Resistance at Virological Failure Using Boosted Protease Inhibitors Versus Nonnucleoside Reverse Transcriptase Inhibitors As First-Line Antiretroviral Therapy—Implications for Sustained Efficacy of ART in Resource-Limited Settings
Author(s) -
Andrew Hill,
Angela McBride,
Anthony Sawyer,
Nathan Clumeck,
Ravindra K. Gupta
Publication year - 2013
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 - 10.1093/infdis/jit112
Subject(s) - resistance mutation , confidence interval , medicine , reverse transcriptase inhibitor , antiretroviral therapy , protease inhibitor (pharmacology) , virology , drug resistance , viral load , gastroenterology , human immunodeficiency virus (hiv) , reverse transcriptase , biology , polymerase chain reaction , microbiology and biotechnology , biochemistry , gene
Increases in the prevalence of resistance to nonnucleoside reverse transcriptase inhibitors (NNRTIs) have been observed among previously untreated individuals in all areas of sub-Saharan Africa. We aimed to examine whether first-line use of 2 NRTIs plus a boosted protease inhibitor (bPI) could protect against emergence of NRTI resistance mutations, compared to the use of 2 NRTIs plus 1 NNRTI.
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