TY - JOUR
T1 - Declining prevalence of HIV-1 drug resistance in antiretroviral treatment-exposed individuals in Western Europe
AU - De Luca, Andrea
AU - Dunn, David
AU - Zazzi, Maurizio
AU - Camacho, Ricardo
AU - Torti, Carlo
AU - Fanti, Iuri
AU - Kaiser, Rolf
AU - Sönnerborg, Anders
AU - Codoñer, Francisco M.
AU - Van Laethem, Kristel
AU - Vandamme, Anne Mieke
AU - Bansi, Loveleen
AU - Ghisetti, Valeria
AU - Van De Vijver, David A M C
AU - Asboe, David
AU - Prosperi, Mattia C F
AU - Di Giambenedetto, Simona
PY - 2013/4/15
Y1 - 2013/4/15
N2 - HIV-1 drug resistance represents a major obstacle to infection and disease control. This retrospective study analyzes trends and determinants of resistance in antiretroviral treatment (ART)-exposed individuals across 7 countries in Europe. Of 20 323 cases, 80% carried at least one resistance mutation: these declined from 81% in 1997 to 71% in 2008. Predicted extensive 3-class resistance was rare (3.2% considering the cumulative genotype) and peaked at 4.5% in 2005, decreasing thereafter. The proportion of cases exhausting available drug options dropped from 32% in 2000 to 1% in 2008. Reduced risk of resistance over calendar years was confirmed by multivariable analysis. © 2013 The Author.
AB - HIV-1 drug resistance represents a major obstacle to infection and disease control. This retrospective study analyzes trends and determinants of resistance in antiretroviral treatment (ART)-exposed individuals across 7 countries in Europe. Of 20 323 cases, 80% carried at least one resistance mutation: these declined from 81% in 1997 to 71% in 2008. Predicted extensive 3-class resistance was rare (3.2% considering the cumulative genotype) and peaked at 4.5% in 2005, decreasing thereafter. The proportion of cases exhausting available drug options dropped from 32% in 2000 to 1% in 2008. Reduced risk of resistance over calendar years was confirmed by multivariable analysis. © 2013 The Author.
KW - antiretroviral therapy
KW - drug resistance
KW - epidemiology
KW - genotyping
KW - HIV-1
U2 - 10.1093/infdis/jit017
DO - 10.1093/infdis/jit017
M3 - Article
SN - 1537-6613
VL - 207
SP - 1216
EP - 1220
JO - Journal of Infectious Diseases
JF - Journal of Infectious Diseases
IS - 8
ER -