Evidence map›Paper›PMID 19589302›Full record

ReviewCurrent HIV/AIDS reports2009

Management of patients with the immune reconstitution inflammatory syndrome.

Suzaan Marais, Robert J Wilkinson, Dominique J Pepper, Graeme Meintjes

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current HIV/AIDS reports, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
7.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 66 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Miliary Tuberculosis.Microbiology spectrum · 2017
    Review
  5. Immune reconstitution inflammatory syndrome associated with pulmonary pathogens.European respiratory review : an official journal of the European Respiratory Society · 2017
    Review
  6. Article
  7. Review
  8. Host-Directed Therapies for Tuberculosis.Cold Spring Harbor perspectives in medicine · 2015
    Review
  9. Review
  10. Acute renal injury in a 14-year-old with HIV/AIDS and tuberculosis.The Pediatric infectious disease journal · 2013
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Challenges in the diagnosis & treatment of miliary tuberculosis.The Indian journal of medical research · 2012
    Review
  16. Article
  17. Review
  18. HIV and tuberculosis: a deadly human syndemic.Clinical microbiology reviews · 2011
    Review
  19. Antiretroviral treatment 2010: progress and controversies.Journal of acquired immune deficiency syndromes (1999) · 2010
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Suzaan MaraisInstitute of Infectious Diseases and Molecular Medicine, University of Cape Town, Observatory, 7925, South Africa.
Robert J Wilkinson
Dominique J Pepper
Graeme Meintjes
Anova Health Institute · ZAUniversity of Cape Town · ZA

Funding

Medical Research Council MC_U117588499Medical Research Council U117588499(88499)Wellcome Trust 072070Wellcome Trust 084323
6 · The paper itself

Abstract

A significant proportion of patients present with the immune reconstitution inflammatory syndrome (IRIS) after commencing antiretroviral therapy (ART). This syndrome is most frequently associated with infective causes. The lack of evidence-based treatment guidelines poses challenges in the management of these patients. Alternative causes for deterioration should be excluded, and optimization of treatment for the underlying opportunistic infection is essential. In addition, anti-inflammatory or immunomodulatory therapy may be considered, particularly in severe cases. Corticosteroids, the only treatment for which clinical trial data exist (for treating paradoxical tuberculosis-associated IRIS), are the treatment most frequently used in IRIS. Limited anecdotal reports of benefit exist for other agents, including NSAIDs, pentoxifylline, montelukast, thalidomide, and hydroxychloroquine. Therapeutic procedures (eg, aspiration of pus collections) play an important role in some patients. Interruption of ART may be considered in life-threatening forms of IRIS.

Indexed as

Adrenal Cortex HormonesAnti-Inflammatory Agents, Non-SteroidalAnti-Retroviral AgentsHIV InfectionsHumansImmune Reconstitution Inflammatory SyndromeImmunologic FactorsAdrenal Cortex HormonesAnti-Inflammatory Agents, Non-SteroidalAnti-Retroviral AgentsImmunologic Factors

Identifiers

PMID19589302
OpenAlexW1994198108

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.