Minority and majority pretreatment HIV-1 drug resistance associated with failure of first-line nonnucleoside reverse-transcriptase inhibitor antiretroviral therapy in Kenyan women.

Author: BeckIngrid A, ChungMichael H, CoombsRobert W, DengWenjie, DrossSandra, FrenkelLisa M, KiarieJames N, Mckernan-MullinJennifer, MilneRoss S, SakrSamah R, SibleyThomas R, SilvermanRachel A

Paper Details 
Original Abstract of the Article :
Among women initiating first-line nonnucleoside reverse-transcriptase inhibitor (NNRTI)-based-ART with and without a history of single-dose nevirapine (sdNVP) with or without zidovudine with or without lamivudine (ZDV with and without 3TC) for prevention of mother-to-child HIV transmission (PMTCT), ...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/30946148

データ提供:米国国立医学図書館(NLM)

HIV-1 Drug Resistance and First-Line Antiretroviral Therapy Failure

This research examines the impact of pre-treatment HIV-1 drug resistance on the effectiveness of first-line nonnucleoside reverse transcriptase inhibitor (NNRTI)-based antiretroviral therapy (ART) in Kenyan women. The study analyzes the presence of minority or majority drug-resistant variants in pre-ART samples and their association with virologic failure. The authors found that pre-treatment drug resistance, including a history of antiretrovirals for PMTCT, was significantly associated with virologic failure. The findings highlight the importance of incorporating drug resistance testing into routine clinical practice to optimize ART regimens and improve patient outcomes.

The Importance of Drug Resistance Testing

The research suggests that pre-treatment drug resistance testing is crucial for guiding ART regimens and improving treatment outcomes for individuals with HIV-1. This study emphasizes the need to integrate drug resistance testing into routine clinical practice to ensure optimal treatment strategies and prevent the development of drug resistance. This proactive approach is essential for improving patient outcomes and enhancing the effectiveness of ART.

Living with HIV

The research highlights the importance of adherence to prescribed ART regimens and regular monitoring of viral load for individuals with HIV-1. The authors emphasize the need for close collaboration between patients and healthcare professionals to ensure optimal management of HIV-1 and minimize the risk of treatment failure. Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and stress management, can contribute to overall well-being and potentially improve treatment outcomes.

Dr.Camel's Conclusion

This research is like a journey through a desert landscape, where the path to successful HIV-1 treatment is paved with careful considerations and proactive approaches. The authors' findings emphasize the significance of drug resistance testing and personalized treatment strategies. This study underscores the importance of continuous research and innovation in the fight against HIV-1, ensuring that patients receive the best possible care and have the opportunity to live healthy and fulfilling lives.

Date :
  1. Date Completed 2020-06-04
  2. Date Revised 2020-07-17
Further Info :

Pubmed ID

30946148

DOI: Digital Object Identifier

NIHMS1518633

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Languages

English

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