clarithromycin. 11th International Conference on AIDS, Vancouver, July 1996, abstract LB B 6025.

    Google Scholar 

  • Committee on Treatment of the International Union Against Tuberculosis and Lung Disease (1988) Antituberculosis regimens of chemotherapy. Recommendations. Bulletin of the International Union Against Tuberculosis and Lung Disease, 63, 60–4.

    Google Scholar 

  • Daley, C.L., Small, P.M., Schecter, G.F. et al. (1992) An outbreak of tuberculosis with accelerated progression among persons infected with the human immunodeficiency virus. New England Journal of Medicine, 326, 231–41.

    Article  PubMed  CAS  Google Scholar 

  • DATRI 001 Study Group (1994a) Clarithromycin (CL) plus rifabutin (RFB) for MAC prophylaxis: evidence for drug interaction. First National Conference on Human Retroviruses and Related Infections, December 1993, Washington DC.

    Google Scholar 

  • DATRI 001 Study Group (1994b) Co-administration of clarithromycin (CL) alters the concentration-time profile of rifabutin (RFB). 34th Interscience Conference on Antimicrobial Agents and Chemotherapy, October 1994, Orlando Florida. Abstract A2, p. 3.

    Google Scholar 

  • Dautzenberg, B., Truffot, C., Legris, S. et al. (1991a) Activity of clarithromycin against Mycobacterium avium infection in patients with the acquired immune deficiency syndrome: a controlled clinical trial. American Review of Respiratory Disease, 144, 564–9.

    Article  PubMed  CAS  Google Scholar 

  • Dautzenberg, B., Truffot, Ch., Mignon, A. et al. (1991b) Rifabutin in combination with clofazimine, isoniazid and ethambutol in the treatment of AIDS patients with infections due to opportunist mycobacteria. Tubercle, 72, 168–75.

    Article  PubMed  CAS  Google Scholar 

  • De Cock, K.M., Grant, A. and Porter, J.D.H. (1995) Preventive therapy for tuberculosis in HIV-infected persons: international recommendations, research, and practice. Lancet, 345, 833–6.

    Article  PubMed  Google Scholar 

  • de Lalla, F., Maserati, R. and Scarpellini, P. (1992) Clarithromycin-ciprofloxacin-amikacin for therapy of Mycobacterium avium bacteraemia in patients with AIDS. Antimicrobial Agents and Chemotherapy, 36, 1567–9.

    Article  PubMed  Google Scholar 

  • De Wit, S., D’Abbraccio, M., De Mol, P. and Clumeck, N. (1993) Acquired resistance to clarithromycin as combined therapy in Mycobacterium avium intracellulare infection. Lancet, 341, 53–4.

    Article  PubMed  Google Scholar 

  • Di Pen, G., Cruciani, M., Danzi, M.C. et al. (1989) Nosocomial epidemic of active tuberculosis among HIV-infected patients. Lancet, 11, 1502–4.

    Google Scholar 

  • Dickinson, J.M. and Mitchison, D.A. (1987a) In vitro properties of rifapentine (MDL473) relevant to its use in intermittent chemotherapy of tuberculosis. Tubercle, 68, 113–8.

    CAS  Google Scholar 

  • Dickinson, J.M. and Mitchison, D.A. (1987b) In vitro activity of new rifamycins against rifampicin-resistant M. tuberculosis and MAIS-complex mycobacteria. Tubercle, 68, 177–82.

    CAS  Google Scholar 

  • Edlin, B.R., Tokars, J.I., Grieco, M.H. et al. (1992) An outbreak of multidrug-resistant tuberculosis among hospitalized patients with the acquired immunodeficiency syndrome. New England Journal of Medicine, 326, 1514–21.

    Article  PubMed  CAS  Google Scholar 

  • Elliott, A.M., Hayes, R.J., Halwiindi, B. et al. (1993) The impact of HIV on infectiousness of pulmonary tuberculosis: a community study in Zambia. AIDS, 7, 981–7.

