HIV-1 Drug Resistance and Third-Line Therapy Outcomes in Patients Failing Second-Line Therapy in Zimbabwe
Author(s) -
Cleophas Chimbetete,
David Katzenstein,
Tinei Shamu,
Adrian Spoerri,
Janne Estill,
Matthias Egger,
Olivia Keiser
Publication year - 2018
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofy005
Subject(s) - medicine , abacavir , darunavir , interquartile range , lamivudine , lopinavir , dolutegravir , raltegravir , viral load , zidovudine , drug resistance , odds ratio , confidence interval , hiv drug resistance , ritonavir , gastroenterology , reverse transcriptase inhibitor , efavirenz , virology , antiretroviral therapy , human immunodeficiency virus (hiv) , virus , viral disease , hepatitis b virus , microbiology and biotechnology , biology
The prevelance of PI mutations was high. Adolescents and young adults had a lower risk of acquiring major PI resistance mutations, possibly due to poor adherence to ART. Third-line treatment with a regimen of Darunavir/r, Raltegravir/Dolutegravir, and optimized nucleoside reverse transcriptase inhibitors was effective.
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