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Primary Antiretroviral Drug Resistance among HIV Type 1-Infected Individuals in Brazil

SPRINZ, Eduardo ; NETTO, Eduardo M ; LIMA, Maria Patelli J. S ; FURTADO, Juvênao J. D ; DA EIRA, Margareth ; ZAJDENVERG, Roberto ; MADRUGA, José V ; LEWI, David S ; PEDRO, Rogério J ; SOARES, Marcelo A

AIDS research and human retroviruses, 2009-09, Vol.25 (9), p.861-867 [Periódico revisado por pares]

New Rochelle, NY: Liebert

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Título:
Primary Antiretroviral Drug Resistance among HIV Type 1-Infected Individuals in Brazil
Autor: SPRINZ, Eduardo ; NETTO, Eduardo M ; LIMA, Maria Patelli J. S ; FURTADO, Juvênao J. D ; DA EIRA, Margareth ; ZAJDENVERG, Roberto ; MADRUGA, José V ; LEWI, David S ; PEDRO, Rogério J ; SOARES, Marcelo A
Assuntos: Adolescent ; Adult ; Aged ; AIDS/HIV ; Anti-Retroviral Agents - pharmacology ; Biological and medical sciences ; Brazil ; Complications and side effects ; Development and progression ; Drug resistance in microorganisms ; Drug therapy ; Female ; Fundamental and applied biological sciences. Psychology ; Genotype ; Health aspects ; Highly active antiretroviral therapy ; HIV (Viruses) ; HIV infection ; HIV Infections - virology ; HIV-1 - drug effects ; HIV-1 - genetics ; HIV-1 - isolation & purification ; Human immunodeficiency virus 1 ; Human viral diseases ; Humans ; Infectious diseases ; Male ; Medical sciences ; Microbiology ; Middle Aged ; Miscellaneous ; Mutation, Missense ; Physiological aspects ; pol Gene Products, Human Immunodeficiency Virus - genetics ; Polymerase Chain Reaction ; Prognosis ; Properties ; Retrovirus ; Risk factors ; Sequence Analysis, DNA ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Virology ; Young Adult
É parte de: AIDS research and human retroviruses, 2009-09, Vol.25 (9), p.861-867
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
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Descrição: Infection with drug-resistant human immunodeficiency virus type 1 (HIV-1) has been documented in all countries that have surveyed for it and may result in an unfavorable response to therapy. The prevalence and characteristics of individuals with transmitted resistance to antiretroviral drugs have been scarcely described in Brazil. We performed antiretroviral resistance testing prior to initiation of therapy in 400 subjects enrolled from 20 centers in 13 Brazilian cities between March and September 2007. Genotyping was conducted using PCR-amplified HIV pol products by automated sequencing, and genotype interpretation was done according to the IAS-USA consensus. Of 400 eligible participants, 387 (95.8%) were successfully tested. Seven percent of antiretroviral-naive patients carried viruses with one or more major mutation associated with drug resistance. The prevalence of these mutations was 1.0% for protease inhibitors, 4.4% for nonnucleoside reverse transcriptase inhibitors, and 1.3% for nucleoside reverse transcriptase inhibitors. The frequency of multidrug resistance among the resistant strains was 13.6%. Among subjects infected with drug-resistant virus, the majority were infected with subtype B viruses (91%). Subjects from the city of São Paulo had higher transmitted resistance mutations compared to the rest of the country. Reporting a partner taking antiretroviral medications was associated with a higher chance of harboring HIV variants with major drug resistance mutations [odds ratio = 2.57 (95% confidence interval, 1.07-6.16); p = 0.014]. Resistance testing in drug-naive individuals identified 7% of subjects with mutations associated with reduced susceptibility to antiretroviral drugs. Continued surveillance of drug-resistant HIV-1 in Brazil is warranted when guidelines for HIV prophylaxis and treatment are updated. Resistance testing among drug-naive patients prior to treatment initiation should be considered, mainly directed at subjects whose partners are already on antiretroviral therapy.
Editor: New Rochelle, NY: Liebert
Idioma: Inglês

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Primary Antiretroviral Drug Resistance among HIV Type 1-Infected Individuals in Brazil

SPRINZ, Eduardo ; NETTO, Eduardo M ; LIMA, Maria Patelli J. S ; FURTADO, Juvênao J. D ; DA EIRA, Margareth ; ZAJDENVERG, Roberto ; MADRUGA, José V ; LEWI, David S ; PEDRO, Rogério J ; SOARES, Marcelo A

New Rochelle, NY: Liebert

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