    Article  PubMed  CAS  Google Scholar 

  • Elliott, A.M. and Foster S.D. (1996) Thiacetazone: time to call a halt? Tubercle and Lung Disease, 77, 27–9.

    Article  PubMed  CAS  Google Scholar 

  • Festenstein, F. and Grange, J.M. (1991) Tuberculosis and the acquired immune deficiency syndrome. Journal of Applied Bacteriology, 71, 19–30.

    PubMed  CAS  Google Scholar 

  • Fuller, J.D., Stanfield, L.E.D. and Craven, D.E. (1994) Rifabutin prophylaxis and uveitis. New England Journal of Medicine, 330, 1315–6.

    Article  PubMed  CAS  Google Scholar 

  • Gangadharam, P.R.J., Perumal, V.K., Jairam, B.T. et al. (1987) Activity of rifabutin alone or in combination with clofazimine or ethambutol or both against acute and chronic experimental Mycobacterium intracellulare infections. American Review of Respiratory Disease, 136, 329–33.

    Article  PubMed  CAS  Google Scholar 

  • George, R.H., Gully, P.R., Gill, O.N. et al. (1985) An outbreak of tuberculosis in a children’s hospital. Journal of Hospital Infection, 8, 129–42.

    Article  Google Scholar 

  • Girling, D.J. (1978) The hepatic toxicity of anti-tuberculosis regimens containing isoniazid, rifampicin and pyrtazinamide. Tubercle, 59, 13–32.

    Article  PubMed  CAS  Google Scholar 

  • Githui, W., Nunn, P., Juma, E. et al. (1992) Cohort study of HIV-positive and HIV-negative tuberculosis, Nairobi, Kenya: comparison of bacteriological results. Tubercle and Lung Disease, 73, 203–9.

    Article  PubMed  CAS  Google Scholar 

  • Glynn, J.R., Jenkins, P.A., Fine, P.E.M. et al. (1995) Patterns of initial and acquired antituberculosis drug resistance in Karonga District, Malawi, Lancet, 345, 907–10.

    Article  PubMed  CAS  Google Scholar 

  • Goble, M., Iseman, M.D., Madsen, L.A. et al. (1993) Treatment of 171 patients with pulmonary tuberculosis resistant to isoniazid and rifampin. New England Journal of Medicine, 328, 527–32.

    Article  PubMed  CAS  Google Scholar 

  • Godfrey-Faussett, P., Githui, W., Batchelor, B. et al. (1994) Recurrence of tuberculosis in an endemic area may be due to relapse or reinfection. Tubercle and Lung Disease, 75, 199–202.

    Article  PubMed  CAS  Google Scholar 

  • Goldberger, M. and Masur, H. (1994) Clarithromycin therapy for Mycobacterium avium complex disease in patients with AIDS: potential and problems. Annals of Internal Medicine, 121, 974–5.

    Article  PubMed  CAS  Google Scholar 

  • Gornyski, E., Gutman, S. and Allen, (1989) Comparative antimicrobial activities of difloxacin, temafloxacin, enoxacin, pefloxacin, reference fluoroquinolones and a new macrolide clarithromycin. Antimicrobial Agents and Chemotherapy, 33, 591–2.

    Article  Google Scholar 

  • Grange, J.M. (1990) Drug resistance and tuberculosis elimination. Bulletin of the International Union against Tuberculosis and Lung Disease, 65 (2–3), 57–9.

    PubMed  CAS  Google Scholar 

  • Grosset, J.H. (1990) Present and new drug regimens in chemotherapy and chemoprophylaxis of tuberculosis. Bulletin of the International Union against Tuberculosis and Lung Disease, 65, 86–91.

    PubMed  CAS  Google Scholar 

  • Grosset, J.H. (1992) Treatment of tuberculosis in HIV infection. Tubercle and Lung Disease, 73, 378–83.

