The combination of pill count and self-reported adherence is a strong predictor of first-line ART failure for adults in South Africa.

Abstract:

BACKGROUND:Suboptimal adherence to antiretroviral therapy (ART) is a strong predictor of virologic failure (VF) among people with HIV. Various methods such as patient self-report, pill counts and pharmacy refills have been utilized to monitor adherence. However, there are limited data on the accuracy of combining methods to better predict VF in routine clinical settings. We examined various methods to assess adherence including pill count, medication possession ratio (MPR), and self-reported adherence in order to determine which was most highly associated with VF after > 6 months on ART. METHODS:We conducted a secondary analysis of data from a case-control study. At enrollment, pharmacy refill data were collected retrospectively from the medical chart, pill counts were completed to derive a pill count adherence ratio (PCAR) and a self-report questionnaire was administered to all participants. Parametric smooth splines and receiver operator characteristic (ROC) analyses were carried out to assess the accuracy of the adherence methods. RESULTS:458 patients were enrolled from October 2010 to June 2012. Of these, 158 (34.50%) experienced VF (cases) and 300 (65.50%) were controls. The median (IQR) PCAR was 1.10 (0.99-1.14) for cases and 1.13 (1.08-1.18) for controls (p < 0.0001). The median MPR was 1.00 (0.97-1.07) for cases and 1.03 (0.96-1.07) for controls (p = 0.83). Combination of PCAR and self-reported questions was highly associated with VF. CONCLUSION:In this setting, a combination of pill count adherence and self-report adherence questions had the highest diagnostic accuracy for VF. Further validation of this simple, low-cost combination is warranted in large prospective studies.

journal_name

Curr HIV Res

journal_title

Current HIV research

authors

Wu P,Johnson BA,Nachega JB,Wu B,Ordonez CE,Hare AQ,Kearns R,Murphy R,Sunpath H,Marconi VC

doi

10.2174/1570162x1205141121102501

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

366-75

issue

5

eissn

1570-162X

issn

1873-4251

pii

CHR-63500

journal_volume

12

pub_type

杂志文章
  • Polyfunctional CD8+ T-Cell Response to Autologous Peptides from Protease and Reverse Transcriptase of HIV-1 Clade B.

    abstract:BACKGROUND:The diversity of the HIV proteome influences the cellular response and development of an effective vaccine, particularly due to the generation of viral variants with mutations located within CD8+ T-cell epitopes. These mutations can affect the recognition of the epitopes, that may result in the selection of ...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X17666191017105910

    authors: Acevedo-Saenz L,Perdomo-Celis F,Montoya CJ,Velilla PA

    更新日期:2019-01-01 00:00:00

  • Comparative Genetic Variability in HIV-1 Subtype C vpu Gene in Early Age Groups of Infants.

    abstract:OBJECTIVE:Identifying the genetic variability in vertically transmitted viruses in early infancy is important to understand the disease progression. Being important in HIV-1 disease pathogenesis, vpu gene, isolated from young infants was investigated to understand the viral characteristics. METHOD:Blood samples were o...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X16666180219154601

    authors: Sharma U,Gupta P,Gupta S,Venkatesh S,Husain M

    更新日期:2018-01-01 00:00:00

  • A case for innate immune effector mechanisms as contributors to disease resistance in SIV-infected sooty mangabeys.

    abstract::Natural or experimental infection of the African sooty mangabey (SM) with the simian immunodeficiency virus (SIV) results in chronic high levels of virus replication but is associated with none of the debilitating immunopathology, including the marked CD4 T-cell depletion, persistent cell activation and acquired immun...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016209787048465

    authors: Pereira LE,Ansari AA

    更新日期:2009-01-01 00:00:00

  • Genetic Diversity and Drug Resistance of HIV-1 CRF55_01B in Guangdong, China.

    abstract:BACKGROUND:HIV-1 CRF55_01B was first reported in 2013. At present, no report is available regarding this new clade's polymorphisms in its functionally critical regions protease and reverse transcriptase. OBJECTIVE:To identify the diversity difference in protease and reverse transcriptase between CRF55_01B and its pare...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X18666200415140652

    authors: Yu G,Li Y,Huang X,Zhou P,Yan J,Yan X,Fu X,Fang Y,Liu J,Li J,He X,Lin P

    更新日期:2020-01-01 00:00:00

  • Prediction of CD4+ Cells Counts in HIV/AIDS Patients based on Sets and Probability Theories.

