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Background . There are few reports of HIV viral load (VL) testing among patients on ART in Vietnam.  Methods . From a public clinic in Ho Chi Minh City (HCMC), we reviewed cases of VL measurements from adults on ART.  Results . We identified 228 cases. Median age was 30 years (27–34), 85% were male, and 77% had a history of IDU. The mean ART duration was 26 months (95% CI 25–27); d4T/3TC/NVP was the most common regimen. Viral suppression was seen in 160/228 (70%). Viremia (>1000 copies/mL) was associated with prior ART exposure (OR 5.68,  P  < .0001) and immunologic failure (OR 4.69,  P  = .0001). Targeted testing accounted for 13% of cases, only half of which yielded viremia.  Conclusion . We demonstrate a high HIV suppression rate among patients on ART in HCMC, Vietnam. In this setting, routine testing detects viremia missed by targeted testing.

HIV Suppression among Patients on Treatment in Vietnam: A Review of HIV Viral Load Testing in a Public Urban Clinic in Ho Chi Minh City