    Article  PubMed  CAS  Google Scholar 

  • Harries, A.D., Menwe, L. N’O., Maher, D. et al. (1995) Regimen containing short-term rifampicin for pulmonary tuberculosis in HIV-infection. Lancet, 345, 264–5.

    Article  PubMed  CAS  Google Scholar 

  • Havlir, D.V., Dube, M.P., Sattler, F.R. et al. (1996) Prophylaxis against disseminated Mycobacterium avium complex with weekly azithromycin, daily rifabutin, or both. New England Journal of Medicine, 335, 392–8

    Article  PubMed  CAS  Google Scholar 

  • Hawken, M., Nunn, P., Gathua, S. et al. (1993) Increased recurrence of tuberculosis in HIV-1 infected patients in Kenya. Lancet, 342, 332–7.

    Article  PubMed  CAS  Google Scholar 

  • Heifets, L.B. and Iseman, M.D. (1985) Determination of in vitro susceptibility of mycobacteria to Ansamycin. American Review of Respiratory Disease, 132, 710–1.

    PubMed  CAS  Google Scholar 

  • Heifets, L.B., Iseman, M.D. and Lindholm-Levy, P.J. (1988) Combinations of rifampin or rifabutine plus ethambutol against Mycobacterium avium complex. American Review of Respiratory Disease, 137, 711–15.

    Article  PubMed  CAS  Google Scholar 

  • Heifets, L.B., Lindholm-Levy, P.J. and Iseman, M.D. (1988) Rifabutine: minimal inhibitory and bactericidal concentrations for mycobacterium tuberculosis. American Review of Respiratory Disease, 137, 719–21.

    Article  PubMed  CAS  Google Scholar 

  • Heifets, L.B., Lindholm-Levy, P.J. and Comstock, R.D. (1992) Clarithromycin minimal inhibitory and bactericidal concentrations against Mycobacterium avium. American Review of Respiratory Disease, 145, 856–8.

    Article  CAS  Google Scholar 

  • Heym, B., Honoré, N., Truffot-Pernot, C. et al. (1994) Implications of multidrug resistance for the future of short course chemotherapy of tuberculosis. Lancet, 344, 293–8.

    Article  PubMed  CAS  Google Scholar 

  • Holland, S.M., Eisenstein, E.M., Kuhns, D.B. et al. (1994) Treatment of refractory disseminated nontuberculous mycobacterial infection with interferon gamma. New England Journal of Medicine, 330, 1348–55.

    Article  PubMed  CAS  Google Scholar 

  • Horsburgh, C.R. (1996) Advances in the prevention and treatment of Mycobacterium avium disease. New England Journal of Medicine, 355, 428–30

    Article  Google Scholar 

  • Hoy, J., Mijch, A., Sandland, M. et al. (1990) Quadruple-drug therapy for Mycobacterium avium-intracellulare bacteraemia in AIDS patients Journal of Infectious Diseases, 161, 801–5.

    CAS  Google Scholar 

  • Hutton, M., Stead, W.W., Cauthen, G. et al. (1990) Nosocomial transmission of tuberculosis associated with a draining abscess. Journal of Infectious Diseases, 161, 286–95.

    Article  PubMed  CAS  Google Scholar 

  • International Union against Tuberculosis and Lung Disease (1988) Antituberculosis regimens of chemotherapy. Bulletin of the International Union against Tuberculosis and Lung Diseases, 63, 60–4.

    Google Scholar 

  • International Union against Tuberculosis and Lung Disease (IUATLD) and Tuberculosis Programme of the WHO (1994a) Control of tuberculosis in health care settings. Tubercle and Lung Disease, 75, 94–5.

    Google Scholar 

  • International Union against Tuberculosis and Lung Disease (IUATLD) and the Global Programme on AIDS and the Tuberculosis Programme of the World Health Organisation (WHO) (1994b) TB preventive therapy in HIV-infected individuals. Tubercle and Lung Disease, 75, 96–8.

    Google Scholar 

  • Iseman, M.D. (1993) Treatment of multidrugresistant tuberculosis. New England Journal of Medicine, 329, 784–91.

