Table 2.
Mean monthly CD4 count decrease (cells/μl), by HIV | CD4 > 500 cells/μl | CD4: 350 – 499 cells/μl | CD4: 200 – 299 cells/μl | CD4: 100 – 199 cells/μl | CD4: 50 – 99 cells/μl | CD4 < 50 cells/μl |
---|---|---|---|---|---|---|
RNA stratum, copies/mL | ||||||
>100,000 | 9.54 | 7.94 | 6.34 | 4.66 | 3.30 | 1.37 |
30,000–100,000 | 9.54 | 7.94 | 6.34 | 4.66 | 3.30 | 1.37 |
10,000–30,000 | 6.85 | 5.70 | 4.55 | 3.34 | 2.37 | 0.98 |
3,000–10,000 | 5.87 | 4.88 | 3.90 | 2.87 | 2.03 | 0.84 |
500–3,000 | 4.77 | 3.97 | 3.17 | 2.33 | 1.65 | 0.69 |
20–500 | 2.45 | 2.03 | 1.63 | 1.19 | 0.85 | 0.35 |
0–20 | 2.45 | 2.03 | 1.63 | 1.19 | 0.85 | 0.35 |
| ||||||
Monthly risk of opportunistic infections (OIs), per 10,000 | CD4 > 500 cells/μl | CD4: 350 – 499 cells/μl | CD4: 200 – 299 cells/μl | CD4: 100 – 199 cells/μl | CD4: 50 – 99 cells/μl | CD4 < 50 cells/μl |
Pneumocystis pneumonia | 4.0 | 8.0 | 16.0 | 61.8 | 110.0 | 83.6 |
Mycobacterium avium complex | 1.0 | 3.0 | 3.0 | 12.0 | 26.0 | 46.9 |
Toxoplasmosis | 0.5 | 1.0 | 2.0 | 3.0 | 10.0 | 7.0 |
Cytomegalovirus | 1.0 | 3.0 | 7.0 | 13.0 | 31.0 | 81.7 |
Fungal infections | 1.0 | 3.0 | 3.0 | 15.0 | 25.0 | 31.9 |
All other OIs | 6.0 | 12.0 | 27.0 | 66.8 | 114.3 | 115.0 |
| ||||||
Monthly risk for acute OI-related death, among those with OI, % | Pneumocystis pneumonia | Mycobacterium avium complex | Toxoplasmosis | Cytomegalovirus | Fungal infections | All other OIs |
3.5 | 4.5 | 18.2 | 4.8 | 3.6 | 4.3 | |
| ||||||
Efficacy of antiretroviral therapy | Viral suppression after 24 weeks, % | Monthly risk of late failure after initial viral suppression, % | On-treatment multiplier for OI incidence | On-treatment multiplier for chronic AIDS-related mortality | ||
86.0** | 0.5** | 1.0 | 1.0 |
CEPAC: Cost Effectiveness of Preventing AIDS Complications model; OIs: opportunistic infections
Parameter values for original CEPAC model before calibration
Values represent mean risk; individual’s risk of viral suppression and late failure depends on probability of treatment response