HIV MDR is still a relevant issue despite its dramatic drop over the years

Abstract Objectives To evaluate the prevalence and therapeutic relevance of drug resistance among isolates from ART-experienced HIV-1-infected patients over the past two decades in Italy. Methods Dynamics of resistance to one, two and three or more antiretroviral classes were evaluated from 1999–201...

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Veröffentlicht in:Journal of antimicrobial chemotherapy 2020-05, Vol.75 (5), p.1301-1310
Hauptverfasser: Armenia, D, Di Carlo, D, Flandre, P, Bouba, Y, Borghi, V, Forbici, F, Bertoli, A, Gori, C, Fabeni, L, Gennari, W, Pinnetti, C, Mondi, A, Cicalini, S, Gagliardini, R, Vergori, A, Bellagamba, R, Malagnino, V, Montella, F, Colafigli, M, Latini, A, Marocco, R, Licthner, M, Andreoni, M, Mussini, C, Ceccherini-Silberstein, F, Antinori, A, Perno, C F, Santoro, M M
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Sprache:eng
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Zusammenfassung:Abstract Objectives To evaluate the prevalence and therapeutic relevance of drug resistance among isolates from ART-experienced HIV-1-infected patients over the past two decades in Italy. Methods Dynamics of resistance to one, two and three or more antiretroviral classes were evaluated from 1999–2018. Virological success (VS) after the latest therapy switch was evaluated according to cumulative class resistance and cumulative genotypic susceptibility score (Stanford HIV_DB algorithm). Results Among 13 663 isolates (from 6739 patients), resistance to at least one drug class decreased sharply from 1999 to 2010 (≤2001, 84.6%; 2010, 43.6%; P 
ISSN:0305-7453
1460-2091
DOI:10.1093/jac/dkz554