    Article  PubMed  CAS  Google Scholar 

  • Iseman, M.D. (1994) Evolution of drug-resistant tuberculosis: a tale of two species. Proceedings of the National Academy of Sciences USA, 91, 2428–9.

    Article  CAS  Google Scholar 

  • Joint Tuberculosis Committee of the British Thoracic Society (1994) Control and prevention of tuberculosis in the UK: code of practice. Thorax, 49, 1193–1200.

    Article  Google Scholar 

  • Kaplan, J.E., Masur, H., Holmes, K.K. et al. (1995) USPHS/IDSA guidelines for the prevention of opportunistic infections in persons infected with human immunodeficiency virus: an overview. Clinical Infectious Diseases, 21 (suppl 1), S12–31.

    Article  PubMed  Google Scholar 

  • Kassim, S., Sassan-Morokro, M., Ackah, A. et al. (1995) Two-year follow-up of persons with HIV-1 and HIV-2-associated pulmonary tuberculosis treated with short course chemotherapy in West Africa. AIDS, 9, 1185–91.

    Article  PubMed  CAS  Google Scholar 

  • Kemper, C.A., Meng, T.C., Nussbaum, J. et al. (1992) Treatment of Mycobacterium avium complex bacteremia in AIDS with a four-drug oral regimen: rifampin, ethambutol, clofazimine, and ciprofloxacin. Annals of Internal Medicine, 116, 466–72.

    Article  PubMed  CAS  Google Scholar 

  • Kent, R.J., Uttley, A.H.C., Stoker, N.G. et al. (1994) Transmission of tuberculosis in a British centre for patients infected with HIV. British Medical Journal, 309, 639–40.

    Article  PubMed  CAS  Google Scholar 

  • Klemens, S.P., DeStefano, M.S. and Cynamon, M.H. (1992) Activity of clarithromycin against Mycobacterium avium complex infection in beige mice. Antimicrobial Agents and Chemotherapy, 36, 2413–7.

    Article  PubMed  CAS  Google Scholar 

  • Masur, H. and the Public Health Service Task Force on Prophylaxis and Therapy for Mycobacterium avium complex. (1993) Recommendations on prophylaxis and therapy for disseminated Mycobacterium avium complex disease in patients infected with HIV. New England Journal of Medicine, 329, 898–904.

    Google Scholar 

  • Mayer, T., Vincent, V., Brel, F. et al. (1996) The French randomized clinical trial of combination therapy with clarithromycin for MAC bacteremia in AIDS patients: final results. 11th International Conference on AIDS July 1996, Vancouver, Abstract WeB 422.

    Google Scholar 

  • Menzies, I.D., Fanning, A., Yuan, L. and Fitzgerald, M. (1995) Tuberculosis among health care workers. New England Journal of Medicine, 332, 92–8.

    Article  PubMed  CAS  Google Scholar 

  • Mitchell, I., Wendon, J., Fitt, S. and Williams R. (1995) Anti-tuberculous therapy and acute liver failure. Lancet, 345, 555–6.

    Article  PubMed  CAS  Google Scholar 

  • Mitchison, D.A., Ellard, G.A. and Grosset, J. (1988) New antibacterial drugs for the treatment of mycobacterial disease in man. British Medical Bulletin, 44, 757–74.

    PubMed  CAS  Google Scholar 

  • Moreno, S., Baraia-Etxaburu, J., Bouza, E. et al. (1993) Risk for developing tuberculosis among anergic patients infected with HIV. Annals of Internal Medicine, 119, 194–8.

    Article  PubMed  CAS  Google Scholar 

  • Murray, C.J.L., De Jonghe, E., Chum, H.J. et al. (1991) Cost effectiveness of chemotherapy for pulmonary tuberculosis in three sub-Saharan African countries. Lancet, 338, 1305–8.

