2014
DOI: 10.4269/ajtmh.13-0309
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The Impact of Human Immunodeficiency Virus (HIV) Co-Infection on the Economic Burden of Cutaneous Leishmaniasis (CL) in Brazil and Potential Value of New CL Drug Treatments

Abstract: Convergence of geographic regions endemic for human immunodeficiency virus (HIV) and cutaneous leishmaniasis (CL) raise concerns that HIV co-infection may worsen CL burden, complicating already lengthy and costly CL treatments and highlighting a need for newer therapies. We constructed two Markov decision models to quantify impact of HIV on CL and help establish a target product profile for new CL treatments, accounting for co-infection. The HIV co-infection increased lifetime cost per CL case 11–371 times ($1… Show more

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Cited by 4 publications
(2 citation statements)
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“…One disease can worsen the symptoms and clinical outcomes of another disease (e.g. HIV infection can lead to greater disfigurement caused by cutaneous leishmaniasis (Kruchten et al, 2014)) and thus alter the resulting epidemiological, clinical and economic impact (Abuhab et al, 2013;Fincham et al, 2003;Spiegel et al, 2003).…”
Section: Health Effectsmentioning
confidence: 99%
“…One disease can worsen the symptoms and clinical outcomes of another disease (e.g. HIV infection can lead to greater disfigurement caused by cutaneous leishmaniasis (Kruchten et al, 2014)) and thus alter the resulting epidemiological, clinical and economic impact (Abuhab et al, 2013;Fincham et al, 2003;Spiegel et al, 2003).…”
Section: Health Effectsmentioning
confidence: 99%
“…Although there is no human vaccine for leishmaniasis due to resistance, safety and price, there are speci c treatments for each species, and leishmaniasis affects the poorest sections of low-income societies (121)(122)(123). Advances in omics technologies (genomics, transcriptomics, and proteomics) provide essential tools to improve our current understanding of the molecular biology of Leishmania for the development of new alternatives to anti-leishmania therapies (124).…”
Section: Introductionmentioning
confidence: 99%