Cost‐Effectiveness of Serum Cryptococcal Antigen Screening to Prevent Deaths among HIV‐Infected Persons with a CD4+Cell Count ⩽100 Cells/μL Who Start HIV Therapy in Resource‐Limited Settings
Author(s) -
David B. Meya,
Yukari C. Manabe,
Barbara Castelnuovo,
Bethany Cook,
Ali Elbireer,
Andrew Kambugu,
Moses R. Kamya,
Paul R. Bohjanen,
David R. Boulware
Publication year - 2010
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/655143
Subject(s) - medicine , fluconazole , subclinical infection , cryptococcosis , confidence interval , prospective cohort study , immunology , antifungal , dermatology
Cryptococcal meningitis (CM) remains a common AIDS-defining illness in Africa and Asia. Subclinical cryptococcal antigenemia is frequently unmasked with antiretroviral therapy (ART). We sought to define the cost-effectiveness of serum cryptococcal antigen (CRAG) screening to identify persons with subclinical cryptococcosis and the efficacy of preemptive fluconazole therapy.
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