    Article  PubMed  CAS  Google Scholar 

  • Narang, P.K., Trapnell, C.B., Schoenfelder, J.R. et al. (1994) Fluconazole and enhanced effect of rifabutin prophylaxis. New England Journal of Medicine, 330, 1316–17.

    Article  PubMed  CAS  Google Scholar 

  • Nettleman, M.D., Fredrickson, M., Good, N.L. and Hunter, S.A. (1994) Tuberculosis control strategies: the cost of particulate respirators. Annals of Internal Medicine, 121, 37–40.

    Article  PubMed  CAS  Google Scholar 

  • Nightingale, S.D., Cameron, D.W., Gordin, F.M. et al. (1993) Two controlled trials of rifabutin prophylaxis against Mycobacterium avium complex infections in AIDS. New England Journal of Medicine, 329, 828–33.

    Article  PubMed  CAS  Google Scholar 

  • Nunn, P., Kibuga, D., Gathua, S. et al. (1991) Cutaneous hypersensitivity reactions due to thiacetazone in HIV-1 seropositive patients treated for tuberculosis. Lancet, 337, 627–30.

    Article  PubMed  CAS  Google Scholar 

  • Nunn, P., Mungai, M., Nyamwaya, J. et al. (1994) The effect of human immunodeficiency virus type 1 on the infectiousness of tuberculosis. Tubercle and Lung Diseases, 75, 25–32.

    Article  CAS  Google Scholar 

  • O’Brien, R.J., Lyle, M.A. and Snider, D.E. Jr. (1987) Rifabutin (Ansamycin LM427): a new rifamycin S derivative for the treatment of mycobacterial diseases. Reviews of Infectious Diseases, 9, 519–30.

    Article  PubMed  Google Scholar 

  • O’Brien, R.J. and Perriëns, J.H. (1995) Preventive therapy for tuberculosis in HIV infection: the promise and the reality. AIDS, 9, 665–73.

    Article  PubMed  Google Scholar 

  • Okwera, A., Whalen, C., Byekwaso, F. et al. (1994) Randomised trial of thiacetazone and rifampicin-containing regimens for pulmonary tuberculosis in HIV-infected Ugandans. Lancet, 344, 1323–8.

    Article  PubMed  CAS  Google Scholar 

  • Ormerod, L.P. for a subcommittee of the Joint Tuberculosis Committee (1990) Chemotherapy and management of tuberculosis in the United Kingdom: recommendations of the Joint Tuberculosis Committee of the British Thoracic Society. Thorax, 45, 403–8.

    Article  Google Scholar 

  • Ormerod, L.P. for a subcommittee of the Joint Tuberculosis Committee (1992) Guidelines on the management of tuberculosis and HIV infection in the United Kingdom. British Medical Journal, 304, 1231–3.

    Article  Google Scholar 

  • Ostroff, S.M., Speigel, R.A., Feinberg, J. et al. (1995) Preventing disseminated Mycobacterium avium complex disease in patients infected with human immunodeficiency virus. Clinical Infectious Diseases, 21 (suppl 1), S72–76.

    Article  PubMed  Google Scholar 

  • Pape, J.W., Jean, S.S., Ho, J.L. et al. (1993) Effect of isoniazid prophylaxis on incidence of active tuberculosis and progression of HIV infection. Lancet, 342, 268–72.

    Article  PubMed  CAS  Google Scholar 

  • Parenti, F. (1989) New experimental drugs for the treatment of tuberculosis. Reviews of Infectious Diseases, 11, S479–83.

    Article  PubMed  Google Scholar 

  • Patel, K.B., Belmonte, R. and Crowe, H.M. (1995) Drug malabsorption and resistant tuberculosis in HIV-infected patients. New England Journal of Medicine, 332, 336–7.

    Article  PubMed  CAS  Google Scholar 

  • Pearson, M.L., Jareb, J.A., Frieden, T.R. et al. (1992) Nosocomial transmission of multidrugresistant Mycobacterium tuberculosis. Annals of Internal Medicine, 117, 191–6.

