A Comparison of 3 Regimens to Prevent Nevirapine Resistance Mutations in HIV-Infected Pregnant Women Receiving a Single Intrapartum Dose of Nevirapine
Author(s) -
Russell B. Van Dyke,
Nicole NgoGiangHuong,
D. E. Shapiro,
Lisa M. Frenkel,
P. Britto,
Anuvat Roongpisuthipong,
Ingrid A. Beck,
P. Yuthavisuthi,
Sinart Prommas,
Thanyawee Puthanakit,
Jullapong Achalapong,
M. Tiv,
W. Rasri,
Tim R. Cressey,
Robert Maupin,
Mark Mirochnick,
Gonzague Jourdain
Publication year - 2011
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cir798
Subject(s) - nevirapine , zidovudine , medicine , didanosine , stavudine , lamivudine , regimen , virology , viral load , lopinavir , resistance mutation , gastroenterology , human immunodeficiency virus (hiv) , virus , viral disease , biology , reverse transcriptase , hepatitis b virus , antiretroviral therapy , rna , biochemistry , gene
Intrapartum single-dose (SD) nevirapine (NVP) reduces perinatal transmission of human immunodeficiency virus (HIV) infection but selects for NVP-resistant virus, which compromises subsequent NVP-based therapy. A 1-week "tail" of lamivudine and zidovudine after SD-NVP decreases the risk of resistance. We hypothesized that increasing the duration or potency of the tail would further reduce this risk to <10%, using a sensitive assay to measure resistance.
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