    abstract:BACKGROUND:Previous studies have developed methodologies for predicting the number of CD4+ cells from the total leukocyte and lymphocytes count based on mathematical methodologies, obtaining percentages of effectiveness prediction higher than 90% with a value of less than 5000 leukocytes. OBJECTIVE:To improve the meth...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X17666190306125819

    authors: Rodriguez J,Prieto S,Correa C,Melo M,Dominguez D,Olarte N,Suárez D,Aragón L,Torres F,Santacruz F

    更新日期:2018-01-01 00:00:00

  • Detection of the active components of calf thymus nuclear proteins (TNP), histones that are binding with high affinity to HIV-1 envelope proteins and CD4 molecules.

    abstract::VGV-1, a clinical-grade formulation of bovine thymus nuclear protein (TNP) has been demonstrated to possess anti-viral activity in HIV-1 patients in five clinical trials, one of which was placebo controlled double-blinded. However, to date molecular mechanisms remain to be identified. Using surface plasmon resonance w...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016208785132545

    authors: Mamikonyan G,Kiyatkin A,Movsesyan N,Mkrtichyan M,Ghochikyan A,Petrushina I,Hwang J,Ichim TE,Keledjian H,Agadjanyan MG

    更新日期:2008-06-01 00:00:00

  • Medication assisted treatment in the treatment of drug abuse and dependence in HIV/AIDS infected drug users.

    abstract::Drug use and HIV/AIDS are global public health issues. The World Health Organization (WHO) estimates that up to 30% of HIV infections are related to drug use and associated behaviors. The intersection, of the twin epidemics of HIV and drug/alcohol use, results in difficult medical management issues for the health care...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016209788680598

    authors: Kresina TF,Bruce RD,McCance-Katz EF

    更新日期:2009-07-01 00:00:00

  • Hodgkin lymphoma in HIV positive patients.

    abstract::Hodgkin lymphoma (HL) represents one of the most common types of a non-AIDS-defining tumour that occurs in the HIV population, and its incidence is increasing in the post Highly Active Anti-retroviral Therapy (HAART) era. Despite the aggressiveness of that disease, the outcome of patients with HIV-HL has improved with...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016210790442704

    authors: Mounier N,Spina M,Spano JP

    更新日期:2010-03-01 00:00:00

  • Binding Insight of Anti-HIV Phytocompounds with Prime Targets of HIV: A Molecular Dynamics Simulation Analysis.

    abstract:BACKGROUND:Despite intense efforts, AIDS is difficult to tackle by current anti-retroviral therapy (ART) due to its side effects; therefore, there is an urgent need to discover potential, multitarget and low-cost anti-HIV compounds. OBJECTIVE:We have shown that few phytocompounds can potentially inhibit the prime targ...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X18666200129112509

    authors: Vora J,Athar M,Sinha S,Jha PC,Shrivastava N

    更新日期:2020-01-01 00:00:00

  • Risk reduction strategies used by urban adolescent girls in an HIV prevention trial.

    abstract:UNLABELLED:Adolescent girls throughout the globe are particularly vulnerable to HIV infection. In the U.S., sexually-active, adolescent girls in urban settings are at elevated risk for HIV. The purpose of this study was to describe a theoreticallydriven, HIV prevention intervention tailored for adolescent girls and eva...

    journal_title:Current HIV research

    pub_type: 杂志文章,随机对照试验

    doi:10.2174/1570162x12666140129110129

    authors: Morrison-Beedy D,Crean HF,Passmore D,Carey MP

    更新日期:2013-10-01 00:00:00

  • Temporal Trends in the Epidemiology of HIV in Turkey.

    abstract:OBJECTIVE:The aim of this study was to analyze the temporal trends of HIV epidemiology in Turkey from 2011 to 2016. METHODS:Thirty-four teams from 28 centers at 17 different cities participated in this retrospective study. Participating centers were asked to complete a structured form containing questions about epidem...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X18666200427223823

    authors: Erdinc FS,Dokuzoguz B,Unal S,Komur S,Inkaya AC,Inan D,Karaoglan I,Deveci A,Celen MK,Kose S,Erben N,Senturk GC,Heper Y,Kutlu SS,Hatipoglu CA,Sumer S,Kandemir B,Sirmatel F,Bayindir Y,Yilmaz E,Ersoy Y,Kazak E,Yil

    更新日期:2020-01-01 00:00:00

  • Formulation and delivery of microbicides.

    abstract::The development of pre-exposure prophylactics or microbicide products for the reduction or elimination of the sexual transmission of HIV has numerous challenges or barriers to success. Historically traditional dosage forms such as gels have been developed in the field but more recently controlled release dosage forms ...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016212799304599

    authors: Agashe H,Hu M,Rohan L

    更新日期:2012-01-01 00:00:00

  • Effects of vitamin A deficiency and opioids on parvalbumin + interneurons in the hippocampus of the HIV-1 transgenic rat.