    Article  CAS  Google Scholar 

  • Perriëns, J.H., Colebunders, R.L., Karahunga, C. et al. (1991) Increased mortality and tuberculosis treatment failure rate among HIV seropositive compared with HIV seronegative patients with pulmonary tuberculosis treated with “standard” chemotherapy in Kinshasa, Zaire. American Review of Respiratory Disease, 144, 750–5.

    Article  PubMed  Google Scholar 

  • Perriëns, J.H., St. Louis, M.E., Mukadi, Y.B. et al. (1995) Pulmonary tuberculosis in HIV-infected patients in Zaire. New England Journal of Medicine, 332, 779–84.

    Article  PubMed  Google Scholar 

  • Perronne, C., Gikas, A., Truffot-Pernot, C. et al. (1990) Activities of clarithromycin, sulfisoxazole, and rifabutin against Mycobacterium avium complex. Multiplication within human macrophages. Antimicrobial Agents and Chemotherapy, 34, 1508–11.

    Article  PubMed  CAS  Google Scholar 

  • Peters, D.H. and Clissold, S.P. (1992) Clarithromycin — A review of its antimicrobial acitvity, pharmacokinetic properties and therapeutic potential. Drugs, 44, 117–64.

    Article  PubMed  CAS  Google Scholar 

  • Peters, M., Müller, C., Rüsch-Gerdes, S. et al. (1995) Isolation of atypical mycobacteria from tap water in hopitals and homes: Is this a possible source of disseminated MAC infection in AIDS patients? Journal of Infection, 31, 39–44.

    Article  PubMed  CAS  Google Scholar 

  • Pierce, M., Crampton, S., Henry, D. et al. (1996) A randomised trial of clarithromycin as prophylaxis against disseminated Mycobacterium avium complex infection in patients with advanced acquired immunodeficiency syndrome. New England Journal of Medicine, 355, 384–91.

    Article  Google Scholar 

  • Porter, J.D.H. and McAdam, K.P.W.H. (1992) Aspects of tuberculosis in Africa 1 Tuberculosis in Africa in the AIDS era — the role of chemoprophylaxis. Transactions of the Royal Society of Tropical Medicine and Hygiene, 86, 467–9.

    Article  PubMed  CAS  Google Scholar 

  • Quinn, T.C. (1989) Interactions of the human immunodeficiency virus and tuberculosis and the implications for BCG vaccination. Reviews of Infectious Diseases, 11 (S2), S379–84.

    Article  PubMed  Google Scholar 

  • Report (1991) Transmission of multidrug-resistant tuberculosis from an HIV-positive client in a residential substance-abuse treatment facility. Michigan. Morbidity and Mortality Weekly Report, 40, 129–31.

    Google Scholar 

  • Rieder, H.L. and Enarson, D.A. (1996) Rebuttal: time to call a halt to emotions in the assessment of thiacetazone. Tubercle and Lung Disease, 77, 109–11.

    Article  PubMed  CAS  Google Scholar 

  • Riley, R.L. (1982) Disease transmission and contagion control. American Review of Respiratory Disease, 125, 16–19.

    PubMed  CAS  Google Scholar 

  • Rouillon, A. and Enarson, D.A., (1991) Treating tuberculosis in HIV-positive Africans. Lancet, 338, 11–40.

    Google Scholar 

  • Saltzman, B.R., Motyl, M.R., Friedland, G.H. et al. (1986) Mycobacterium tuberculosis bacteremia in the acquired immunodeficiency syndrome. Journal of the American Medical Association, 256, 390–1.

    Article  CAS  Google Scholar 

  • Saunders, N.A. (1995) State of the art: typing Mycobacterium tuberculosis. Journal of Hospital Infection, 29, 169–76.

    Article  CAS  Google Scholar 

  • Selwyn, P.A., Hartel, D., Lewis, V.A. et al. (1989) A prospective study of the risk of tuberculosis among intravenous drug users with human immunodeficiency virus. New England Journal of Medicine, 320, 545–50.

