Patterns of transmitted HIV drug resistance in Europe vary by risk group

Background: In Europe, a continuous programme (SPREAD) has been in place for ten years to study transmission of drug resistant HIV. We analysed time trends of transmitted drug resistance mutations (TDRM) in relation to the risk behaviour reported. Methods: HIV-1 patients newly diagnosed in 27 countr...

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Hauptverfasser: Frentz, Dineke, van de Vijver, David A, Abecasis, Ana B, Albert, Jan, Hamouda, Osamah, Jørgensen, Louise B, Kücherer, Claudia, Struck, Daniel, Schmit, Jean-Claude, Vercauteren, Jürgen, Åsjø, Birgitta, Balotta, Claudia, Bergin, Colm, Beshkov, Danail, Camacho, Ricardo, Clotet, Bonaventura, Griskevicius, Algirdas, Grossman, Zehava, Horban, Andrzej, Kolupajeva, Tatjana, Korn, Klaus, Kostrikis, Leondios, Linka, Kirsi Litsola Marek, Nielsen, Claus, Otelea, Dan, Paraskevis, Dimitrios, Paredes, Roger, Poljak, Mario, Puchhammer-Stöckl, Elisabeth, Sönnerborg, Anders, Stanekova, Danica, Stanojevic, Maja, Vandamme, Anne-Mieke, Boucher, Charles A.B, Wensing, Annemarie
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creator Frentz, Dineke
van de Vijver, David A
Abecasis, Ana B
Albert, Jan
Hamouda, Osamah
Jørgensen, Louise B
Kücherer, Claudia
Struck, Daniel
Schmit, Jean-Claude
Vercauteren, Jürgen
Åsjø, Birgitta
Balotta, Claudia
Bergin, Colm
Beshkov, Danail
Camacho, Ricardo
Clotet, Bonaventura
Griskevicius, Algirdas
Grossman, Zehava
Horban, Andrzej
Kolupajeva, Tatjana
Korn, Klaus
Kostrikis, Leondios
Linka, Kirsi Litsola Marek
Nielsen, Claus
Otelea, Dan
Paraskevis, Dimitrios
Paredes, Roger
Poljak, Mario
Puchhammer-Stöckl, Elisabeth
Sönnerborg, Anders
Stanekova, Danica
Stanojevic, Maja
Vandamme, Anne-Mieke
Boucher, Charles A.B
Wensing, Annemarie
description Background: In Europe, a continuous programme (SPREAD) has been in place for ten years to study transmission of drug resistant HIV. We analysed time trends of transmitted drug resistance mutations (TDRM) in relation to the risk behaviour reported. Methods: HIV-1 patients newly diagnosed in 27 countries from 2002 through 2007 were included. Inclusion was representative for risk group and geographical distribution in the participating countries in Europe. Trends over time were calculated by logistic regression. Results: From the 4317 patients included, the majority was men-having-sex-with-men -MSM (2084, 48%), followed by heterosexuals (1501, 35%) and injection drug users (IDU) (355, 8%). MSM were more often from Western Europe origin, infected with subtype B virus, and recently infected (
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We analysed time trends of transmitted drug resistance mutations (TDRM) in relation to the risk behaviour reported. Methods: HIV-1 patients newly diagnosed in 27 countries from 2002 through 2007 were included. Inclusion was representative for risk group and geographical distribution in the participating countries in Europe. Trends over time were calculated by logistic regression. Results: From the 4317 patients included, the majority was men-having-sex-with-men -MSM (2084, 48%), followed by heterosexuals (1501, 35%) and injection drug users (IDU) (355, 8%). MSM were more often from Western Europe origin, infected with subtype B virus, and recently infected (&lt;1 year) (p&lt;0.001). The prevalence of TDRM was highest in MSM (prevalence of 11.1%), followed by heterosexuals (6.6%) and IDU (5.1%, p,0.001). TDRM was predominantly ascribed to nucleoside reverse transcriptase inhibitors (NRTI) with a prevalence of 6.6% in MSM, 3.3% in heterosexuals and 2.0% in IDU (p = 0.001). A significant increase in resistance to non- nucleoside reverse transcriptase inhibitors (NNRTIs) and a decrease in resistance to protease inhibitors was observed in MSM (p = 0.008 and p = 0.006, respectively), but not in heterosexual patients (p = 0.68 and p = 0.14, respectively). Conclusions: MSM showed to have significantly higher TDRM prevalence compared to heterosexuals and IDU. The increasing NNRTI resistance in MSM is likely to negatively influence the therapy response of first-line therapy, as most include NNRTI drugs.