4.7 Article

Prediction of HIV Drug Resistance Based on Virologic, Immunologic, Clinical, and/or Adherence Criteria in the Stratall ANRS 12110/ESTHER Trial in Cameroon

Journal

CLINICAL INFECTIOUS DISEASES
Volume 57, Issue 4, Pages 604-607

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1093/cid/cit323

Keywords

HIV; Africa; resistance; switch; failure

Funding

  1. French National Agency for Research on AIDS and Viral Hepatitis [ANRS 12110]
  2. Ensemble pour une Solidarite Therapeutique Hospitaliere En Reseau (ESTHER)

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Our study in Cameroonian rural district hospitals showed that the immunologic and clinical failure criteria had poor performance to identify human immunodeficiency virus drug resistance in a timely manner. Switching to second-line antiretroviral therapy after 2 consecutive viral loads >= 5000 copies/mL, as recommended by the World Health Organization, appeared to be the most appropriate strategy.

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