دورية أكاديمية
Prevalence of Pre-antiretroviral-Treatment Drug Resistance by Gender, Age, and Other Factors in HIV-Infected Individuals Initiating Therapy in Kenya, 2013-2014 ; Journal of Infectious Diseases
| العنوان: | Prevalence of Pre-antiretroviral-Treatment Drug Resistance by Gender, Age, and Other Factors in HIV-Infected Individuals Initiating Therapy in Kenya, 2013-2014 ; Journal of Infectious Diseases |
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| المؤلفون: | Silverman, Rachel A., Beck, Ingrid A., Kiptinness, Catherine, Levine, Molly, Milne, Ross S., McGrath, Christine J., Bii, Steve, Richardson, Barbra A., John-Stewart, Grace C., Chohan, Bhavna, Sakr, Samah R., Kiarie, James N., Frenkel, Lisa M., Chung, Michael H. |
| بيانات النشر: | Oxford University Press |
| سنة النشر: | 2017 |
| المجموعة: | VTechWorks (VirginiaTech) |
| مصطلحات موضوعية: | Immunology, Infectious Diseases, Microbiology, Pretreatment drug resistance, transmitted drug resistance, HIV, oligonucleotide ligation assay, antiretroviral therapy, SUB-SAHARAN AFRICA, RESOURCE-LIMITED SETTINGS, TREATMENT-NAIVE, REVERSE-TRANSCRIPTASE, VIROLOGICAL FAILURE, TREATMENT PROGRAM, ADULTS, CHILDREN, TRANSMISSION, 06 Biological Sciences, 11 Medical and Health Sciences, Humans, HIV Infections, Prevalence, Cross-Sectional Studies, Nucleic Acid Hybridization, Sequence Analysis, DNA, Age Factors, Sex Factors, Drug Resistance, Viral |
| جغرافية الموضوع: | Kenya |
| الوصف: | Background: Pre-antiretroviral-treatment drug resistance (PDR) is a predictor of human immunodeficiency virus (HIV) treatment failure. We determined PDR prevalence and correlates in a Kenyan cohort. Methods: We conducted a cross-sectional analysis of antiretroviral (ARV) treatment-eligible HIV-infected participants. PDR was defined as 2% mutant frequency in a participant's HIV quasispecies at pol codons K103N, Y181C, G190A, M184V, or K65R by oligonucleotide ligation assay and Illumina sequencing. PDR prevalence was calculated by demographics and codon, stratifying by prior ARV experience. Poisson regression was used to estimate prevalence ratios. Results: PDR prevalences (95% confidence interval [CI]) in 815 ARV-naive adults, 136 ARV-experienced adults, and 36 predominantly ARV-naive children were 9.4% (7.5%-11.7%), 12.5% (7.5%-19.3%), and 2.8% (0.1%-14.5%), respectively. Median mutant frequency within an individual's HIV quasispecies was 67%. PDR prevalence in ARV-naive women 18-24 years old was 21.9% (9.3%-40.0%). Only age in females associated with PDR: A 5-year age decrease was associated with adjusted PDR prevalence ratio 1.20 (95% CI, 1.06-1.36; P = .004). Conclusions: The high PDR prevalence may warrant resistance testing and/or alternative ARVs in high HIV prevalence settings, with attention to young women, likely to have recent infection and higher rates of resistance. Clinical trials registration: NCT01898754. ; Published version |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | Pages 1569-1578; 10 page(s); application/pdf |
| اللغة: | English |
| تدمد: | 0022-1899 1537-6613 |
| العلاقة: | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000418720000012&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=930d57c9ac61a043676db62af60056c1Test; 4430536 (PII); http://hdl.handle.net/10919/107610Test; https://doi.org/10.1093/infdis/jix544Test; 216; 12; Silverman, Rachel [0000-0003-3082-9664] |
| DOI: | 10.1093/infdis/jix544 |
| الإتاحة: | https://doi.org/10.1093/infdis/jix544Test http://hdl.handle.net/10919/107610Test |
| حقوق: | In Copyright ; http://rightsstatements.org/vocab/InC/1.0Test/ |
| رقم الانضمام: | edsbas.E83F4E12 |
| قاعدة البيانات: | BASE |
| تدمد: | 00221899 15376613 |
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| DOI: | 10.1093/infdis/jix544 |