Page last updated: 2024-11-05

trimethoprim and HIV Coinfection

trimethoprim has been researched along with HIV Coinfection in 31 studies

Trimethoprim: A pyrimidine inhibitor of dihydrofolate reductase, it is an antibacterial related to PYRIMETHAMINE. It is potentiated by SULFONAMIDES and the TRIMETHOPRIM, SULFAMETHOXAZOLE DRUG COMBINATION is the form most often used. It is sometimes used alone as an antimalarial. TRIMETHOPRIM RESISTANCE has been reported.
trimethoprim : An aminopyrimidine antibiotic whose structure consists of pyrimidine 2,4-diamine and 1,2,3-trimethoxybenzene moieties linked by a methylene bridge.

Research Excerpts

ExcerptRelevanceReference
"PCP prophylaxis with trimethoprim/sulfamethoxazole does not significantly influence the rate of bacteriuria, probably due to the development of resistance."7.69The influence of PCP prophylaxis on bacteriuria incidence and resistance development to trimethoprim/sulfamethoxazole in HIV-infected patients. ( Borleffs, JC; Hoepelman, AI; Schneider, MM; van Dooyeweert, DA, 1996)
"Our exploratory analyses support the hypothesis that IRS may significantly reduce malaria and preterm birth risk among pregnant women with HIV receiving bed nets, daily trimethoprim-sulfamethoxazole, and combination antiretroviral therapy."5.24Protective Effect of Indoor Residual Spraying of Insecticide on Preterm Birth Among Pregnant Women With HIV Infection in Uganda: A Secondary Data Analysis. ( Awori, P; Clark, TD; Cohan, D; Dorsey, G; Gosling, R; Havlir, DV; Jagannathan, P; Kakuru, A; Kamya, MR; Koss, CA; Muhindo, M; Nakalambe, M; Natureeba, P; Ochieng, T; Plenty, A; Roh, ME; Shiboski, S, 2017)
"Intermittent preventive treatment in pregnancy with sulfadoxine/pyrimethamine is contra-indicated in HIV-positive pregnant women receiving sulfamethoxazole/trimethoprim prophylaxis."5.22Pharmacokinetics of mefloquine and its effect on sulfamethoxazole and trimethoprim steady-state blood levels in intermittent preventive treatment (IPTp) of pregnant HIV-infected women in Kenya. ( Desai, M; González, R; Green, M; Kariuki, S; Katana, A; Menendez, C; Otieno, K; Ouma, P; Slutsker, L; ter Kuile, F, 2016)
"Malawian children found to be HIV-infected through VCT had a high morbidity and mortality rate, highlighting the potential benefit of trimethoprim-sulfamethizole prophylaxis and available antiretroviral therapy."3.73Observational cohort study of HIV-infected African children. ( Graham, SM; Kanyanganlika, J; Laufer, MK; Perez, MA; Plowe, CV; Taylor, TE; van Oosterhout, JJ, 2006)
" Treatment failure rates for culture-proven chancroid were 19% for trimethoprim-sulfamethoxazole, 12."3.69Sexually transmitted diseases and human immunodeficiency virus control in Malawi: a field study of genital ulcer disease. ( Behets, FM; Cohen, MS; Dallabetta, G; Hamilton, HA; Hoffman, IF; Liomba, G; Lule, G; Moeng, S, 1995)
"PCP prophylaxis with trimethoprim/sulfamethoxazole does not significantly influence the rate of bacteriuria, probably due to the development of resistance."3.69The influence of PCP prophylaxis on bacteriuria incidence and resistance development to trimethoprim/sulfamethoxazole in HIV-infected patients. ( Borleffs, JC; Hoepelman, AI; Schneider, MM; van Dooyeweert, DA, 1996)
"The onset of cutaneous adverse effects attributable to sulfamethoxazole-trimethoprim therapy within 3 months after desensitization."2.68Efficacy and safety of desensitization with sulfamethoxazole and trimethoprim in 48 previously hypersensitive patients infected with human immunodeficiency virus. ( Bricaire, F; Caumes, E; Guermonprez, G; Katlama, C; Lecomte, C, 1997)
"Here we determined the prevalence of G6PD deficiency and the occurrence of G6PD-related hemolytic events in a large cohort of patients."1.36Prevalence of G6PD deficiency in a large cohort of HIV-infected patients. ( Giordano, TP; Serpa, JA; Villarreal-Williams, E, 2010)
"aureus bacteremia were compared against 188 controls selected from patients with CD4 cell counts < 200 x 10(6)/l."1.30Prior antimicrobials and staphylococcal bacteremia in HIV-infected patients. ( Chaisson, RE; Moore, RD; Styrt, BA, 1997)
" The mean time to first side effect was 12."1.29Crossover of human immunodeficiency virus-infected patients from aerosolized pentamidine to trimethoprim-sulfamethoxazole: lack of hematologic toxicity and relationship of side effects to CD4+ lymphocyte count. ( Anderson, MD; Kennedy, CA; Lewis, DE; Oldfield, EC; Pimentel, JA; Weiss, PJ, 1993)
"Major aphthous ulcers are associated with a high degree of morbidity in patients infected with human immunodeficiency virus."1.29Major aphthous ulcers in patients with HIV disease. ( Glick, M; Muzyka, BC, 1994)

