Prevalence and factors associated with HIV-1 multi-drug resistance over the past two decades in the Italian ARCA database

Autor: Lombardi, F, Giacomelli, A, Armenia, D, Lai, A, Dusina, A, Bezenchek, A, Timelli, L, Saladini, F, Vichi, F, Corsi, P, Colao, G, Bruzzone, B, Gagliardini, R, Callegaro, A, Castagna, A, Santoro, Mm, ARCA Study, Group.
Přispěvatelé: Lombardi, Francesca, Giacomelli, Andrea, Armenia, Daniele, Lai, Alessia, Dusina, Alex, Bezenchek, Antonia, Timelli, Laura, Saladini, Francesco, Vichi, Francesca, Corsi, Paola, Colao, Grazia, Bruzzone, Bianca, Gagliardini, Roberta, Callegaro, Annapaola, Castagna, Antonella, Santoro, Maria Mercedes
Jazyk: angličtina
Rok vydání: 2021
Předmět:
0301 basic medicine
Male
Enfuvirtide
Drug Resistance
HIV Infections
Drug resistance
medicine.disease_cause
computer.software_genre
Settore MED/07
chemistry.chemical_compound
0302 clinical medicine
Risk Factors
Antiretroviral Therapy
Highly Active

Pharmacology (medical)
030212 general & internal medicine
Viral
Database
Coinfection
virus diseases
General Medicine
Hepatitis B
Infectious Diseases
Italy
Reverse Transcriptase Inhibitors
Female
Multiple
Cohort study
medicine.drug
Microbiology (medical)
Adult
Genotyping
Anti-HIV Agents
Hepatitis C virus
030106 microbiology
Antiretroviral Therapy
Lower risk
Settore MED/17 - MALATTIE INFETTIVE
03 medical and health sciences
Drug Resistance
Multiple
Viral

medicine
HIV-1
Multi-drug resistance
Cumulative genotypic resistance test
Acquired drug resistance
Humans
Highly Active
HIV Integrase Inhibitors
Maraviroc
Retrospective Studies
Hepatitis B virus
business.industry
Retrospective cohort study
HIV Protease Inhibitors
CD4 Lymphocyte Count
chemistry
business
computer
Popis: Despite successful antiretroviral therapy (ART), patients infected with human immunodeficiency virus (HIV) can develop multi-class drug resistance (MDR). This retrospective study aimed to explore the prevalence of HIV-1 drug resistance over the past two decades by focusing on HIV-MDR and its predictors. ART-experienced patients with HIV with results from at least one plasma genotypic resistance test (GRT) from 1998 to 2018, from the Antiviral Response Cohort Analysis database, were included in this study. The temporal trend of resistance to any drug class was evaluated by considering all GRTs. Prevalence and predictors of HIV-MDR were analysed by consideration of cumulative GRTs. Among 15 628 isolates from 6802 patients, resistance to at least one drug class decreased sharply from 1998 to 2010 (1998-2001: 78%; 2008-2010: 59%; P
Databáze: OpenAIRE