Changes in Primary HIV-1 Drug Resistance Due to War Migration from Eastern Europe.

Autor: Załęski, Andrzej, Lembas, Agnieszka, Dyda, Tomasz, Siwak, Ewa, Osińska, Joanna, Suchacz, Magdalena, Stempkowska-Rejek, Justyna, Strycharz, Marta, Orzechowska, Justyna, Wiercińska-Drapało, Alicja
Předmět:
Zdroj: Journal of Immigrant & Minority Health; Feb2024, Vol. 26 Issue 1, p15-22, 8p
Abstrakt: In recent years, especially as a result of war in Ukraine, enormous movements of migration to Poland from eastern European countries have been reported, including people living with Human Immunodeficiency Virus (HIV). We have conducted multi-center, prospective study, which aimed to establish HIV-1 subtype and assess the presence of primary drug resistance mutations to nucleoside reverse transcriptase inhibitors, non-nucleoside reverse transcriptase inhibitors and protease inhibitors in antiretroviral treatment naïve patients. The clinical trial recruited 117 individuals during 2 years period (2020–2022). The prevalence of HIV-1 subtype A was statistically significantly more frequent in Ukrainian, and HIV-1 subtype B in Polish patients (p < 0.05). Drug resistance mutations were detected in 44% of all cases and the comparison of presence of mutations in the analyzed groups, as well as in the subgroups of subtype A and B HIV-1 has not revealed any significant differences (p > 0.05), nevertheless Polish patients had multidrug resistance mutations more frequent (p < 0.05). The results from our trial show no increased risk of transmission of multidrug resistant HIV strains in our cohort of Ukrainian migrants. Clinical trials. Gov number NCT04636736; date of registration: November 19, 2020. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index