Research

Studies (31)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's15 (48.39)18.2507
2000's4 (12.90)29.6817
2010's10 (32.26)24.3611
2020's2 (6.45)2.80

Authors

AuthorsStudies
Washino, T1
Mikita, K1
Kosaka, A1
Sakamoto, N1
Iwabuchi, S1
Nakamura-Uchiyama, F1
Nibamureke, UMC1
Wagenaar, GM1
Roh, ME1
Shiboski, S1
Natureeba, P1
Kakuru, A1
Muhindo, M1
Ochieng, T1
Plenty, A1
Koss, CA1
Clark, TD1
Awori, P1
Nakalambe, M1
Cohan, D1
Jagannathan, P1
Gosling, R1
Havlir, DV1
Kamya, MR1
Dorsey, G1
Du Plooy, N1
Rayner, B1
Parker, SR1
Correnti, C1
Sikora, K1
Parker, DC1
Polyak, CS1
Yuhas, K1
Singa, B1
Khaemba, M1
Walson, J1
Richardson, BA1
John-Stewart, G1
Green, M1
Otieno, K1
Katana, A1
Slutsker, L1
Kariuki, S1
Ouma, P1
González, R1
Menendez, C1
ter Kuile, F1
Desai, M1
Hawkes, N1
Suárez, I1
Roderus, L1
van Gumpel, E1
Jung, N1
Lehmann, C1
Fätkenheuer, G1
Hartmann, P1
Plum, G1
Rybniker, J1
Serpa, JA1
Villarreal-Williams, E1
Giordano, TP1
Moon, SM1
Kim, T1
Sung, H1
Kim, MN1
Kim, SH1
Choi, SH1
Jeong, JY1
Woo, JH1
Kim, YS1
Lee, SO1
Mutua, FM1
M'imunya, JM1
Wiysonge, CS1
Doczeova, A1
Kolenova, A1
Beno, P1
Liskova, A1
Stanova, A1
Krcmery, V1
Laufer, MK1
van Oosterhout, JJ1
Perez, MA1
Kanyanganlika, J1
Taylor, TE1
Plowe, CV1
Graham, SM1
Bellamy, R1
Blossom, DB1
Namayanja-Kaye, G1
Nankya-Mutyoba, J1
Mukasa, JB1
Bakka, H1
Rwambuya, S1
Windau, A1
Bajaksouzian, S1
Walker, CJ1
Joloba, ML1
Kityo, C1
Mugyenyi, P1
Whalen, CC1
Jacobs, MR1
Salata, RA1
Ruga, E1
Giaquinto, C1
Cozzani, S1
Giacomelli, A1
Pagliaro, A1
Mazza, A1
De Manzini, A1
Laverda, AM1
D'Elia, R1
Behets, FM1
Liomba, G1
Lule, G1
Dallabetta, G1
Hoffman, IF1
Hamilton, HA1
Moeng, S1
Cohen, MS1
Kennedy, CA1
Pimentel, JA1
Lewis, DE1
Anderson, MD1
Weiss, PJ1
Oldfield, EC1
Muzyka, BC1
Glick, M1
Lang, W1
Osmond, D1
Page-Bodkin, K1
Moss, A1
Winkelstein, W1
van Dooyeweert, DA1
Schneider, MM1
Borleffs, JC1
Hoepelman, AI1
Caumes, E1
Guermonprez, G1
Lecomte, C1
Katlama, C1
Bricaire, F1
Styrt, BA1
Chaisson, RE1
Moore, RD1
Rich, JD1
Sullivan, T1
Greineder, D1
Kazanjian, PH1
Lehmann, DF1
Newman, N1
Morse, PD1
Chan, C1
Montaner, J1
Lefebvre, EA1
Morey, G1
Dohn, M1
McIvor, RA1
Scott, J1
Marina, R1
Caldwell, P1
Chatton, JY1
Munafo, A1
Chave, JP1
Steinhäuslin, F1
Roch-Ramel, F1
Glauser, MP1
Biollaz, J1
Holdcroft, CJ1
Ellison, RT1
Costantino, M1
Stein, DS1
Stevens, RC1
Terry, D1
Laizure, SC1
Palte, S1
Lancaster, DJ1
Weems, JJ1
Williams, CL1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Reducing the Burden of Malaria in HIV-Infected Pregnant Women and Their HIV-Exposed Children (PROMOTE Birth Cohort 2)[NCT02282293]Phase 3200 participants (Actual)Interventional2014-12-09Completed
Discontinuation of Trimethoprim-sulfamethoxazole Prophylaxis in Adults on Antiretroviral Therapy in Kenya: a Randomized Trial[NCT01425073]500 participants (Actual)Interventional2012-02-29Completed
A Randomized, Open-Label Trial of High Dose Atovaquone Versus Low Dose Atovaquone Versus Aerosolized Pentamidine for Prophylaxis of Pneumocystis Carinii Pneumonia in Patients With HIV Infection Who Are Intolerant of TMP/SMX[NCT00002340]Phase 3615 participants InterventionalCompleted
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Composite Adverse Birth Outcome (Proportion With Low Birth Weight (<2500 gm), Spontaneous Abortion (<28 Weeks), Stillbirth (Fetal Demise ≥28 Weeks), Congenital Anomaly, or Preterm Delivery (<37 Weeks)