</description><language>eng</language><publisher>PLoS</publisher><creationdate>2014</creationdate><rights>info:eu-repo/semantics/openAccess</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,776,881,26544</link.rule.ids><linktorsrc>$$Uhttp://hdl.handle.net/1956/9690$$EView_record_in_NORA$$FView_record_in_$$GNORA$$Hfree_for_read</linktorsrc></links><search><creatorcontrib>Frentz, Dineke</creatorcontrib><creatorcontrib>van de Vijver, David A</creatorcontrib><creatorcontrib>Abecasis, Ana B</creatorcontrib><creatorcontrib>Albert, Jan</creatorcontrib><creatorcontrib>Hamouda, Osamah</creatorcontrib><creatorcontrib>Jørgensen, Louise B</creatorcontrib><creatorcontrib>Kücherer, Claudia</creatorcontrib><creatorcontrib>Struck, Daniel</creatorcontrib><creatorcontrib>Schmit, Jean-Claude</creatorcontrib><creatorcontrib>Vercauteren, Jürgen</creatorcontrib><creatorcontrib>Åsjø, Birgitta</creatorcontrib><creatorcontrib>Balotta, Claudia</creatorcontrib><creatorcontrib>Bergin, Colm</creatorcontrib><creatorcontrib>Beshkov, Danail</creatorcontrib><creatorcontrib>Camacho, Ricardo</creatorcontrib><creatorcontrib>Clotet, Bonaventura</creatorcontrib><creatorcontrib>Griskevicius, Algirdas</creatorcontrib><creatorcontrib>Grossman, Zehava</creatorcontrib><creatorcontrib>Horban, Andrzej</creatorcontrib><creatorcontrib>Kolupajeva, Tatjana</creatorcontrib><creatorcontrib>Korn, Klaus</creatorcontrib><creatorcontrib>Kostrikis, Leondios</creatorcontrib><creatorcontrib>Linka, Kirsi Litsola Marek</creatorcontrib><creatorcontrib>Nielsen, Claus</creatorcontrib><creatorcontrib>Otelea, Dan</creatorcontrib><creatorcontrib>Paraskevis, Dimitrios</creatorcontrib><creatorcontrib>Paredes, Roger</creatorcontrib><creatorcontrib>Poljak, Mario</creatorcontrib><creatorcontrib>Puchhammer-Stöckl, Elisabeth</creatorcontrib><creatorcontrib>Sönnerborg, Anders</creatorcontrib><creatorcontrib>Stanekova, Danica</creatorcontrib><creatorcontrib>Stanojevic, Maja</creatorcontrib><creatorcontrib>Vandamme, Anne-Mieke</creatorcontrib><creatorcontrib>Boucher, Charles A.B</creatorcontrib><creatorcontrib>Wensing, Annemarie</creatorcontrib><title>Patterns of transmitted HIV drug resistance in Europe vary by risk group</title><description>Background: In Europe, a continuous programme (SPREAD) has been in place for ten years to study transmission of drug resistant HIV. We analysed time trends of transmitted drug resistance mutations (TDRM) in relation to the risk behaviour reported. Methods: HIV-1 patients newly diagnosed in 27 countries from 2002 through 2007 were included. Inclusion was representative for risk group and geographical distribution in the participating countries in Europe. Trends over time were calculated by logistic regression. Results: From the 4317 patients included, the majority was men-having-sex-with-men -MSM (2084, 48%), followed by heterosexuals (1501, 35%) and injection drug users (IDU) (355, 8%). MSM were more often from Western Europe origin, infected with subtype B virus, and recently infected (&lt;1 year) (p&lt;0.001). The prevalence of TDRM was highest in MSM (prevalence of 11.1%), followed by heterosexuals (6.6%) and IDU (5.1%, p,0.001). TDRM was predominantly ascribed to nucleoside reverse transcriptase inhibitors (NRTI) with a prevalence of 6.6% in MSM, 3.3% in heterosexuals and 2.0% in IDU (p = 0.001). A significant increase in resistance to non- nucleoside reverse transcriptase inhibitors (NNRTIs) and a decrease in resistance to protease inhibitors was observed in MSM (p = 0.008 and p = 0.006, respectively), but not in heterosexual patients (p = 0.68 and p = 0.14, respectively). Conclusions: MSM showed to have significantly higher TDRM prevalence compared to heterosexuals and IDU. The increasing NNRTI resistance in MSM is likely to negatively influence the therapy response of first-line therapy, as most include NNRTI drugs.