A randomized trial of continuous or intermittent therapy with fluconazole for oropharyngeal candidiasis in HIV-infected patients: clinical outcomes and development of fluconazole resistance.

Author: DibO P, FothergillA W, HilsenbeckS G, KirkpatrickW R, McAteeR K, PattersonT F, ReddingS W, RevankarS G, RinaldiM G

Paper Details 
Original Abstract of the Article :
PURPOSE: The effects of continuous or intermittent therapy with fluconazole on the recurrence of and the development of fluconazole resistance are not known. PATIENTS AND METHODS: We studied human immunodeficiency virus (HIV)-positive patients with CD4 cell count <350 x 10(6)/L and oropharyngeal ca...See full text at original site
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引用元:
https://doi.org/10.1016/s0002-9343(98)00137-5

データ提供:米国国立医学図書館(NLM)

Fluconazole Therapy for Oropharyngeal Candidiasis in HIV Patients: A Randomized Trial

Oropharyngeal candidiasis, a common fungal infection, can pose significant challenges for individuals living with HIV. This research investigated the effectiveness of continuous versus intermittent fluconazole therapy in preventing recurrence and the development of fluconazole resistance in HIV-positive patients with oropharyngeal candidiasis. The researchers conducted a randomized trial comparing the two treatment strategies. Their findings indicated that continuous therapy significantly reduced relapse rates but resistance emerged in both treatment groups.

Finding the Right Balance: Managing Oropharyngeal Candidiasis

This research highlights the ongoing challenges in managing oropharyngeal candidiasis in HIV patients. The study emphasizes the importance of finding the right balance between preventing relapse and minimizing the emergence of drug resistance. The findings suggest that a personalized approach to fluconazole therapy, considering individual patient characteristics and the risk of resistance, is crucial for optimizing treatment outcomes. Just as a camel navigates a desert by finding the right balance between conserving water and seeking out sources of hydration, clinicians must carefully consider the risks and benefits of different treatment strategies.

Living with HIV: Managing Fungal Infections

Oropharyngeal candidiasis is a common opportunistic infection in individuals living with HIV. This research underscores the importance of effective antifungal therapy in preventing relapse and managing drug resistance. The findings emphasize the need for close monitoring and personalized treatment strategies to optimize outcomes and enhance the quality of life of individuals living with HIV. Just as a camel adapts to the harsh desert environment, individuals with HIV must adapt to the challenges of managing their condition, including opportunistic infections.

Dr.Camel's Conclusion

This study highlights the ongoing challenges in managing oropharyngeal candidiasis in HIV patients, emphasizing the importance of finding the right balance between preventing relapse and minimizing the emergence of drug resistance. The findings underscore the need for personalized treatment strategies and close monitoring to optimize outcomes and enhance the quality of life of individuals living with HIV. Just as the desert presents unique challenges, so too does living with HIV. By carefully navigating the treatment landscape and adapting to changing conditions, individuals with HIV can manage their health effectively and achieve a better quality of life.

Date :
  1. Date Completed 1998-08-18
  2. Date Revised 2019-06-27
Further Info :

Pubmed ID

9688014

DOI: Digital Object Identifier

10.1016/s0002-9343(98)00137-5

Related Literature

SNS
PICO Info
in preparation
Languages

English

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