Decline in the rate of genotypic resistance to antiretroviral drugs in recent HIV seroconverters in Madrid

被引:25
作者
de Mendoza, C [1 ]
del Romero, J
Rodríguez, C
Corral, A
Soriano, V
机构
[1] Hosp Carlos III, Inst Salud Carlos III, Infect Dis Serv, Madrid, Spain
[2] Serv Reg Salud, Ctr Sanitario Sandoval, Madrid, Spain
关键词
D O I
10.1097/00002030-200209060-00019
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Genotypic resistance to antiretroviral drugs was analysed in plasma from 57 acute or recent HIV seroconverters in Madrid. The overall prevalence of drug-associated primary resistance mutations was 25.8% in 1997-1999, but declined to 3.8% in 2000-2001. The lower rate in recent years suggested that most new HIV infections derive from viraemic individuals unaware of their HIV-positive status, rather than from those failing antiretroviral treatment. Drug-resistance testing is thus not required before beginning antiretroviral therapy.
引用
收藏
页码:1830 / 1832
页数:3
相关论文
共 18 条
[1]   Primary genotypic and phenotypic HIV-1 drug resistance in recent seroconverters in Madrid [J].
Briones, C ;
Pérez-Olmeda, M ;
Rodríguez, C ;
del Romero, J ;
Hertogs, K ;
Soriano, V .
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2001, 26 (02) :145-150
[2]   Changes in the rate of genotypic resistance to antiretroviral drugs in Spain [J].
Gallego, O ;
Ruiz, L ;
Vallejo, A ;
Ferrer, E ;
Rubio, A ;
Clotet, B ;
Leal, M ;
Soriano, V .
AIDS, 2001, 15 (14) :1894-1896
[3]   Prevalence of genotypic resistance to nucleoside analogues in antiretroviral-naive and antiretroviral-experienced HIV-infected patients in Spain [J].
Gomez-Cano, M ;
Rubio, A ;
Puig, T ;
Perez-Olmeda, M ;
Ruiz, L ;
Soriano, V ;
Pineda, JA ;
Zamora, L ;
Xaus, N ;
Clotet, E ;
Leal, M .
AIDS, 1998, 12 (09) :1015-1020
[4]   Sexual transmission of an HIV-1 variant resistant to multiple reverse-transcriptase and protease inhibitors [J].
Hecht, FM ;
Grant, RM ;
Petropoulos, CJ ;
Dillon, B ;
Chesney, MA ;
Tian, H ;
Hellmann, NS ;
Bandrapalli, NI ;
Digilio, L ;
Branson, B ;
Kahn, JO .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 339 (05) :307-311
[5]   Antiretroviral drug resistance testing in adult HIV-1 infection -: Recommendations of an International AIDS Society-USA panel [J].
Hirsch, MS ;
Brun-Vézinet, F ;
D'Aquila, RT ;
Hammer, SM ;
Johnson, VA ;
Kuritzkes, DR ;
Loveday, C ;
Mellors, JW ;
Clotet, B ;
Conway, B ;
Demeter, LM ;
Vella, S ;
Jacobsen, DM ;
Richman, DD .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 283 (18) :2417-2426
[6]  
*INT AIDS SOC US R, 2001, HIV CLIN TRIALS, V2, P346
[7]  
LITTLE SJ, 2001, 8 C RETR OPP INF CHI
[8]   Clinical and laboratory guidelines for the use of HIV-1 drug resistance testing as part of treatment management:: recommendations for the European setting [J].
Miller, V ;
Vandamme, AM ;
Loveday, C ;
Staszewski, S ;
Lundgren, J ;
Youle, M ;
Ait-Khaled, M ;
Boucher, C ;
Brun-Vézinet, F ;
Dedes, N ;
Giaquinto, C ;
Hertogs, K ;
Houyez, F ;
Perrin, L ;
Pillay, D ;
Schmit, JC ;
Schuurman, R ;
Lange, J ;
Bànhegyi, D ;
Biondi, G ;
Broekhuizen, A ;
Bush-Donovan, C ;
Camacho, R ;
Carlier, H ;
Clavel, F ;
Clotet, B ;
Clumeck, N ;
Colebunders, R ;
De Clerq, K ;
De Jaegher, JJ ;
De Schrijver, G ;
De Smet, K ;
Hall, W ;
Harrigan, R ;
Hatzakis, A ;
Hellmann, N ;
Hoetelmans, R ;
Holtzer, C ;
Katlama, C ;
Larder, D ;
Loriaux, E ;
McCreedy, B ;
Mulcahy, F ;
Opravil, M ;
Phillips, A ;
Ruiz, N ;
Shulse, E ;
Sönnerborg, A ;
Soriano, V ;
Steel, H .
AIDS, 2001, 15 (03) :309-320
[9]  
Pérez-Olmeda M, 2001, J MED VIROL, V63, P85, DOI 10.1002/1096-9071(20000201)63:2&lt
[10]  
85::AID-JMV1000&gt