    abstract::Opioid use in HIV infection has been associated with an increased frequency of neurological disease and cognitive impairment and vitamin A deficiency has been linked to progressive HIV disease in drug users. In this report the potential effects of these factors, alone and in combination, on gamma amino butyric acid (G...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016212802138715

    authors: Guo M,Bryant J,Sultana S,Jones O,Royal W 3rd

    更新日期:2012-07-01 00:00:00

  • A digital signal processing-based bioinformatics approach to identifying the origins of HIV-1 non B subtypes infecting US Army personnel serving abroad.

    abstract::Two HIV-1 non B isolates, 98US_MSC5007 and 98US_MSC5016, which have been identified amongst the US Army personnel serving abroad, are known to have originated from other nations. Notwithstanding, they are categorized as American strains. This is because their countries of origin are unknown. American isolates are basi...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162x113119990046

    authors: Nwankwo N

    更新日期:2013-06-01 00:00:00

  • Mucosal transmission of human immunodeficiency virus.

    abstract::Since the beginning of the AIDS pandemic, and following the discovery of the human immunodeficiency virus (HIV) as the etiological agent of the disease, it was clear that the virus gains access to the human host predominantly through the mucosal tissue after sexual exposure. As a consequence, the female genital tract ...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016212799304689

    authors: Tebit DM,Ndembi N,Weinberg A,Quiñones-Mateu ME

    更新日期:2012-01-01 00:00:00

  • Prevalence of HIV-Seropositivity and Associated Impact on Mortality among Injured Patients from Low-and Middle-Income Countries: A Systematic Review and Meta-Analysis.

    abstract:BACKGROUND:Although HIV and injury contribute substantially to disease burdens in lowand middle-income countries (LMIC), their intersection is poorly characterized. OBJECTIVE:This systematic review assessed the prevalence and associated mortality impact of HIVseropositivity among injured patients in LMIC. METHODS:A s...

    journal_title:Current HIV research

    pub_type: 杂志文章,meta分析,评审

    doi:10.2174/1570162X15666170920112743

    authors: Aluisio AR,Rege S,Stewart BT,Kinuthia J,Levine AC,Mello MJ,Farquhar C

    更新日期:2017-11-23 00:00:00

  • Microarray Analysis Reveals Altered Lipid and Glucose Metabolism Genes in Differentiated, Ritonavir-Treated 3T3-L1 Adipocytes.

    abstract:OBJECTIVE:HIV lipodystrophy is characterised by abnormal adipose tissue distribution and metabolism, as a result of altered adipocyte function and gene expression. The protease inhibitor ritonavir is associated with the development of lipodystrophy. Quantifying changes in adipogenic gene expression in the presence of r...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162x13666150806110238

    authors: Loonam CR,O'Dell SD,Sharp PA,Mullen A

    更新日期:2016-01-01 00:00:00

  • No Increase in HIV Drug Resistance Mutations among Injecting Drug Users on Methadone Maintenance Therapy: A Prospective Cohort Study.

    abstract:BACKGROUND:Whether HIV-positive injecting drug users (IDUs) are at higher risk of developing drug resistance mutations (DRMs) after methadone maintenance therapy (MMT) than any other HIV-positive population is unclear. OBJECTIVE:To compare the incidence of new DRMs in two population groups: antiretroviraltreatment (AR...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X18666200712173630

    authors: Huang C,Ye L,Abdullah AS,Liang B,Jiang J,Ning C,Zang N,Zhang Y,Yang Y,Hu X,Yang Q,Luo C,Lao F,Liu H,Liang H,Huang J

    更新日期:2020-01-01 00:00:00

  • HIV-1 prophylactic vaccine trials in Thailand.

    abstract::The HIV epidemic has resulted in medical, social and economic consequences. There is general agreement that a safe, effective and affordable preventive HIV vaccine is urgently needed to control the epidemic. To date, over 60 phase I/II trials of about 30 candidate vaccines have been conducted worldwide. In 1991, Thail...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/1570162052772933

    authors: Pitisuttithum P

    更新日期:2005-01-01 00:00:00

  • Late and low compliance with hepatitis B serology screening among HIV-infected patients in a resource-limited setting: an issue to improve HIV care.

