Publications by authors named "D K Langat"

Introduction: Despite the increasing availability of prevention tools like pre-exposure prophylaxis (PrEP), HIV incidence remains disproportionately high in sub-Saharan Africa. We examined PrEP awareness, uptake and persistence among participants enrolling into an HIV incidence cohort in Kenya.

Methods: We used cross-sectional enrolment data from the Multinational Observational Cohort of HIV and other Infections (MOCHI) in Homa Bay and Kericho, Kenya.

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Background: AIDS-related Kaposi sarcoma (AIDS-KS) remains a leading cause of morbidity and mortality among people living with HIV in Africa. Mortality among people with AIDS-KS on antiretroviral therapy remains high compared with people on antiretroviral therapy who do not have AIDS-KS.

Setting: People living with HIV with Kaposi sarcoma (KS) who participated in 2 randomized trials (A5263/AMC066 [advanced stage] and A5264/AMC067 [mild-to-moderate stage]) conducted by AIDS Clinical Trials Group/AIDS Malignancy Consortium in low- and middle-income countries.

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Cholera continues to cause many outbreaks in low and middle-income countries due to inadequate water, sanitation, and hygiene services. We describe a protracted cholera outbreak in Nairobi City County, Kenya in 2017. We reviewed the cholera outbreak line lists from Nairobi City County in 2017 to determine its extent and factors associated with death.

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Background: Tenofovir-lamivudine-dolutegravir (TLD) is the preferred first-line antiretroviral therapy (ART) regimen. An additional 50 mg dose of dolutegravir (TLD + 50) is required with rifampin-containing tuberculosis (TB) co-treatment. There are limited data on the effectiveness of TLD + 50 in individuals with TB/HIV.

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Article Synopsis
  • The study investigates the role of serum biomarkers related to inflammation, immune activation, and angiogenesis in identifying limited-stage AIDS-related Kaposi sarcoma patients who may need additional chemotherapy alongside antiretroviral therapy (ART).
  • It analyzes serum samples from a trial that tested the efficacy of adding oral etoposide chemotherapy to ART in treatment-naïve patients with limited-stage AIDS-KS, focusing on baseline biomarker levels and how they correlate with disease progression and treatment response.
  • Results indicated that higher levels of certain biomarkers like C-reactive protein (CRP) and interleukin-10 (IL-10) were linked to worse outcomes, suggesting that monitoring these biomarkers could help tailor treatment plans for better management of AIDS-K
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