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Session 107  Poster Abstracts
Outcomes on ART in Resource-constrained Settings: Randomized Trials and Observational Cohorts
Wednesday, 1-2:30 pm
Poster Hall
      594

Phidisa II: A Randomized 2x2 Factorial Trial Comparing Initial Therapy of Efavirenz with Lopinavir/Ritonavir and Zidovudine + Didanosine with Stavudine + Lamivudine in Treatment-naïve HIV-infected Persons with < 200 CD4+ Cells/mm3 or a Prior AIDS Diagnosis
Andrew Ratsela*1, M Polis2, and the Phidisa II Study Group
1South African Military Hlth Svc, South African Natl Defense Forces, Pretoria and 2NIAID, NIH, Bethesda, MD, US
      595

NNRTI Outcomes among HIV-1C-infected Adults Receiving First-line HAART in Botswana: Results from a Randomized Clinical Trial
William Wester*1,2, H Bussman2,3, A Thomas3, V Degruttola3,4, O Okezie2, S Moyo2, M Mine5, J Makhema2, M Essex2,3, and R Marlink2,3
1Vanderbilt Univ Sch of Med, Nashville, TN, US; 2Botswana-Harvard AIDS Inst Partnership; 3Harvard Sch of Publ Hlth, Boston, MA, US; 4Harvard Statistical Data Analysis Ctr, Boston, MA, US; and 5Ministry of Hlth, Botswana
    596a AIDS as a Chronic Disease in Africa: A 10-Year Follow-up of Patients under ART in Senegal
Papa Salif Sow*1, P Debaudrap2, J Etard2, A Diouf1, N Ngom Gueye1, A Dieng1, P Gueye3, B Ndiaye4, N Toure Kane5, E Delaporte2, and ANRS 1215/ISAARV
1Dept Infect Dis Univ Dakar; 2IRD U 145 Montpellier France; 3Hop Principal Dakar; 4Pharm CHU Fann; and 5Labo Bacterio-Virol Le Dantec Dakar
    596b When to Start ART—A Policy Evaluation While Awaiting Trial Results: South Africa
Rochelle Walensky*1,2,3, L Wolf2, R Wood4, M Fofana2, K Freedberg1,2,5,6, N Martinson7,8, D Paltiel9, X Anglaret10, M Weinstein5, and E Losina1,3,11,12
1Harvard Univ Ctr for AIDS Res, Harvard Med Sch, Boston, MA, US; 2Massachusetts Gen Hosp, Boston, US; 3Brigham and Women`s Hosp, Boston, MA, US; 4Desmond Tutu HIV Ctr, Inst of Infectious Diseases and Molecular Med, Univ of Cape Town, South Africa; 5Harvard Sch of Publ Hlth, Boston, MA, US; 6Boston Univ Sch of Publ Hlth, MA, US; 7Johns Hopkins Univ Sch of Med, Baltimore, MD, US; 8Univ of the Witwatersrand, Johannesburg, South Africa; 9Yale Univ Sch of Med, New Haven, CT, US; 10Univ Victor Segalen Bordeaux 2, France; 11Massachusetts Gen Hosp, Boston, US; and 12Boston Univ Sch of Publ Hlth, MA, US
      597

HIV RNA Levels 6 Months after ART Initiation Is a Strong, Independent Predictor of Subsequent Survival in HIV-infected Individuals in Sub-Saharan Africa
M Marazzi1, Andrea De Luca*2, E Buonomo3, M Magnano S Lio4, P Narciso5, S Ceffa4, M Bartolo6, I Zimba Da Vitoria7, L Palombi3, and DREAM Study Group
1LUMSA Univ, Rome, Italy; 2Catholic Univ, Rome, Italy; 3Univ of Tor Vergata, Rome, Italy; 4DREAM program, Rome, Italy; 5National Institute for Infectious Diseases "L. Spallanzani", Rome, Italy; 6S Giovanni Addolorata Hospital, Rome, Italy; and 7DREAM Program Coordination, Maputo, Mozambique
      598 More Advanced Disease at ART Initiation and High Death Rate from Opportunistic Infections Explain Higher Mortality among African Patients Initiating ART in Uganda Compared with London
Philippa Easterbrook*1,2, F Ibrahim1, A Kiragga2, B Castelnuovo2, A Kambugu2, and M Kamya2
1King`s Coll London, UK and 2Infectious Disease Inst, Kampala, Uganda
      599

