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Transmission of HIV Drug Resistance and the Predicted Effect on Current First-line Regimens in Europe
LM. Hofstra, N. Sauvageot, J. Albert, I. Alexiev, F. Garcia, D. Struck, DA. Van de Vijver, B. Åsjö, D. Beshkov, S. Coughlan, D. Descamps, A. Griskevicius, O. Hamouda, A. Horban, M. Van Kasteren, T. Kolupajeva, LG. Kostrikis, K. Liitsola, M....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, práce podpořená grantem
PubMed
26620652
DOI
10.1093/cid/civ963
Knihovny.cz E-zdroje
- MeSH
- dospělí MeSH
- HIV infekce farmakoterapie virologie MeSH
- HIV-1 účinky léků genetika MeSH
- inhibitory HIV-proteasy farmakologie MeSH
- inhibitory reverzní transkriptasy farmakologie MeSH
- látky proti HIV farmakologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mikrobiální testy citlivosti MeSH
- mutace MeSH
- prevalence MeSH
- virová léková rezistence genetika MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Evropa MeSH
BACKGROUND: Numerous studies have shown that baseline drug resistance patterns may influence the outcome of antiretroviral therapy. Therefore, guidelines recommend drug resistance testing to guide the choice of initial regimen. In addition to optimizing individual patient management, these baseline resistance data enable transmitted drug resistance (TDR) to be surveyed for public health purposes. The SPREAD program systematically collects data to gain insight into TDR occurring in Europe since 2001. METHODS: Demographic, clinical, and virological data from 4140 antiretroviral-naive human immunodeficiency virus (HIV)-infected individuals from 26 countries who were newly diagnosed between 2008 and 2010 were analyzed. Evidence of TDR was defined using the WHO list for surveillance of drug resistance mutations. Prevalence of TDR was assessed over time by comparing the results to SPREAD data from 2002 to 2007. Baseline susceptibility to antiretroviral drugs was predicted using the Stanford HIVdb program version 7.0. RESULTS: The overall prevalence of TDR did not change significantly over time and was 8.3% (95% confidence interval, 7.2%-9.5%) in 2008-2010. The most frequent indicators of TDR were nucleoside reverse transcriptase inhibitor (NRTI) mutations (4.5%), followed by nonnucleoside reverse transcriptase inhibitor (NNRTI) mutations (2.9%) and protease inhibitor mutations (2.0%). Baseline mutations were most predictive of reduced susceptibility to initial NNRTI-based regimens: 4.5% and 6.5% of patient isolates were predicted to have resistance to regimens containing efavirenz or rilpivirine, respectively, independent of current NRTI backbones. CONCLUSIONS: Although TDR was highest for NRTIs, the impact of baseline drug resistance patterns on susceptibility was largest for NNRTIs. The prevalence of TDR assessed by epidemiological surveys does not clearly indicate to what degree susceptibility to different drug classes is affected.
Complejo Hospitalario Universitario de Granada Instituto de Investigación IBS Granada
Department of Infectious Diseases National Institute for Health and Welfare Helsinki Finland
Department of Virology University Medical Center Utrecht The Netherlands
Erasmus MC University Medical Center Rotterdam The Netherlands
Faculty of Medicine Slovenian HIV AIDS Reference Centre University of Ljubljana Slovenia
Faculty of Medicine University of Belgrade Serbia
Hospital of Infectious Diseases Warsaw Poland
Infectiology Center of Latvia Riga
IrsiCaixa Foundation Badalona Spain
Karolinska Institute Solna Karolinska University Hospital Stockholm Sweden
Lithuanian AIDS Center Vilnius Lithuania
Luxembourg Institute of Health Luxembourg
Medical University Vienna Austria
National Center of Infectious and Parasitic Diseases Sofia Bulgaria
National HIV Reference Laboratory Chaim Sheba Medical Center Tel Hashomer Israel
National Institute for Infectious Diseases Prof dr Matei Bals Bucharest Romania
National Reference Laboratory for HIV AIDS National Institute of Public Health Prague Czech Republic
National Retrovirus Reference Center University of Athens Greece
on behalf of Cohorte de Adultos de la Red de Investigación en SIDA Spain
Rega Institute for Medical Research KU Leuven Belgium
Robert Koch Institute Berlin Germany
Slovak Medical University Bratislava Slovakia
St Elisabeth Hospital Tilburg The Netherlands
Statens Serum Institut Copenhagen Denmark
University College Dublin Ireland
University Hospital for Infectious Diseases Dr Fran Mihaljevic Zagreb Croatia
Citace poskytuje Crossref.org
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