CD4 cell count criteria to determine when to initiate antiretroviral therapy in human immunodeficiency virus-infected children.

ABSTRACT: We evaluated the validity of CD4 count against CD4% criteria of 2008 World Health Organization guideline for initiating antiretroviral therapy using the data of 446 human immunodeficiency virus-infected Asian children aged 1 to 12 years who were screened to the Pediatric Randomized of Early versus Deferred Initiation in Cambodia and Thailand study. The overall sensitivity and specificity were 34% and 98%, respectively. Using the current CD4 count criteria would globally result in 66% missed opportunity to initiate treatment in a timely fashion. Raising CD4 count thresholds should be considered to increase its sensitivity and reduce missed opportunity.

SUBMITTER: Wongsawat J 

PROVIDER: S-EPMC3551976 | biostudies-literature | 2010 Oct

REPOSITORIES: biostudies-literature