Table I.
Main author | Country | Sample size | Impact of ART on mortality |
---|---|---|---|
Abdool Karim et al8 | South Africa | 642 | Mortality reduction of 56% with ART initiation during TB treatment |
Török et al9 | Vietnam | 253 | Mortality high and unchanged in HIV-infected TBM treated with immediate and deferred ART |
Abdool Karim et al10 | South Africa | 642 | Similar rates of AIDS and death with ART irrespective of when during TB therapy, ART was started |
Blanc et al11 | Cambodia | 661 | Significant survival gains with ART initiation 2 wk after initiation of TB treatment |
Havlir et al12 | Brazil | 809 | No decrease in AIDS-defining illness and mortality regardless of whether patients received immediate or early ART |
Manosuthi et al13 | Thailand | 156 | No change in survival with either immediate of early ART in TB therapy Low baseline CD4+ cell counts and low albumin at TB diagnosis were predictors of poor survival |
Sinha et al14 | India | 150 | Similar mortality rates were observed in those who started ART 2-4 wk after initiation of TB treatment and in those starting ART 8-12 wk after starting TB treatment |
Mfinanga et al15 | Multi-country | 13,588 | No significant benefit from early ART initiation in those with less-advanced immunodeficiency, highlighting need to prioritize people with low CD4+ cell count for early initiation of ART |
Amogne et al16 | Addis Ababa, Ethiopia | 478 | ART one week after TB did not improve survival. Two-thirds of all mortalities occurred within the first two weeks |
TBM, tuberculous meningitis