</description><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>3HK</sourceid><recordid>eNrjZPAISCwpSS3KK1bIT1MoKUrMK87NBAqkKHh4himkFJWmKxSlFmcWlyTmJacqZOYpuJYW5RekKpQlFlUqJFUqFGUWZyukF-WXFvAwsKYl5hSn8kJpbgZZN9cQZw_dZKCaksy8-Lz8osR4Q0tTs3hLM0sDY0LyAO31MiQ</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Frentz, Dineke</creator><creator>van de Vijver, David A</creator><creator>Abecasis, Ana B</creator><creator>Albert, Jan</creator><creator>Hamouda, Osamah</creator><creator>Jørgensen, Louise B</creator><creator>Kücherer, Claudia</creator><creator>Struck, Daniel</creator><creator>Schmit, Jean-Claude</creator><creator>Vercauteren, Jürgen</creator><creator>Åsjø, Birgitta</creator><creator>Balotta, Claudia</creator><creator>Bergin, Colm</creator><creator>Beshkov, Danail</creator><creator>Camacho, Ricardo</creator><creator>Clotet, Bonaventura</creator><creator>Griskevicius, Algirdas</creator><creator>Grossman, Zehava</creator><creator>Horban, Andrzej</creator><creator>Kolupajeva, Tatjana</creator><creator>Korn, Klaus</creator><creator>Kostrikis, Leondios</creator><creator>Linka, Kirsi Litsola Marek</creator><creator>Nielsen, Claus</creator><creator>Otelea, Dan</creator><creator>Paraskevis, Dimitrios</creator><creator>Paredes, Roger</creator><creator>Poljak, Mario</creator><creator>Puchhammer-Stöckl, Elisabeth</creator><creator>Sönnerborg, Anders</creator><creator>Stanekova, Danica</creator><creator>Stanojevic, Maja</creator><creator>Vandamme, Anne-Mieke</creator><creator>Boucher, Charles A.B</creator><creator>Wensing, Annemarie</creator><general>PLoS</general><scope>3HK</scope></search><sort><creationdate>2014</creationdate><title>Patterns of transmitted HIV drug resistance in Europe vary by risk group</title><author>Frentz, Dineke ; van de Vijver, David A ; Abecasis, Ana B ; Albert, Jan ; Hamouda, Osamah ; Jørgensen, Louise B ; Kücherer, Claudia ; Struck, Daniel ; Schmit, Jean-Claude ; Vercauteren, Jürgen ; Åsjø, Birgitta ; Balotta, Claudia ; Bergin, Colm ; Beshkov, Danail ; Camacho, Ricardo ; Clotet, Bonaventura ; Griskevicius, Algirdas ; Grossman, Zehava ; Horban, Andrzej ; Kolupajeva, Tatjana ; Korn, Klaus ; Kostrikis, Leondios ; Linka, Kirsi Litsola Marek ; Nielsen, Claus ; Otelea, Dan ; Paraskevis, Dimitrios ; Paredes, Roger ; Poljak, Mario ; Puchhammer-Stöckl, Elisabeth ; Sönnerborg, Anders ; Stanekova, Danica ; Stanojevic, Maja ; Vandamme, Anne-Mieke ; Boucher, Charles A.B ; Wensing, Annemarie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-cristin_nora_1956_96903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><toplevel>online_resources</toplevel><creatorcontrib>Frentz, Dineke</creatorcontrib><creatorcontrib>van de Vijver, David A</creatorcontrib><creatorcontrib>Abecasis, Ana B</creatorcontrib><creatorcontrib>Albert, Jan</creatorcontrib><creatorcontrib>Hamouda, Osamah</creatorcontrib><creatorcontrib>Jørgensen, Louise B</creatorcontrib><creatorcontrib>Kücherer, Claudia</creatorcontrib><creatorcontrib>Struck, Daniel</creatorcontrib><creatorcontrib>Schmit, Jean-Claude</creatorcontrib><creatorcontrib>Vercauteren, Jürgen</creatorcontrib><creatorcontrib>Åsjø, Birgitta</creatorcontrib><creatorcontrib>Balotta, Claudia</creatorcontrib><creatorcontrib>Bergin, Colm</creatorcontrib><creatorcontrib>Beshkov, Danail</creatorcontrib><creatorcontrib>Camacho, Ricardo</creatorcontrib><creatorcontrib>Clotet, Bonaventura</creatorcontrib><creatorcontrib>Griskevicius, Algirdas</creatorcontrib><creatorcontrib>Grossman, Zehava</creatorcontrib><creatorcontrib>Horban, Andrzej</creatorcontrib><creatorcontrib>Kolupajeva, Tatjana</creatorcontrib><creatorcontrib>Korn, Klaus</creatorcontrib><creatorcontrib>Kostrikis, Leondios</creatorcontrib><creatorcontrib>Linka, Kirsi