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Correspondence
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Volume 335:1395-1397 October 31, 1996 Number 18
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Oral Ganciclovir as Prophylaxis against Cytomegalovirus

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 by Spector, S. A.
To the Editor: Spector et al. (June 6 issue)1 conclude that oral ganciclovir "promises to be a useful drug for prophylaxis against CMV [cytomegalovirus] disease in persons with AIDS [the acquired immunodeficiency syndrome]." The results of their study do not support this statement. The drug's side effects, high cost, and limited efficacy all argue against such a conclusion.

The incidence of granulocytopenia requiring treatment was 15 percentage points higher in the treatment group than in the placebo group. More patients had this complication than were prevented from having CMV, and the granulocytopenia was long-lasting. Granulocyte colony-stimulating factor (G-CSF) was required . . . [Full Text of this Article]

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