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1–28 | <strong>Clinical</strong> <strong>Manual</strong> <strong>for</strong> <strong>Management</strong> <strong>of</strong> <strong>the</strong> <strong>HIV</strong>-<strong>Infected</strong> Adult/2006<br />

Table 2. Predicted 6-Month Risk <strong>of</strong> AIDS according to Age and Current CD4 Cell Count and Viral Load, Based on a Poisson<br />

Regression Model<br />

Age 25 years<br />

Predicted Risk (%) at Current CD4 Cell Count (x 10 6 cells/L) *<br />

Viral Load (copies/ml) 50 100 150 200 250 300 350 400 450 500<br />

3,000 6.8 3.7 2.3 1.6 1.1 0.8 0.6 0.5 0.4 0.3<br />

10,000 9.6 5.3 3.4 2.3 1.6 1.2 0.9 0.7 0.5 0.4<br />

30,000 13.3 7.4 4.7 3.2 2.2 1.6 1.2 0.9 0.7 0.6<br />

100,000 18.6 10.6 6.7 4.6 3.2 2.4 1.8 1.4 1.1 0.8<br />

300,000 25.1 14.5 9.3 6.3 4.5 3.3 2.5 1.9 1.5 1.2<br />

Age 35 years<br />

3,000 8.5 4.7 3.0 2.0 1.4 1.0 0.8 0.6 0.5 0.4<br />

10,000 12.1 6.7 4.3 2.9 2.0 1.5 1.1 0.9 0.7 0.5<br />

30,000 16.6 9.3 5.9 4.0 2.8 2.1 1.6 1.2 0.9 0.7<br />

100,000 23.1 13.2 8.5 5.8 4.1 3.0 2.3 1.7 1.3 1.1<br />

300,000 30.8 18 11.7 8.0 5.7 4.2 3.1 2.4 1.9 1.5<br />

Age 45 years<br />

3,000 10.7 5.9 3.7 2.5 1.8 1.3 1.0 0.7 0.6 0.5<br />

10,000 15.1 8.5 5.4 3.6 2.6 1.9 1.4 1.1 0.8 0.7<br />

30,000 20.6 11.7 7.5 5.1 3.6 2.6 2.0 1.5 1.2 0.9<br />

100,000 28.4 16.5 10.6 7.3 5.2 3.8 2.9 2.2 1.7 1.3<br />

300,000 37.4 22.4 14.6 10.1 7.2 5.3 4.0 3.1 2.4 1.9<br />

Age 55 years<br />

3,000 13.4 7.5 4.7 3.2 2.3 1.7 1.2 0.9 0.7 0.6<br />

10,000 18.8 10.7 6.8 4.6 3.3 2.4 1.8 1.4 1.1 0.8<br />

30,000 25.4 14.6 9.4 6.4 4.6 3.3 2.5 1.9 1.5 1.2<br />

100,000 34.6 20.5 13.3 9.2 6.5 4.8 3.6 2.8 2.2 1.7<br />

300,000 44.8 27.5 18.2 12.6 9.1 6.7 5.0 3.9 3.0 2.4<br />

* Shading distinguishes risk: 20%, darkest gray.<br />

Reprinted with permission from Lippincott, Williams & Wilkins [Phillips A; CASCADE Collaboration. Short-term risk <strong>of</strong> AIDS according to current CD4 cell count and viral load in antiretroviral drug-naive individuals and<br />

those treated in <strong>the</strong> mono<strong>the</strong>rapy era. AIDS 2004; 18 (1):51-8]. Lippincott, Williams & Wilkins online: http://lww.<strong>com</strong><br />

References<br />

♦<br />

♦<br />

Egger M, May M, Chene G, et al. Prognosis <strong>of</strong> <strong>HIV</strong>-<br />

1-infected patients starting highly active antiretroviral<br />

<strong>the</strong>rapy: a collaborative analysis <strong>of</strong> prospective<br />

studies. Lancet. 2002 Jul 13;360(9327):119-29.<br />

Hare CB. <strong>Clinical</strong> Overview <strong>of</strong> <strong>HIV</strong> Disease. In:<br />

Peiperl L, C<strong>of</strong>fey S, Volberding PA, eds. <strong>HIV</strong><br />

InSite Knowledge Base [textbook online]; San<br />

Francisco: UCSF Center <strong>for</strong> <strong>HIV</strong> In<strong>for</strong>mation;<br />

2004. Accessed February 7, 2006. Available online<br />

at hivinsite.ucsf.edu/InSite?page=kb-03-01-01.<br />

♦<br />

♦<br />

♦<br />

Mellors JW, Rinaldo CR Jr, Gupta P, et al. Prognosis<br />

in <strong>HIV</strong>-1 infection predicted by <strong>the</strong> quantity <strong>of</strong><br />

virus in plasma. Science. 1996;272:1167-70.<br />

Phillips A. CASCADE Collaboration. Short-term<br />

risk <strong>of</strong> AIDS according to current CD4 cell count and<br />

viral load in antiretroviral drug-naïve individuals<br />

and those treated in <strong>the</strong> mono<strong>the</strong>rapy era. AIDS.<br />

2004;18(1):51-8.<br />

U.S. Department <strong>of</strong> Health and Human Services.<br />

Guidelines <strong>for</strong> <strong>the</strong> Use <strong>of</strong> Antiretroviral Agents in <strong>HIV</strong>-<br />

1-<strong>Infected</strong> Adults and Adolescents. October 10, 2006.<br />

Available online at aidsinfo.nih.gov/Guidelines/<br />

GuidelineDetail.aspx?GuidelineID=7. Accessed July<br />

7, 2007.

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