Research Article

Second-Line Antiretroviral Treatment Outcome in HIV-Infected Patients Coinfected with Tuberculosis in Pakistan

Table 2

Clinico-immunological and virological outcome in HIV patients on 2nd-line ART coinfection with or without TB.

S. No.Characteristic/risk factorTotal patient No. (%)HIVPosTBPos patient No. (%)HIVPosTBNeg patient No. (%) value

1Adherence to 2nd-line ART
<95%15 (20.3%)6 (40.0%)9 (60.0%)
≥95%59 (79.7%)27 (45.8%)32 (54.2%)0.688
2NRTI combination in 2nd-line regimen initiated
Tenofavir based49 (66.2%)22 (44.9%)27 (55.1%)
Non-Tenofavir based25 (33.8%)11 (44.0%)14 (56.0%)0.941
3ARV side effect during 2nd-line ART
13 (17.6%)8 (61.5%)5 (38.5%)0.176
4ARV switching during 2nd-line ART
9 (12.2%)7 (77.8%)2 (22.2%)0.033
5Opportunistic infections other than TB
50 (67.6%)26 (52.0%)24 (48.0%)0.064
6Clinical outcome
Death9 (12.2%)6 (66.7%)3 (33.3%)
LTFU1 (1.4%)1 (100%)0
Alive64 (86.5)26 (40.6%)38 (59.4%)0.180
7Virological failure while on 2nd-line ART
29 (39.2%)13 (44.8%)16 (55.2%)0.974
8CD4 at 12 months of 2nd-line ART (cells/mm3)
Total0.334
<20014 (18.9%)6 (42.9%)8 (57.1%)
≥20060 (81.1%)27 (45%)33 (55%)0.885
9CD4 gain after 2nd-line ART of 12 months (cells/mm3)
Total0.741
<10019 (25.7%)7 (36.8%)12 (63.2%)
≥10055 (74.3%)26 (47.3%)29 (52.7%)0.303
10VL after 2nd-line ART of 12 months (copies/ml)
Total0.551
<100052 (70.3%)23 (44.2%)29 (55.8%)
≥100022 (29.7%)10 (45.5%)12 (54.5%)0.923

NRTI: nucleoside reverse transcriptase inhibitors; ARV: antiretroviral; LTFU: loss to follow-up.