Litsola Marek</creatorcontrib><creatorcontrib>Nielsen, Claus</creatorcontrib><creatorcontrib>Otelea, Dan</creatorcontrib><creatorcontrib>Paraskevis, Dimitrios</creatorcontrib><creatorcontrib>Paredes, Roger</creatorcontrib><creatorcontrib>Poljak, Mario</creatorcontrib><creatorcontrib>Puchhammer-Stöckl, Elisabeth</creatorcontrib><creatorcontrib>Sönnerborg, Anders</creatorcontrib><creatorcontrib>Stanekova, Danica</creatorcontrib><creatorcontrib>Stanojevic, Maja</creatorcontrib><creatorcontrib>Vandamme, Anne-Mieke</creatorcontrib><creatorcontrib>Boucher, Charles A.B</creatorcontrib><creatorcontrib>Wensing, Annemarie</creatorcontrib><collection>NORA - Norwegian Open Research Archives</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Frentz, Dineke</au><au>van de Vijver, David A</au><au>Abecasis, Ana B</au><au>Albert, Jan</au><au>Hamouda, Osamah</au><au>Jørgensen, Louise B</au><au>Kücherer, Claudia</au><au>Struck, Daniel</au><au>Schmit, Jean-Claude</au><au>Vercauteren, Jürgen</au><au>Åsjø, Birgitta</au><au>Balotta, Claudia</au><au>Bergin, Colm</au><au>Beshkov, Danail</au><au>Camacho, Ricardo</au><au>Clotet, Bonaventura</au><au>Griskevicius, Algirdas</au><au>Grossman, Zehava</au><au>Horban, Andrzej</au><au>Kolupajeva, Tatjana</au><au>Korn, Klaus</au><au>Kostrikis, Leondios</au><au>Linka, Kirsi Litsola Marek</au><au>Nielsen, Claus</au><au>Otelea, Dan</au><au>Paraskevis, Dimitrios</au><au>Paredes, Roger</au><au>Poljak, Mario</au><au>Puchhammer-Stöckl, Elisabeth</au><au>Sönnerborg, Anders</au><au>Stanekova, Danica</au><au>Stanojevic, Maja</au><au>Vandamme, Anne-Mieke</au><au>Boucher, Charles A.B</au><au>Wensing, Annemarie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of transmitted HIV drug resistance in Europe vary by risk group</atitle><date>2014</date><risdate>2014</risdate><abstract>Background: In Europe, a continuous programme (SPREAD) has been in place for ten years to study transmission of drug resistant HIV. We analysed time trends of transmitted drug resistance mutations (TDRM) in relation to the risk behaviour reported. Methods: HIV-1 patients newly diagnosed in 27 countries from 2002 through 2007 were included. Inclusion was representative for risk group and geographical distribution in the participating countries in Europe. Trends over time were calculated by logistic regression. Results: From the 4317 patients included, the majority was men-having-sex-with-men -MSM (2084, 48%), followed by heterosexuals (1501, 35%) and injection drug users (IDU) (355, 8%). MSM were more often from Western Europe origin, infected with subtype B virus, and recently infected (&lt;1 year) (p&lt;0.001). The prevalence of TDRM was highest in MSM (prevalence of 11.1%), followed by heterosexuals (6.6%) and IDU (5.1%, p,0.001). TDRM was predominantly ascribed to nucleoside reverse transcriptase inhibitors (NRTI) with a prevalence of 6.6% in MSM, 3.3% in heterosexuals and 2.0% in IDU (p = 0.001). A significant increase in resistance to non- nucleoside reverse transcriptase inhibitors (NNRTIs) and a decrease in resistance to protease inhibitors was observed in MSM (p = 0.008 and p = 0.006, respectively), but not in heterosexual patients (p = 0.68 and p = 0.14, respectively). Conclusions: MSM showed to have significantly higher TDRM prevalence compared to heterosexuals and IDU. The increasing NNRTI resistance in MSM is likely to negatively influence the therapy response of first-line therapy, as most include NNRTI drugs.</abstract><pub>PLoS</pub><oa>free_for_read</oa></addata></record>
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title Patterns of transmitted HIV drug resistance in Europe vary by risk group
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