Human cytomegalovirus resistance to antiviral drugs: diagnosis, monitoring and clinical impact
Author(s) -
Fausto Baldanti
Publication year - 2003
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dkg354
Subject(s) - human cytomegalovirus , cytomegalovirus , drug resistance , transplantation , medicine , antiviral drug , foscarnet , virology , immunology , drug , disease , viral disease , virus , biology , ganciclovir , herpesviridae , pharmacology , microbiology and biotechnology
The incidence of human cytomegalovirus (HCMV) disease in AIDS patients decreased dramatically after the introduction, a few years ago, of highly active antiretroviral combination therapy. As a consequence, the emergence of drug-resistant HCMV strains is no longer a major problem in HIV-infected individuals. However, HCMV resistance to antiviral drugs is presently recognized as an emerging problem in transplantation settings. The mechanisms of HCMV drug resistance will be analysed along with the clinical features relevant to the emergence of drug-resistant HCMV strains during antiviral treatment of patients receiving either solid organ or haematopoietic stem cell transplantation.
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