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. 2010 Jun 28;2010:0908.

Table 1.

Observational studies of discontinuation of secondary prophylaxis against cytomegalovirus maintenance treatment in people with previous cytomegalovirus disease.

Ref Criteria for discontinuation Participants Follow up (months) Relapses
  CD4 greater than 70 17 14.5 (mean) 5
  CD4 75 or greater 8 8 (median) 0
  CD4 greater than 150 14 16.4 (mean) 0
  CD4 greater than 100 8 11.4 (mean) 0
 * CD4 183 (median) 11 5 (median) 0
  CD4 greater than 150 VL less than 200/mL –ve CMV by PCR 7 9 (median) 0
  CD4 greater than 75 VL less than 30,000/mL 48 11 (mean) 2
  CD4 greater than 100 VL less than 500 or CD4 greater than 150 VL less than 10,0000 copies/mL 36 21 (median) 1
  CD4 greater than 143 41 20.4 (mean) 0

Studies with more than 5 people are included. CD4 count is measured in cells/mm3. * McDonald et al is an early report of the same study followed by the Torriani et al report. All relapses in the latter report occurred in people who had already experienced a decrease of CD4 to less than 50/mm3. CMV, cytomegalovirus; PCR, polymerase chain reaction; Ref, reference; VL, viral load (HIV-1 RNA in plasma); –ve, negative.