    Article  PubMed  CAS  Google Scholar 

  • Shafran, S.D., Deschênes, J., Miller, M. et al. (1994) Uveitis and pseudojaundice during a regimen of clarithromycin, rifabutin, and ethambutol. New England Journal of Medicine, 330, 438–9.

    Article  PubMed  CAS  Google Scholar 

  • Shafran, S.D., Singer, J., Zarowny, D.P. et al (1996) A comparison of two regimens for the treatment of Mycobacterium avium complex bacteremia in AIDS: rifabutin, ethambutol and clarithromycin versus rifampin, ehtambutol, clofazimine and ciprofloxacin. New England Journal of Medicine, 335, 377–83.

    Article  PubMed  CAS  Google Scholar 

  • Siddiqi, S.H., Hwangbo, C.C., Silcox, V. et al. (1984) Rapid radiometric methods to detect and differentiate Mycobacterium tuberculosis/M. bovis from other mycobacterial species. American Review of Respiratory Disease, 130, 634–40.

    PubMed  CAS  Google Scholar 

  • Singh, N. and Yu, V.L. (1994) Potable water and Mycobacterium avium complex in HIV patients: is prevention possible? Lancet, 343, 1110–37.

    Article  PubMed  CAS  Google Scholar 

  • Skinner, C. and Joint Tuberculosis Committee of the British Thoracic Society (1994) Control and prevention of tuberculosis in the United Kingdom: code of practice 1994. Thorax, 49, 1193–200.

    Article  Google Scholar 

  • Small, P.M., Schecter, G.F., Goodman, P.C. et al. (1991) Treatment of tuberculosis in patients with advanced human immunodeficiency virus infection. New England Journal of Medicine, 324, 289–94.

    Article  PubMed  CAS  Google Scholar 

  • Stead, W.W., Lofgren, J.P., Warren, E. and Thomas, C. (1985) Tuberculosis as an endemic and nosocomial infection among the elderly in nursing homes. New England Journal of Medicine, 312, 1483–7.

    Article  PubMed  CAS  Google Scholar 

  • Sullivan, E.A., Kreiswirth, B.N., Palumbo, L. et al. (1995) Emergence of fluoroquinolone-resistant tuberculosis in New York City. Lancet, 345, 1148–50.

    Article  PubMed  CAS  Google Scholar 

  • Sunderam, G., Mangura, B.T., Lombardo, J.M. and Reichman, L.B. (1987) Failure of ‘optimal’ four-drug short-course tuberculosis chemotherapy in a compliant patient with human immunodeficiency virus. American Review of Respiratory Disease, 136, 1475–8.

    Article  PubMed  CAS  Google Scholar 

  • ten Dam, H.G. (1990) BCG vaccination and HIV infection. Bulletin of the International Union Against Tuberculosis and Lung Disease, 65, 38–9.

    PubMed  Google Scholar 

  • Vareldzis, B.P., Grosset, J., de Kantor, I. et al. (1994) Drug resistant tuberculosis: laboratory issues. Tubercle and Lung Disease, 75, 1–7.

    Article  PubMed  CAS  Google Scholar 

  • van Deutekom, H. (1990) Chemoprophylaxis and chemotherapy of tuberculosis in HIV infected patients. Bulletin of the International Union against Tuberculosis and Lung Disease, 65, 84–91.

    PubMed  Google Scholar 

  • van Gorkom, J. and Kibuga, D.K. (1996) Cost-effectiveness and total costs of three alternative strategies for the prevention and management of severe skin reactions attributable to thiacetazone in the treatment of human immunodeficiency virus positive patients with tuberculosis in Kenya. Tubercle and Lung Disease, 77, 30–6.

    Article  PubMed  Google Scholar 

  • von Reyn, C.F., Maslow, J.N., Barber, T.W. et al. (1994) Persistent colonisation of potable water as a source of Mycobacterium avium infection in AIDS. Lancet, 343, 1137–41.

