Document 0965 DOCN M9620965 TI Factors associated with the development of Pneumocystis carinii pneumonia in 5,025 European patients with AIDS. AIDS in Europe Study Group. DT 9602 AU Lundgren JD; Barton SE; Lazzarin A; Danner S; Goebel FD; Pehrson P; Mulcahy F; Kosmidis J; Pedersen C; Phillips AN; Hvidovre Hospital, Denmark. SO Clin Infect Dis. 1995 Jul;21(1):106-13. Unique Identifier : AIDSLINE MED/96065622 AB This study examined the factors associated with the development of a first episode of Pneumocystis carinii pneumonia (PCP) in 5,025 patients with AIDS, including 1,976 patients with primary PCP at the time of AIDS diagnosis and 635 with primary PCP occurring subsequently. Compared with untreated patients, patients treated with zidovudine were at similar risk of developing PCP during the first year of therapy but were at greater risk after longer intervals of treatment. The following factors were associated with an increased risk of PCP (either at the time of AIDS diagnosis or thereafter): lack of primary PCP prophylaxis, male homosexuality/bisexuality, diagnosis of AIDS in northern Europe, and CD4 cell count below 200 x 10(6)/L at the time of AIDS diagnosis. Patients with severe weight loss had a 60% higher risk of developing PCP during follow-up than those without such weight loss. Thus, the occurrence of PCP depended on geographic location, mode of acquisition of human immunodeficiency virus and AIDS, degree of immunodeficiency, and use of various treatment regimens. DE Adult Antiviral Agents/THERAPEUTIC USE AIDS-Related Opportunistic Infections/DIAGNOSIS/DRUG THERAPY/ *EPIDEMIOLOGY Bisexuality Cohort Studies CD4 Lymphocyte Count Europe/EPIDEMIOLOGY Female Homosexuality, Male Human Incidence Male Middle Age Pneumonia, Pneumocystis carinii/DIAGNOSIS/DRUG THERAPY/ *EPIDEMIOLOGY Risk Factors Substance Abuse, Intravenous/COMPLICATIONS Support, Non-U.S. Gov't Weight Loss Zidovudine/THERAPEUTIC USE JOURNAL ARTICLE MULTICENTER STUDY SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).