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. 2019 Aug 23;71(2):267–273. doi: 10.1093/cid/ciz795

Table 3.

Univariate Hazard Ratios of Normalization of Cerebrospinal Fluid and Serum Measures in Participants Living With Human Immunodeficiency Virus

Variable WBC Protein CSF VDRL Serum RPR
Treated with APPG-P 0.56 (.33–.95), P = .03 NS NS NS
Pretreatment outcome measure value ≥ mediana NS 0.17 (.07–.39), P < .001 NS 2.27 (1.44–3.56), P < .001
Late-stage syphilisb NS NS 0.41 (.22–.74), P = .003 0.48 (.31–.73), P = .001
Symptomatic neurosyphilisc NS NS 1.69 (.97–2.96), P = .07 NS
Active ARV use over time 2.72 (1.64–4.53), P ≤ .001 2.13 (.95–4.76), P = .07 1.64 (.95–2.82), P = .08 1.46 (.98–2.19), P = .07
CD4+ ≤200/µL 2.14 (1.07–4.29), P = .03 2.90 (1.22–6.87), P = .02 NS NS

Data are shown as univariate hazard ratios (95% confidence intervals). A normalization of CSF WBC is defined as a decline to <20/µL; a normalization of CSF protein is defined as a decline to <50 mg/dL; and a normalization of CSF-VDRL or serum RPR reactivity is defined as a 4-fold decline or reversion to a nonreactive status. All P-values ≤ .10 are shown; NS, P > .10. Abbreviations: APPG-P, intramuscular aqueous procaine penicillin G and oral probenecid; ARV, antiretroviral therapy; CSF, cerebrospinal fluid; HIV, human immunodeficiency virus; NS, not significant; RPR, rapid plasma reagent; VDRL, Venereal Disease Research Laboratory; WBC, white blood cells.

aMedian of those with HIV and an abnormal value, as defined in the text.

bLate syphilis, compared to early syphilis. Late syphilis included late-latent syphilis and syphilis of an unknown duration. Early syphilis included the primary, secondary, and early latent stages.

cSymptomatic neurosyphilis, compared to asymptomatic neurosyphilis. Symptomatic neurosyphilis included symptomatic meningitis, vision or hearing loss, or stroke. Asymptomatic neurosyphilis included those with abnormal cerebrospinal fluid but no neurologic abnormalities.