Publications by authors named "Sathiyavelu Sekar"

Importance: The benefit of daily over thrice-weekly antituberculosis therapy among HIV-positive patients with pulmonary tuberculosis (TB) who are receiving antiretroviral therapy remains unproven.

Objective: To compare the efficacy and safety of daily, part-daily, and intermittent antituberculosis therapy regimens in the treatment of HIV-associated pulmonary TB.

Design, Setting, And Participants: This open-label, randomized clinical trial was conducted by the National Institute for Research in Tuberculosis, south India.

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Article Synopsis
  • The study investigated the incidence and clinical predictors of paradoxical TB-IRIS in HIV-positive patients with confirmed pulmonary tuberculosis in India, which had not been done prospectively before.
  • Patients on anti-tuberculosis therapy were monitored after starting antiretroviral therapy, revealing that over half experienced IRIS events, often requiring corticosteroids for treatment.
  • Key predictors for IRIS included lower CD4(+) T-cell counts and higher baseline levels of IL-6 and CRP, suggesting these markers could help forecast IRIS occurrences.
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