Impact of Adjunct Immunotherapy with Multi-herbal
Supplement Dzherelo (Immunoxel) on Treatment
Outcomes in End-stage TB/HIV Patients |
Olga V. Arjanova 1, Nathalia D. Prihoda 1, Larisa V. Yurchenko 1, Nina I. Sokolenko 1, Lyudmila A. Vihrova 2, Volodymyr S. Pylypchuk 3, Valery M. Frolov 4, Galyna A. Kutsyna 4* |
1Lisichansk Tuberculosis Dispensary, Lisichansk, Ukraine |
2Lisichansk Regional Hospital, Lisichansk, Ukraine |
3Ekomed LLC, Kiev, Ukraine |
4Luhansk Regional AIDS Center and Luhansk State Medical University, Luhansk, Ukraine |
| *Corresponding author: |
Dr. Galyna A. Kutsyna MD,
PhD, Luhansk State
Medical University,
50-years of Defense of Luhansk street Luhansk
91045, Ukraine,
Tel : +380508093822,
Fax: +3806454347106,
E-mail : kutsyna@list.ru |
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Received September12, 2009; Accepted December 30, 2009; Published
December 30, 2009 |
| Citation: Arjanova OV, Prihoda ND, Yurchenko LV, Sokolenko NI, Vihrova LA, et al. (2009) Impact of Adjunct Immunotherapy with Multi-herbal Supplement Dzherelo (Immunoxel) on Treatment Outcomes in End-stage TB/HIV Patients. J Antivir Antiretrovir 1: 086-088. doi:10.4172/jaa.1000013 |
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Copyright:© 2009 Arjanova OV. This is an open-access article distributed
under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and reproduction in any medium,
provided the original author and source are credited. |
| Abstract |
Prognosis for TB/HIV co-infection is very unfavourable.
In terminally-ill patients treatment options are often limited
to palliative care. In our salvage, 2-month therapy of
40 late-stage TB/HIV patients we administered to half of
the patients TB drugs along with over-the-counter botanical
immunomodulator Dzherelo (Immunoxel). Despite best
possible care 6 patients had died. Remaining 14 patients
experienced marked clinical improvements and one patient
was discharged due to full recovery. Among 20
matched subjects on conventional TB regimen, 12 died
and only one was slightly better-off. These results indicate
that Dzherelo might reduce mortality (P=0.055) and
improve significantly the quality of life (P=0.00002). Improvement
in quality of life is also supported by substantial
weight gain (mean/median 3.3/4 kg) in much higher
proportion of patients than among those who received TB
drugs only, i.e., 16 vs. 1 (P=0.000001). At the end of two
months 13 (65%) patients became sputum smear negative
versus only one individual (5%) in ATT group
(P=0.00007). These results suggest that adjuvant immunotherapy
improves significantly therapy outcome and
reduces mortality. Larger study is warranted to confirm
the benefit of Dzherelo. |
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