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Brief Report: HIV Drug Resistance in Adults Failing Early Antiretroviral Treatment: Results from the HIV Prevention Trials Network 052 Trial: HIV Drug Resistance in Adults Failing Early Antiretroviral Treatment: Results from the HIV Prevention Trials Network 052 Trial

  • Jessica M. Fogel
  • , Sarah E. Hudelson
  • , San San Ou
  • , Stephen Hart
  • , Carole Wallis
  • , Mariza G. Morgado
  • , Shanmugam Saravanan
  • , Srikanth Tripathy
  • , Laura Hovind
  • , Estelle Piwowar-Manning
  • , Devin Sabin
  • , Marybeth McCauley
  • , Theresa Gamble
  • , Xinyi C. Zhang
  • , Joseph J. Eron
  • , Joel E. Gallant
  • , Johnstone Kumwenda
  • , Joseph Makhema
  • , Nagalingeswaran Kumarasamy
  • , Suwat Chariyalertsak
  • James Hakim, Sharlaa Badal-Faesen, Victor Akelo, Mina C. Hosseinipour, Breno R. Santos, Sheela V. Godbole, Jose H. Pilotto, Beatriz Grinsztejn, Ravindre Panchia, Kenneth H. Mayer, Ying Q. Chen, Myron S. Cohen, Susan H. Eshleman
  • Johns Hopkins University
  • Fred Hutchinson Cancer Research Center
  • Frontier Science & Technology Research Foundation
  • Lancet Laboratories
  • Fundação Oswaldo Cruz
  • Y.R. Gaitonde Centre for AIDS Research and Education
  • National Jalma Institute of Leprosy and Other Mycobacterial Diseases
  • FHI 360
  • University of North Carolina at Chapel Hill
  • Southwest CARE Center
  • University of Malawi
  • Botswana-Harvard AIDS Institute Partnership
  • VHS Medical Centre India
  • Chiang Mai University
  • University of Zimbabwe
  • University of the Witwatersrand
  • Kenya Medical Research Institute
  • Hospital Nossa Senhora da Conceição
  • Indian Council of Medical Research
  • Hospital Geral de Nova Iguacu and Laboratorio de AIDS e Imunologia Molecular-IOC/Fiocruz
  • Fenway Community Health Center
  • Harvard University

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)

Abstract

Early initiation of antiretroviral treatment (ART) reduces HIV transmission and has health benefits. HIV drug resistance can limit treatment options and compromise use of ART for HIV prevention. We evaluated drug resistance in 85 participants in the HIV Prevention Trials Network 052 trial who started ART at CD4 counts of 350-550 cells per cubic millimeter and failed ART by May 2011; 8.2% had baseline resistance and 35.3% had resistance at ART failure. High baseline viral load and less education were associated with emergence of resistance at ART failure. Resistance at ART failure was observed in 7 of 8 (87.5%) participants who started ART at lower CD4 cell counts.
Original languageEnglish
Pages (from-to)304-309
Number of pages6
JournalJournal of Acquired Immune Deficiency Syndromes (1999)
Volume72
Issue number3
DOIs
Publication statusPublished - 1 Jul 2016
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • ART failure
  • early ART
  • HIV
  • HPTN 052
  • resistance

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