Proportion with low birth weight (<2500 gm), spontaneous abortion (<28 weeks), stillbirth (fetal demise ≥28 weeks), congenital anomaly, or preterm delivery (<37 weeks) (NCT02282293)
Timeframe: At delivery

InterventionParticipants (Count of Participants)
TS + DP Placebo Pregnancy15
Daily TS + Monthly DP Pregnancy20

Incidence of Malaria, Pregnant Women

The primary outcome will be the incidence of malaria, defined as the number of incident episodes per time at risk. Incident cases will include all treatments for malaria not proceeded by another treatment in the previous 14 days. (NCT02282293)
Timeframe: Time at risk will begin following administration of first dose of study drug to delivery

InterventionEvents per person-year (Number)
TS + DP Placebo Pregnancy0.03
Daily TS + Monthly DP Pregnancy0.00

Number of Monthly Routine Visits With Positive Blood Samples for Parasites

Proportion of monthly routine blood samples positive by LAMP for parasites (NCT02282293)
Timeframe: Following administration of first dose of study drug to delivery

Interventionvisits with positive blood sample (Count of Units)
TS + DP Placebo Pregnancy12
Daily TS + Monthly DP Pregnancy5

Number of Participants With Placental Malaria

The primary outcome will be the prevalence of placental malaria based on placental histopathology and dichotomized into any evidence of placental infection (parasites or pigment) vs. no evidence of placental infection. (NCT02282293)
Timeframe: at delivery estimated to be within 10 to 30 weeks of study entry

