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You searched for: drug resistance in HIV/AIDS
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Prevalence and Predictors of Triple-Class Drug Resistance
- May 7, 2007
- Helmut Albrecht, MD
- HIV/AIDS
The development of triple-class resistance is rare in patients who initiate antiretroviral therapy with a regimen that includes either a potent NNRTI or a boosted PI.- Reviewing:
- Napravnik S et al., AIDS 2007 Apr 23; 21:825-34.
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Transmitted HIV-Drug Resistance in Adolescents
- November 27, 2006
- Paul E. Sax, MD
- HIV/AIDS
In a small nationwide survey in the U.S., a striking 18% of recently infected adolescents had genotypic evidence of transmitted drug resistance.- Reviewing:
- Viani RM et al., J Infect Dis 2006 Dec 1; 194:1505-9.
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Report from the XVIII International HIV Drug Resistance Workshop Free
- August 24, 2009
- Daniel R. Kuritzkes, MD
- HIV/AIDS
An expert's take on the most clinically relevant reports from this year's resistance meeting -
HIV Drug Resistance in Resource-Constrained Settings
- September 15, 2008
- Carlos del Rio, MD
- HIV/AIDS
Five to ten percent of treatment-naive patients in these settings have primary drug resistance, according to data presented at the 2008 International AIDS Conference. -
Transmitted HIV Drug Resistance in Pregnant Women
- October 22, 2007
- Sonia Nagy Chimienti, MD
- HIV/AIDS
Data from the Women and Infants Transmission Study reinforce the importance of genotypic resistance testing in treatment-naive HIV-infected pregnant women.- Reviewing:
- Paredes R et al., AIDS 2007 Oct 1; 21:2103.
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Report from the XVI International HIV Drug Resistance Workshop Free
- July 9, 2007
- Daniel R. Kuritzkes, MD
- HIV/AIDS
An expert’s take on the most clinically relevant findings from this year’s resistance meeting -
HIV Drug Resistance in Europe
- September 28, 2005
- Charles B. Hicks, MD
- HIV/AIDS
Two new studies suggest that 10% of treatment-naive patients in Europe — and 20% of treated patients in the U.K. specifically — have resistance to HIV drugs.- Reviewing:
- Wensing AMJ et al., J Infect Dis 2005 Sep 15; 192:958-66. UK Collaborative Group on HIV Drug Resistance., J Infect Dis 2005 Sep 15; 192:967-73.
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Highly Sensitive Resistance Testing: Relevant, but Ready for the Clinic?
- August 25, 2008
- Charles B. Hicks, MD
- HIV/AIDS
Low-frequency mutations are relatively common among treatment-naive patients and seem to influence outcome, but the more-sensitive assays to detect them aren’t yet ready for clinical use.- Reviewing:
- Johnson JA et al., PLoS Med 2008 Jul 29; 5:e158.
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Transmitted Resistance Among Newly HIV-Infected Patients: Has It Peaked?
- May 21, 2007
- Charles B. Hicks, MD
- HIV/AIDS
A comprehensive report from the U.K. indicates a recent decline in the rate of transmitted drug resistance.- Reviewing:
- UK Collaborative Group on HIV Drug Resistance., AIDS 2007 May 11; 21:1035-9.
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Treatment + Ongoing Viremia = More Resistance
- April 23, 2007
- Paul E. Sax, MD
- HIV/AIDS
Despite stable CD4-cell counts and viral loads, patients with detectable viremia on antiretroviral therapy accumulate resistance mutations and lose future treatment options.- Reviewing:
- Cozzi-Lepri A et al., AIDS 2007 Mar 30; 21:721-32.
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Transmitted Resistance in the CASCADE Collaboration
- January 4, 2006
- Charles B. Hicks, MD
- HIV/AIDS
Transmitted HIV-drug resistance appears to have increased over time in a large cohort from Europe and Canada, but what actually constitutes significant antiretroviral drug resistance?- Reviewing:
- Masquelier B et al., J Acquir Immune Defic Syndr 2005 Dec 15; 40:505-11.
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Detectable Viremia on Treatment: How Fast Does Resistance Accumulate?
- October 12, 2005
- Paul E. Sax, MD
- HIV/AIDS
In a cohort of patients with extensive treatment experience and stable CD4-cell counts, genotypic resistance emerged slowly over a median follow-up of 9 months.- Reviewing:
- Napravnik S et al., J Acquir Immune Defic Syndr 2005 Sep 1; 40:34-40.
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New Resistance Mutations Seen During Treatment Interruption
- October 12, 2005
- Keith Henry, MD
- HIV/AIDS
Approximately one quarter of patients developed resistance mutations during treatment interruption; the rate was particularly high (50%) among those on NNRTI-based regimens.- Reviewing:
- Arnedo-Valero M et al., Clin Infect Dis 2005 Sep 15; 41:883-90.
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Viral "Blips": Don't Worry, Be Happy
- March 21, 2005
- Carlos del Rio, MD
- HIV/AIDS
A small, but well-designed study suggests that blips <200 copies/mL are the result of normal statistical variation and don't cause or prefigure resistance.- Reviewing:
- Nettles RE et al., JAMA 2005 Feb 16; 293:817-29.
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Too Many Options? Free
- January 12, 2009
- HIV/AIDS
We asked three experts which antiretroviral regimen they would recommend next for a patient with triple-class resistance and low-level viremia — and got three different answers. -
Expect NNRTI Resistance Even After Staggered Drug Discontinuation
- October 10, 2008
- Abigail Zuger, MD
- HIV/AIDS
Even when components of an NNRTI-based regimen were stopped in a staggered fashion, NNRTI resistance emerged in 20% of patients.- Reviewing:
- Hare CB et al., Clin Infect Dis 2008 Aug 1; 47:421.
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What Happens When PEP or PrEP Fails?
- September 29, 2008
- Raphael J. Landovitz, MD
- HIV/AIDS
A case report provides at least some reassurance that failure of antiretroviral prophylaxis does not necessarily result in drug resistance.- Reviewing:
- Prada N et al., J Acquir Immune Defic Syndr 2008 Sep 2;:
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Updated Antiretroviral Treatment Guidelines from DHHS and EACS Free
- December 10, 2007
- Carlos del Rio, MD
- HIV/AIDS
The latest guidelines include new recommendations on resistance testing, earlier initiation of therapy, and use of HLA B*5701 testing in patients considering abacavir. -
Darunavir and Genotypic Resistance — An Ongoing Story
- October 15, 2007
- Charles B. Hicks, MD
- HIV/AIDS
Most patients with a history of PI treatment probably harbor virus that is susceptible to darunavir.- Reviewing:
- Mitsuya Y et al., J Infect Dis 2007 Oct 15;: Haubrich R., J Infect Dis 2007 Oct 15;:
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Entecavir in HIV/HBV Coinfection: Possible Resistance When Used Alone Free
- March 5, 2007
- Paul E. Sax, MD
- HIV/AIDS
Entecavir, a drug previously thought to have exclusive HBV activity, has now been shown to have anti-HIV activity and hence potentially to select for HIV resistance if not given with concomitant antiretroviral therapy.
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