    Article  Google Scholar 

  • Wadhawan, D., Hira, S., Mwansa, N. and Perrine, P. (1992) Preventive tuberculosis chemotherapy with isoniazid among patients infected with HIV1. VIII International Conference on AIDS, Amsterdam 1992, Abstract Tub0536.

    Google Scholar 

  • Wallace, R.J., Brown, B.A., Griffith, D.E. et al. (1995) Reduced serum levels of clarithromycin in patients treated with multidrug regimens including rifampin or rifabutin for Mycobacterium avium-M. intracellulare infection. Journal of Infectious Diseases, 171, 747–50.

    Article  PubMed  Google Scholar 

  • Weber, A., Willeke, K., Marchioni R. et al. (1993) Aerosol penetration and leakage characteristics of masks used in the health care industry. American Journal of Infection Control, 21, 167–73.

    Article  PubMed  CAS  Google Scholar 

  • Weis, S.E., Slocum, P.C., Blais, F.X. et al. (1994) The effect of directly observed therapy on the rates of drug resistance and relapse in tuberculosis. New England Journal of Medicine, 330, 1179–84.

    Article  PubMed  CAS  Google Scholar 

  • Weltman, A.C. and Rose, D.N. (1993) The safety of bacille Calmette Guérin vaccination in HIV infection and AIDS. AIDS, 7, 149–57.

    Article  PubMed  CAS  Google Scholar 

  • Wenger, P.N., Otten, J., Breeden, A. et al. (1995) Control of nosocomial transmission of multidrug-resistant Mycobacterium tuberculosis among healthcare workers and HIV-infected patients. Lancet, 345, 235–40.

    Article  PubMed  CAS  Google Scholar 

  • Wilcox, M.H. (1995) Protection against hospital-acquired tuberculosis, American style: a report on the 4th Annual Meeting of the Society for Hospital Epidemiology of America (SHEA), New Orleans, 1994. Journal of Hospital Infection, 29, 165–8.

    Article  PubMed  CAS  Google Scholar 

  • Wilkinson, D. (1994) High-compliance tuberculosis treatment programme in a rural community. Lancet, 343, 647–8.

    Article  PubMed  CAS  Google Scholar 

  • World Health Organisation (1992) Severe hypersensitivity reactions among HIV seropositive patients with tuberculosis treated with thioacetazone. Weekly Epidemiological Record, 67, 1–3.

    Google Scholar 

  • World Health Organisation and International Union Against Tuberculosis and Lung Disease (1994) Joint statements on preventing tuberculosis. Communicable Disease Report, 4, 37–38.

    Google Scholar 

  • Yajko, D.M., Nassos, P.S. Sanders, C.A. and Hadley, W.K. (1989) Killing by antimycobacterial agents of AIDS-derived strains of Mycobacterium avium complex inside cells of the mouse macrophage cell line J774. American Review of Respiratory Disease, 140, 1198–203.

    CAS  Google Scholar 

  • Yajko, D.M., Nassos, P.S. Sanders, C.A. et al. (1992) Comparison of the intracellular activities of clarithromycin and erythromycin against Mycobacterium avium complex strains in J774 cells and in alveolar macrophages from human immunodeficiency virus type I-infected individuals. Antimicrobial Agents and Chemotherapy, 36, 1163–5.

    Article  PubMed  CAS  Google Scholar 

  • Young, L.S. (1988) Mycobacterium avium complex infection. Journal of Infectious Diseases, 157, 863–6.

    Article  CAS  Google Scholar 

  • Young, L.S., Wiviott, L., Wu, M. et al. (1991) Azithromycin for treatment of Mycobacterium avium-intracellulare complex infection in patients with AIDS. Lancet, 338, 1107–9.

    Article  PubMed  CAS  Google Scholar 

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Scott, G.M., Darbyshire, J.H. (1997). Management of Mycobacterial Infections in AIDS. In: Zumla, A., Johnson, M., Miller, R. (eds) AIDS and Respiratory Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3446-8_12

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