Clinical and Immunological Outcomes among Patients Older than 55 Years Receiving ART in South Africa
Mhairi Maskew*1,2, M Fox3,4, P MacPhail2, and I Sanne1,2
1Right to Care, Johannesburg, South Africa; 2Univ of the Witwatersrand, Johannesburg, South Africa; 3Ctr for Intl Hlth and Devt, Boston Univ, MA, US; and 4Hlth Economics Res Office, Johannesburg, South Africa
      600

Lymphocyte T CD4+ Response to ART According to the HIV Type in a Large Cohort Collaboration in West Africa
J Drylewicz1, S Eholie2, M Maiga3, C Amani-Bosse4, P Sow5, D Ekouevi1,6, K Peterson7, E Bissagnene2, F Dabis1, Rodolphe Thiébaut*1, and IeDEA West Africa Collaboration
1INSERM U897 Epidemiology and Biostatistics, Bordeaux, France; 2Service de Maladies Infectieuses et Tropicales (SMIT), CHU de Treichville, Abidjan, Côte d`Ivoire; 3Service d`Hépato-Gastro-Entérologie, Hôpital Gabriel Touré, Bamako, Mali; 4ACONDA - MTCT+ initiative, Abidjan, Côte d`Ivoire; 5ANRS 1215 Cohort, Dakar, Sénégal; 6Programme PAC-CI, CHU de Treichville, Abidjan, Côte d`Ivoire; and 7Fajara Cohort, MRC, Banjul, Gambia
      601 AIDS-defining Illnesses after Initiating Generic HAART in South India: The Case for Earlier Identification and Intervention
Nagalingeswaran Kumarasamy*1, K Venkatesh2, B Devaleenol1, S Poongulali1, T Yepthomi1, S Saghayam1, R Schooley3, S Solomon1, K Mayer2, and C Benson3
1YR Gaitonde Ctr for AIDS Res and Ed, Chennai, India; 2Warren Alpert Med Sch, Miriam Hosp, Brown Univ, Providence, RI, US; and 3Univ of California, San Diego, US
      602

Immune Reconstitution Inflammatory Syndrome Is an Important Contributor to HIV-related Morbidity and Mortality in an ART Program in South Africa
Lewis Haddow*1, Y Moosa2, A Mosam2, N Khanyile2, and P Easterbrook1
1King`s Coll London, UK and 2Univ of KwaZulu-Natal, Durban, South Africa
      603

Nevirapine-induced Hepatotoxicity: Incidence, Determinants, and Associated Mortality in a Primary Care ART Program: South Africa
K Chu1,2, A Boulle3, N Ford1, K Hilderbrand1, E Goemaere1, M Abrahams1, S Mathee4, and Gilles Van Cutsem*1
1Medecins sans Frontieres, Cape Town, South Africa; 2Johns Hopkins Univ, Baltimore, MD, US; 3Univ of Cape Town, South Africa; and 4Provincial Govt of the Western Cape, Cape Town, South Africa
      604 Frequent Occurrence of Virologic Re-suppression without Change in Therapy after High-level Virologic Rebound in Africa
Elvin Geng*1, N Emenyonu2, P Hunt1, M Bwana3, N Musinguzi3, J Bennett1, H Cao1, S Deeks1, J Martin1, and D Bangsberg2
1Univ of California, San Francisco, US; 2Harvard Univ, Boston, MA, US; and 3Mbarara Univ of Sci and Tech, Uganda