Persistence of K103N‐Containing HIV‐1 Variants after Single‐Dose Nevirapine for Prevention of HIV‐1 Mother‐to‐Child Transmission
Author(s) -
Tamara Flys,
Deborah Donnell,
Anthony Mwatha,
Clemensia Nakabiito,
Philippa Musoke,
Francis Mmiro,
J. Brooks Jackson,
Laura Guay,
Susan H. Eshleman
Publication year - 2007
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/511433
Subject(s) - nevirapine , persistence (discontinuity) , virology , lentivirus , transmission (telecommunications) , human immunodeficiency virus (hiv) , medicine , viral load , viral disease , antiretroviral therapy , geotechnical engineering , electrical engineering , engineering
K103N-containing human immunodeficiency virus (HIV)-1 variants are selected in some women who receive single-dose (SD) nevirapine (NVP) for prevention of HIV-1 mother-infant transmission. We examined the persistence of K103N in women who received SD NVP prophylaxis. K103N was detected using the LigAmp assay (assay cutoff, 0.5% K103N). K103N was detected at 6-8 weeks in 60 (41.7%) of 144 women. Fading (lack of detection) of K103N was documented in 16 women by 2 years, 43 women by 3 years, and 55 women by 4 and 5 years. Slower fading was independently associated with HIV-1 subtype (D>A) and higher pre-NVP viral load.
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