InterventionParticipants (Count of Participants)
TS + DP Placebo Pregnancy3
Daily TS + Monthly DP Pregnancy6

Number of Routine Visits Measured Every 8 Weeks During Pregnancy for Which the Participants Had Anemia

Anemia (hemoglobin less than 11g/dL) measured every 8 weeks during pregnancy (NCT02282293)
Timeframe: Following administration of first dose of study drugs to delivery

InterventionRoutine visit done every 8 weeks (Count of Units)
TS + DP Placebo Pregnancy65
Daily TS + Monthly DP Pregnancy51

Maternal Parasitemia at Delivery by Microscopy and LAMP

Proportion of women with parasitemia detected by microscopy or LAMP at delivery (NCT02282293)
Timeframe: At delivery

,
InterventionParticipants (Count of Participants)
MicroscopyLAMP
Daily TS + Monthly DP Pregnancy14
TS + DP Placebo Pregnancy02

Placental Parasitemia (Number of Women With Placental Blood Samples Positive for Malaria by Microscopy or PCR)

Proportion of placental blood samples positive for malaria by microscopy or PCR (NCT02282293)
Timeframe: At delivery

,
InterventionParticipants (Count of Participants)
Microscopy of placental bloodLAMP analysis of placental blood
Daily TS + Monthly DP Pregnancy13
TS + DP Placebo Pregnancy01

Reviews

4 reviews available for trimethoprim and HIV Coinfection

ArticleYear
Disseminated Toxoplasmosis associated with Haemophagocytic Lymphohistiocytosis in a Patient with the Human Immunodeficiency Virus: A Case Report and Literature Review.
    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2022, Volume: 123

    Topics: Adult; Clindamycin; Female; HIV; HIV Infections; Humans; Lymphohistiocytosis, Hemophagocytic; Sulfam

2022
Genital ulcer disease treatment for reducing sexual acquisition of HIV.
    The Cochrane database of systematic reviews, 2012, Aug-15, Issue:8

    Topics: Anti-Bacterial Agents; Anti-Infective Agents; Azithromycin; Chancroid; Female; Fleroxacin; HIV Infec

2012
Pneumocystis pneumonia in people with HIV.
    Clinical evidence, 2006, Issue:15

    Topics: Anti-Infective Agents; Antiprotozoal Agents; Atovaquone; Clindamycin; Dapsone; Drug Therapy, Combina

2006
The use of antibiotics in the treatment and prevention of infection in HIV-infected children.
    Acta paediatrica (Oslo, Norway : 1992). Supplement, 1994, Volume: 400

    Topics: AIDS-Related Opportunistic Infections; Child; Clinical Trials as Topic; Drug Therapy, Combination; H

1994

Trials

8 trials available for trimethoprim and HIV Coinfection

ArticleYear
Protective Effect of Indoor Residual Spraying of Insecticide on Preterm Birth Among Pregnant Women With HIV Infection in Uganda: A Secondary Data Analysis.
    The Journal of infectious diseases, 2017, 12-19, Volume: 216, Issue:12

    Topics: Adolescent; Adult; Anti-Retroviral Agents; Chemoprevention; Drug Combinations; Female; HIV Infection

2017
Cotrimoxazole Prophylaxis Discontinuation among Antiretroviral-Treated HIV-1-Infected Adults in Kenya: A Randomized Non-inferiority Trial.
    PLoS medicine, 2016, Volume: 13, Issue:1

    Topics: Adult; Anti-Retroviral Agents; Antimalarials; Drug Combinations; Female; HIV Infections; HIV-1; Huma

2016
Pharmacokinetics of mefloquine and its effect on sulfamethoxazole and trimethoprim steady-state blood levels in intermittent preventive treatment (IPTp) of pregnant HIV-infected women in Kenya.
    Malaria journal, 2016, Jan-05, Volume: 15

    Topics: Adolescent; Adult; Antimalarials; Double-Blind Method; Female; HIV Infections; Humans; Kenya; Malari

2016
Efficacy and safety of desensitization with sulfamethoxazole and trimethoprim in 48 previously hypersensitive patients infected with human immunodeficiency virus.
    Archives of dermatology, 1997, Volume: 133, Issue:4

