Cryptococcal Meningitis
Conditions
Keywords
Cryptococcal antigenemia, Cryptococcal meningitis, HIV/AIDS
Brief summary
CRICS financial report for the first budget year of the study
Detailed description
Vietnam Cryptococcal Retention in Care Study (CRICS) federal financial report for the first budget year of the study
Interventions
Drug: Fluconazole HIV-infected patients with CD4 ≤100 cells/μL who present for HIV care at outpatient clinics (OPCs) in Vietnam where CrAg screening is offered will be recruited into the study. Study participants will be screened for cryptococcal antigen using the Lateral Flow Assay (LFA). Those who are CrAg-positive, but have no features of central nervous system (CNS) disease, will be treated with high-dose fluconazole. Other Names: • Fluconazole
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged ≥ 18 years * Confirmed HIV infection using National Testing Algorithm * CD4 ≤100 cells/μL * Able to provide written informed consent
Exclusion criteria
* History of prior CM * Receipt of systemic antifungal medication for more than 4 consecutive weeks within the past 6 months * Currently taking ART or history of ART for more than 4 weeks within the past year * Known to be currently pregnant or planning to become pregnant during the study period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of patients who have advanced HIV disease (CD4 <100) | 12 months |
| Prevalence of CrAg-positivity among HIV patients with advanced disease | 12 months |
| The proportion of patients who have no new opportunistic infections at 12 months | 12 months |
| Mortality rate among HIV patients with advanced disease | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| The proportion of patients with advanced HIV disease who retain in HIV care at 6 months and 12 months | Up to 12 months |
Countries
Vietnam