Cytomegalovirus reactivation in patients infected with HIV: the use of polymerase chain reaction in prediction and management.
Patients with HIV are living longer now than in the past, and with a better quality of life. During the advanced stages of HIV infection patients are at risk of cytomegalovirus (CMV) reactivation and subsequently CMV disease. It is important to review the evidence on whether CMV reactivation leads to CMV disease and what the best methods are for detecting such a reactivation. CMV polymerase chain reaction (PCR) can be used qualitatively to predict CMV disease and quantitatively to predict a general increase in mortality. CMV PCR can also be used to direct either prophylaxis or pre-emptive therapy to those most at risk of CMV disease. CMV PCR should be an integral part of the decision-making process when treating both new patients with CMV retinitis and those with disease reactivation.
Bowen
E F
EF
Department of Virology, Royal Free Hospital and School of Medicine, London, England. efrances.bowen@btinternet.com
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy; D000956:Antigens, Viral / Q000097:blood; D000998:Antiviral Agents / Q000627:therapeutic use; D003586:Cytomegalovirus Infections / Q000175:diagnosis* / Q000188:drug therapy; D017726:Cytomegalovirus Retinitis / Q000175:diagnosis / Q000188:drug therapy; D004279:DNA, Viral / Q000097:blood; D015497:HIV-1; D006801:Humans; D016133:Polymerase Chain Reaction / Q000379:methods*; D011237:Predictive Value of Tests; D019562:Viral Load
D000956:Antigens, Viral; D000998:Antiviral Agents; D004279:DNA, Viral