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OxyFile #23


Retrospective benefit following individualized naturopathic 
therapy in HIV-patients at different stages.


Author:  Wolfstadter HD; Sacher J; Hopfenmuller W; Stange R

Address: Universitatsklinikum Steglitz, Freien Universitat Berlin.

Source:  Int Conf AIDS, 1992 Jul 19-24, 8:3, 147 (abstract no. PuB 
         7588)

Abstract:

OBJECTIVE: To assess the long-term efficacy and benefit of a 
complementary treatment regimen, we investigated on laboratory 
findings and clinical outcome in a cohort of 175 out-patients (CDC 
II-IV E) successively treated since 1986. METHODS AND PATIENTS: 
The therapeutic regimen comprised autologous ozone transfusions, 
homeopathy, phytotherapy, therapy with enzymes, mineral-, vitamin- 
and trace element substitution, nutritional management, correction 
of intestinal dysbacteria and psychophysical means, set up on an 
individualized basis. No conventional antiviral therapy was given. 
Patients (all male homosexuals) were divided into 5 groups (Gr. I-
V) according to their CD4 lymphocyte counts at entry into therapy 
(Gr.I n = 22, CD4 0-50; Gr. II n = 12, CD4 51-100; Gr. III n = 17, 
CD4 101-200; Gr. IV n = 81, CD4 201-500; Gr. V n = 53, CD4 greater 
than 500 [/microliters]) and 15 hematological and biochemical 
parameters were evaluated with individual regression analysis 
according to the length of observation of patients (min. obs.time 
in Gr. I-III 3 months, min. obs.time in Gr. IV and V 6 months). 
Moreover we studied the incidence and severity of opportunistic 
infections and overall QOL during the observed period. RESULTS: 
Patients in Gr. I presented a median loss of CD4 lymphocytes per 
month of 0.54 cells/microliters(range -42.0 to 4.50, median 
obs.time 8 months), Gr. II median loss 3.65 cells/microliters 
(range -5.9 to 8.8, median obs.time 10.5 mo.), Gr. III median loss 
4.98 cells/microliters (range -13.5 to 11.0, median obs.time 16.8 
mo.). In Gr. V, apparently due to the earlier stage of disease, no 
clear statistical trend of helper-cell deterioration could be 
observed. Patients in Gr. IV, with an approved indication for 
antiviral therapy, presented a median loss of CD4-cells of 
4.47/microliters (range -17.2 to 37.5, median obs.time was 25.4 
mo.). Compared to CD4 lymphocyte deterioration given in the 
literature for patients under antiviral therapy, 52% of our 
patients in Gr. IV exceeded these values, while 24.6% remained 
below. No substantial adverse events or side effects accompanied 
the therapies, thus we found QOL generally increased. CONCLUSIONS: 
Our results suggest that patient performance under a combined and 
individualized naturopathic regimen might be to some extend 
improved with respect to data collected from cohorts in the 
literature. Further investigation including controlled clinical 
trials on different aspects of the single therapies is necessary.





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