Declining Prevalence of HIV-1 Drug Resistance in Antiretroviral Treatment-exposed Individuals in Western Europe

Andrea De Luca, David Dunn, Maurizio Zazzi, Ricardo Camacho, Carlo Torti, Iuri Fanti, Rolf Kaiser, Anders Sönnerborg, Francisco M. Codoñer, Kristel Van Laethem, Anne-Mieke Vandamme, Loveleen Bansi, Valeria Ghisetti, David A.M.C. Van De Vijver, David Asboe, Mattia C.F. Prosperi, Simona Di Giambenedetto

Risultato della ricerca: Contributo in rivistaArticolo in rivista

47 Citazioni (Scopus)

Abstract

HIV-1 drug resistance represents a major obstacle to infection and disease control. This retrospective study analyzes trends and determinants of resistance in antiretroviral treatment (ART)-exposed individuals across 7 countries in Europe. Of 20 323 cases, 80% carried at least one resistance mutation: these declined from 81% in 1997 to 71% in 2008. Predicted extensive 3-class resistance was rare (3.2% considering the cumulative genotype) and peaked at 4.5% in 2005, decreasing thereafter. The proportion of cases exhausting available drug options dropped from 32% in 2000 to 1% in 2008. Reduced risk of resistance over calendar years was confirmed by multivariable analysis.
Lingua originaleEnglish
pagine (da-a)N/A-N/A
RivistaTHE JOURNAL OF INFECTIOUS DISEASES
DOI
Stato di pubblicazionePubblicato - 2013

Keywords

  • Drug Resistance Prevalence HIV-1

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