Evolution of transmitted HIV-1 drug resistance in HIV-1-infected patients in Italy from 2000 to 2010

被引:24
作者
Colafigli, M. [1 ]
Torti, C. [2 ]
Trecarichi, E. M. [1 ]
Albini, L. [2 ]
Rosi, A. [3 ]
Micheli, V. [4 ]
Manca, N. [5 ]
Penco, G. [6 ]
Bruzzone, B. [7 ]
Punzi, G. [8 ]
Corsi, P. [9 ]
Parruti, G. [10 ]
Bagnarelli, P. [11 ]
Monno, L. [8 ]
Gonnelli, A. [12 ]
Cauda, R. [1 ]
Di Giambenedetto, S. [1 ]
机构
[1] Univ Cattolica Sacro Cuore, Inst Clin Infect Dis, I-00168 Rome, Italy
[2] Univ Brescia, Inst Infect & Trop Dis, Brescia, Italy
[3] Univ Siena, Dept Biotechnol, I-53100 Siena, Italy
[4] L Sacco Hosp Vialba, Microbiol Lab, Milan, Italy
[5] Univ Brescia, Dept Virol, Brescia, Italy
[6] EO Osped Galliera, Dept Infect Dis, Genoa, Italy
[7] San Martino Hosp, Lab Hygene, Genoa, Italy
[8] Univ Bari, Bari, Italy
[9] Careggi Hosp, Div Infect Dis, Florence, Italy
[10] Hosp Pescara, Pescara, Italy
[11] Univ Politecn Marche, Dept Biomed Sci & Publ Hlth, Virol Lab, Ancona, Italy
[12] Policlin Santa Maria Scotte, Infect Dis & Liver Unit, Siena, Italy
关键词
Antiretroviral therapy; chronic HIV infection; recent HIV infection; resistance epidemiology; transmitted resistance; INITIAL TREATMENT; NAIVE; LOPINAVIR/RITONAVIR; PREVALENCE; MUTATIONS; EFFICACY; SAFETY;
D O I
10.1111/j.1469-0691.2012.03847.x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Clin Microbiol Infect Abstract Prevalence and predictors of transmitted drug resistance (TDR), defined as the presence of at least one WHO surveillance drug resistance mutation (SDRM), were investigated in antiretroviral-naive HIV-1-infected patients, with a genotypic resistance test (GRT) performed =6 months before starting cART between 2000 and 2010. 3163 HIV-1 sequences were selected (69% subtype B). Overall, the prevalence of TDR was 12% (13.2% subtype B, 9% non-B). TDR significantly declined overall and for the single drug classes. Older age independently predicted increased odds of TDR, whereas a more recent GRT, a higher HIV-RNA and C vs. B subtype predicted lower odds of TDR.
引用
收藏
页码:E299 / E304
页数:6
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