Transmission of Drug-Resistant HIV-1 Is Stabilizing in Europe

The SPREAD Programme investigated prospectively the time trend from September 2002 through December 2005 of transmitted drug resistance (TDR) among 2793 patients in 20 European countries and in Israel with newly diagnosed human immunodeficiency virus type 1 (HIV-1) infection. The overall prevalence...

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Veröffentlicht in:The Journal of infectious diseases 2009-11, Vol.200 (10), p.1503-1508
Hauptverfasser: Vercauteren, Jurgen, Wensing, Annemarie M. J., van de Vijver, David A. M. C., Albert, Jan, Balotta, Claudia, Hamouda, Osamah, Kücherer, Claudia, Struck, Daniel, Schmit, Jean-Claude, Åsjö, Birgitta, Bruckova, Marie, Camacho, Ricardo J., Clotet, Bonaventura, Coughlan, Suzie, Grossman, Zehava, Horban, Andrzej, Korn, Klaus, Kostrikis, Leondios, Nielsen, Claus, Paraskevis, Dimitrios, Poljak, Mario, Puchhammer-Stöckl, Elisabeth, Riva, Chiara, Ruiz, Lidia, Salminen, Mika, Schuurman, Rob, Sonnerborg, Anders, Stanekova, Danica, Stanojevic, Maja, Vandamme, Anne-Mieke, Boucher, Charles A. B.
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container_end_page 1508
container_issue 10
container_start_page 1503
container_title The Journal of infectious diseases
container_volume 200
creator Vercauteren, Jurgen
Wensing, Annemarie M. J.
van de Vijver, David A. M. C.
Albert, Jan
Balotta, Claudia
Hamouda, Osamah
Kücherer, Claudia
Struck, Daniel
Schmit, Jean-Claude
Åsjö, Birgitta
Bruckova, Marie
Camacho, Ricardo J.
Clotet, Bonaventura
Coughlan, Suzie
Grossman, Zehava
Horban, Andrzej
Korn, Klaus
Kostrikis, Leondios
Nielsen, Claus
Paraskevis, Dimitrios
Poljak, Mario
Puchhammer-Stöckl, Elisabeth
Riva, Chiara
Ruiz, Lidia
Salminen, Mika
Schuurman, Rob
Sonnerborg, Anders
Stanekova, Danica
Stanojevic, Maja
Vandamme, Anne-Mieke
Boucher, Charles A. B.
description The SPREAD Programme investigated prospectively the time trend from September 2002 through December 2005 of transmitted drug resistance (TDR) among 2793 patients in 20 European countries and in Israel with newly diagnosed human immunodeficiency virus type 1 (HIV-1) infection. The overall prevalence of TDR was 8.4% (225 of 2687 patients; 95% confidence interval [CI], 7.4%–9.5%), the prevalence of nucleoside reverse-transcriptase inhibitor (NRTI) resistance was 4.7% (125 of 2687 patients; 95% CI, 3.9%–5.5%), the prevalence of nonucleoside reverse-transcriptase inhibitor (NNRTI) resistance was 2.3% (62 of 2687 patients; 95% CI, 1.8%–2.9%), and the prevalence of protease inhibitor (PI) resistance was 2.9% (79 of 2687 patients; 95% CI, 2.4%–3.6%). There was no time trend in the overall TDR or in NRTI resistance, but there was a statistically significant decrease in PI resistance (P=.04) and in NNRTI resistance after an initial increase (P=.02). We found that TDR appears to be stabilizing in Europe, consistent with recent reports of decreasing drug resistance and improved viral suppression in patients treated for HIV-1 infection
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B.</creatorcontrib><title>Transmission of Drug-Resistant HIV-1 Is Stabilizing in Europe</title><title>The Journal of infectious diseases</title><addtitle>The Journal of Infectious Diseases</addtitle><addtitle>The Journal of Infectious Diseases</addtitle><description>The SPREAD Programme investigated prospectively the time trend from September 2002 through December 2005 of transmitted drug resistance (TDR) among 2793 patients in 20 European countries and in Israel with newly diagnosed human immunodeficiency virus type 1 (HIV-1) infection. 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Psychology</subject><subject>Grants</subject><subject>HIV</subject><subject>HIV 1</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - transmission</subject><subject>HIV-1 - drug effects</subject><subject>HIV-1 - genetics</subject><subject>HIV/AIDS</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Memory interference</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Prevalence</subject><subject>Reverse Transcriptase Inhibitors - therapeutic use</subject><subject>Statistical significance</subject><subject>Virology</subject><subject>Viruses</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNp10U1vFCEABmBibOxa9R9opgd7G-Wb4eDB1Opu3Ghi60d6IcBCQzs7TGEmrf310sxk9-QJAk9e4AWAVwi-Q7Dh7zmlDLInYIEYETXniDwFCwgxrlEj5SF4nvM1hJASLp6BQyQbwqhoFuDDRdJd3oacQ-yq6KtPabyqf7gc8qC7oVquftWoWuXqfNAmtOEhdFdV6KqzMcXevQAHXrfZvZzHI_Dz89nF6bJef_-yOv24ri3DcqiNxV4I0XgrOWacc2c85o2TmiJjtHcbT6Ej1jWO841FG88QNwZJBgWWlpIjUE-5-c71o1F9Clud_qqog5qXbsrMKcYYIaz4k8n3Kd6OLg-qvNC6ttWdi2NW5QqElzr20KaYc3J-F42geixWTcUW-GZOHM3WbfZsbrKAtzPQ2erWl1ptyDuHMcJIUlHc8eTi2P__sNeTuc5DTPsMISTFUuzrKJ_k7nf7Ot0oLohgavnnUn1dX_7G3yhW5-Qfpc6hhg</recordid><startdate>20091115</startdate><enddate>20091115</enddate><creator>Vercauteren, Jurgen</creator><creator>Wensing, Annemarie M. 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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection; SWEPUB Freely available online
subjects Adult
Antiretrovirals
Biological and medical sciences
Disease transmission
Drug resistance
Drug Resistance, Viral
Europe - epidemiology
Female
Fundamental and applied biological sciences. Psychology
Grants
HIV
HIV 1
HIV Infections - drug therapy
HIV Infections - epidemiology
HIV Infections - transmission
HIV-1 - drug effects
HIV-1 - genetics
HIV/AIDS
Humans
Infections
Infectious diseases
Male
Medical sciences
Memory interference
Microbiology
Middle Aged
Miscellaneous
Prevalence
Reverse Transcriptase Inhibitors - therapeutic use
Statistical significance
Virology
Viruses
title Transmission of Drug-Resistant HIV-1 Is Stabilizing in Europe
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