    Topics: Adult; Anti-Infective Agents; Desensitization, Immunologic; Drug Administration Schedule; Drug Erupt

1997
The effect of cimetidine on the formation of sulfamethoxazole hydroxylamine in patients with human immunodeficiency virus.
    Journal of clinical pharmacology, 1998, Volume: 38, Issue:5

    Topics: Adult; Anti-Infective Agents; Anti-Ulcer Agents; Antibiotic Prophylaxis; Cimetidine; Double-Blind Me

1998
Atovaquone suspension compared with aerosolized pentamidine for prevention of Pneumocystis carinii pneumonia in human immunodeficiency virus-infected subjects intolerant of trimethoprim or sulfonamides.
    The Journal of infectious diseases, 1999, Volume: 180, Issue:2

    Topics: Adult; Aged; AIDS-Related Opportunistic Infections; Anti-Infective Agents; Antifungal Agents; Atovaq

1999
Trimethoprim, alone or in combination with sulphamethoxazole, decreases the renal excretion of zidovudine and its glucuronide.
    British journal of clinical pharmacology, 1992, Volume: 34, Issue:6

    Topics: Adult; Drug Interactions; Female; HIV Infections; Humans; Infusions, Intravenous; Male; Trimethoprim

1992
Use of low-dose trimethoprim-sulfamethoxazole thrice weekly for primary and secondary prophylaxis of Pneumocystis carinii pneumonia in human immunodeficiency virus-infected patients.
    Antimicrobial agents and chemotherapy, 1991, Volume: 35, Issue:9

    Topics: Adult; Chromatography, High Pressure Liquid; Complement C4; Drug Administration Schedule; Female; HI

1991

Other Studies

19 other studies available for trimethoprim and HIV Coinfection

ArticleYear
Histopathological changes in Oreochromis mossambicus (Peters, 1852) ovaries after a chronic exposure to a mixture of the HIV drug nevirapine and the antibiotics sulfamethoxazole and trimethoprim.
    Chemosphere, 2021, Volume: 274

    Topics: Africa; Animals; Anti-Bacterial Agents; COVID-19; Female; HIV Infections; Humans; Nevirapine; Ovary;

2021
Life-threatening hyperkalaemia due to trimethoprim in a patient treated for Pneumocystis jirovecii pneumonia.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 2019, Jan-31, Volume: 109, Issue:2

    Topics: AIDS-Related Opportunistic Infections; Anti-Bacterial Agents; Female; HIV Infections; Humans; Hyperk

2019
Seronegative syphilis: another case for the great imitator.
    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2014, Volume: 18

    Topics: Adult; HIV Infections; Humans; Male; Sulfamethoxazole; Syphilis; Treatment Outcome; Treponema; Trime

2014
Co-trimoxazole in addition to antiretroviral therapy may reduce malaria risk in HIV positive adults.
    BMJ (Clinical research ed.), 2016, Jan-05, Volume: 352

    Topics: Anti-Retroviral Agents; Female; HIV Infections; HIV-1; Humans; Malaria; Male; Post-Exposure Prophyla

2016
Low prevalence of DHFR and DHPS mutations in Pneumocystis jirovecii strains obtained from a German cohort.
    Infection, 2017, Volume: 45, Issue:3

    Topics: Anti-Infective Agents; Dihydropteroate Synthase; Drug Resistance, Bacterial; Female; Fungal Proteins

2017
Prevalence of G6PD deficiency in a large cohort of HIV-infected patients.
    The Journal of infection, 2010, Volume: 61, Issue:5

    Topics: Adult; Aged; Anemia, Hemolytic; Anti-Infective Agents; Black or African American; Cohort Studies; Da

2010
Outcomes of moderate-to-severe Pneumocystis pneumonia treated with adjunctive steroid in non-HIV-infected patients.
    Antimicrobial agents and chemotherapy, 2011, Volume: 55, Issue:10

    Topics: Adrenal Cortex Hormones; Adult; Aged; Antifungal Agents; Drug Combinations; Drug Therapy, Combinatio

