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Lancet Infectious Diseases, July 2011: Consequence of HIV infection on malaria and therapeutic implications: a systematic review (Clara Flateau, Guillaume Le Loup, Gilles Pialoux, Lancet ID 2011; 11: 541–556)
Despite recent changes in the epidemiology of HIV infection and malaria and major [...]
Lancet Infectious Diseases, July 2011: Consequence of HIV infection on malaria and therapeutic implications: a systematic review (Clara Flateau, Guillaume Le Loup, Gilles Pialoux, Lancet ID 2011; 11: 541–556)
Despite recent changes in the epidemiology of HIV infection and malaria and major improvements in their control, these diseases remain two of the most important infectious diseases and global health priorities. As they have overlapping distribution in tropical areas, particularly sub-Saharan Africa, any of their clinical, diagnostic, and therapeutic interactions might have important effects on patient care and public health policy. The biological basis of these interactions is well established. In this systematic review, we collate data on the effects of HIV on malaria and discuss their therapeutic consequences. HIV infection is associated with increased prevalence and severity of clinical malaria and impaired response to antimalarial treatment, depending on age, immunodepression, and previous immunity to malaria. HIV also aff ects pregnancy-specific immunity to malaria and response to intermittent preventive treatment. Co-trimoxazole prophylaxis and antiretroviral treatment reduce occurrence of clinical malaria; however, these therapies interact with antimalarial drugs, and new therapeutic guidelines are needed for concomitant use.
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