2011
Antifungal and antibacterial resistance profiles between Cambodia and Kenyan children with human immunodeficiency virus infections receiving trimethoprim-sulfamethoxazole prophylaxis.
    The Pediatric infectious disease journal, 2005, Volume: 24, Issue:11

    Topics: Bacteria; Bacterial Infections; Cambodia; Child; Colony Count, Microbial; Drug Combinations; Drug Re

2005
Observational cohort study of HIV-infected African children.
    The Pediatric infectious disease journal, 2006, Volume: 25, Issue:7

    Topics: Adolescent; Africa; Child; Child, Preschool; Cohort Studies; Drug Combinations; Female; HIV; HIV Inf

2006
Oropharyngeal colonization by Streptococcus pneumoniae among HIV-infected adults in Uganda: assessing prevalence and antimicrobial susceptibility.
    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2006, Volume: 10, Issue:6

    Topics: Adult; Ambulatory Care Facilities; Anti-Infective Agents; Carrier State; Cross-Sectional Studies; Dr

2006
Sexually transmitted diseases and human immunodeficiency virus control in Malawi: a field study of genital ulcer disease.
    The Journal of infectious diseases, 1995, Volume: 171, Issue:2

    Topics: Chancroid; Ciprofloxacin; Erythromycin; Genital Diseases, Male; HIV Infections; Humans; Malawi; Male

1995
Crossover of human immunodeficiency virus-infected patients from aerosolized pentamidine to trimethoprim-sulfamethoxazole: lack of hematologic toxicity and relationship of side effects to CD4+ lymphocyte count.
    The Journal of infectious diseases, 1993, Volume: 168, Issue:2

    Topics: Adult; Aerosols; Aged; CD4-Positive T-Lymphocytes; Drug Combinations; Female; HIV Infections; Humans

1993
Major aphthous ulcers in patients with HIV disease.
    Oral surgery, oral medicine, and oral pathology, 1994, Volume: 77, Issue:2

    Topics: Adult; Biomarkers; CD4-CD8 Ratio; Dapsone; Ethnicity; Female; HIV Infections; Humans; Immune Toleran

1994
Population-based estimates of antiretroviral therapy and anti-Pneumocystis prophylaxis in San Francisco: 1991.
    Journal of acquired immune deficiency syndromes, 1993, Volume: 6, Issue:2

    Topics: AIDS-Related Opportunistic Infections; Anti-Infective Agents; Antiviral Agents; Cohort Studies; Daps

1993
The influence of PCP prophylaxis on bacteriuria incidence and resistance development to trimethoprim/sulfamethoxazole in HIV-infected patients.
    The Netherlands journal of medicine, 1996, Volume: 49, Issue:6

    Topics: Bacteriuria; Drug Resistance, Microbial; Drug Therapy, Combination; HIV Infections; Humans; Male; Pn

1996
Prior antimicrobials and staphylococcal bacteremia in HIV-infected patients.
    AIDS (London, England), 1997, Volume: 11, Issue:10

    Topics: Adult; AIDS-Related Opportunistic Infections; Anti-Bacterial Agents; Bacteremia; Case-Control Studie

1997
Trimethoprim/sulfamethoxazole incremental dose regimen in human immunodeficiency virus-infected persons.
    Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 1997, Volume: 79, Issue:5

    Topics: Administration, Oral; Adult; CD4-Positive T-Lymphocytes; Dose-Response Relationship, Drug; Drug Admi

1997
Trimethoprim-sulfamethoxazole reaction simulating Pneumocystis carinii pneumonia.
    AIDS (London, England), 1991, Volume: 5, Issue:8

    Topics: Diagnosis, Differential; Drug Combinations; HIV Infections; Humans; Hypoxia; Male; Middle Aged; Oppo

1991
[Some aspects of the treatment of HIV infection].
    Minerva ginecologica, 1991, Volume: 43, Issue:12

    Topics: Acquired Immunodeficiency Syndrome; Clindamycin; Dapsone; HIV Infections; Humans; Primaquine; Trimet

1991