    abstract::Although hepatitis B serology screening has been recommended for HIV care, it has not been routinely performed. We aimed to assess compliance and timing of hepatitis B serology screening among HIV-infected patients in a resource-limited setting. A cross-sectional study was conducted in Thailand. Compliance, timing of ...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016211794582669

    authors: Kiertiburanakul S,Chotiprasitsakul D,Atamasirikul K,Sungkanuparph S

    更新日期:2011-01-01 00:00:00

  • Control of HIV latency by epigenetic and non-epigenetic mechanisms.

    abstract::Intensive antiretroviral therapy successfully suppresses viral replication but is unable to eradicate the virus. HIV persists in a small number of resting memory T cells where HIV has been transcriptionally silenced. This review will focus on recent insights into the HIV transcriptional control mechanisms that provide...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016211798998736

    authors: Mbonye U,Karn J

    更新日期:2011-12-01 00:00:00

  • AIDS-related Kaposi's sarcoma: state of the art and therapeutic strategies.

    abstract::In the HAART era Kaposi's sarcoma (KS) remains the second most frequent tumor in HIV-infected patients worldwide, and it has become the most common cancer in Sub-Saharan Africa. In western countries the risk for KS in men having sex with men (MSM) is 5 to 10 times higher compared to other groups of individuals practic...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016209789973619

    authors: Martellotta F,Berretta M,Vaccher E,Schioppa O,Zanet E,Tirelli U

    更新日期:2009-11-01 00:00:00

  • Mother-to-child transmission of HIV infection and its prevention.

    abstract::An estimated 800,000 children acquired HIV-infection in 2002, most as a result of mother-to-child transmission (MTCT), and vertically-acquired HIV infection continues to be of major public health importance. Prevention of MTCT is possible with a combination of interventions including antiretroviral therapy (ART) (usua...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/1570162033485140

    authors: Thorne C,Newell ML

    更新日期:2003-10-01 00:00:00

  • Factors influencing adherence to highly active antiretroviral therapy in Spain.

    abstract:BACKGROUND:Multiple factors have been previously described which could influence adherence to HAART. Our objective is to determine the fundamental factors which influence adherence to highly active antiretroviral therapy in our population. METHODS:A cross-sectional study was made selecting 143 outpatients attending ou...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016206776055075

    authors: Moralejo L,Inés S,Marcos M,Fuertes A,Luna G

    更新日期:2006-04-01 00:00:00

  • The TLR4 ASP299GLY polymorphism is a risk factor for active tuberculosis in Caucasian HIV-infected patients.

    abstract:INTRODUCTION:Tuberculosis (TB) is a pandemic infectious disease especially frequent in HIV-infected patients. Toll-like receptor (TLR) 4 has been described to play a main role in the innate immunity against TB. In fact, single nucleotide polymorphisms (SNPs) in TLRs may influence AIDS disease progression. The associati...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016210791111052

    authors: Pulido I,Leal M,Genebat M,Pacheco YM,Sáez ME,Soriano-Sarabia N

    更新日期:2010-04-01 00:00:00

  • Structural bases of the annealing of primer tRNA(3Lys) to the HIV-1 viral RNA.

    abstract::To promote the initiation of reverse transcription, the HIV-1 virus uses a host tRNA as a primer, tRNA(3Lys). The annealing of tRNA(3Lys) to the viral RNA requires the breaking of the 3D structure of the tRNA and RNA rearrangements, to form a stable initiation complex recognised by the reverse transcriptase. The annea...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/1570162053506919

    authors: Tisné C

    更新日期:2005-04-01 00:00:00

  • Construction and Production of HIV-VLP Harboring MPER-V3 for Potential Vaccine Study.

    abstract:BACKGROUND:Vaccine against HIV-1 is not currently available. In present, Virus like particles (VLPs) as effective strategy was used in several vaccine developing. Two conserved sequences; V3 loop of gp120 and the membrane-proximal external region (MPER) of gp41 are dominant sites for vaccine studies. OBJECTIVE:In this...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X15666171017122229

    authors: Tohidi F,Sadat SM,Bolhassani A,Yaghobi R

    更新日期:2017-01-01 00:00:00

  • Involvement of regulatory T cells in HIV immunopathogenesis.

    abstract::Recently, a mechanism of negative regulation of immune responses by a specialized population of so-called regulatory T cells (Tregs) has become a focus of intense investigation. Through the discovery of transcription factor Foxp3 as a central molecular determinant of Tregs differentiation and function, the complex bio...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016210791208613

    authors: Bernardes SS,Borges IK,Lima JE,Milanez Pde A,Conchon-Costa I,Felipe I,Saridakis HO,Watanabe MA

    更新日期:2010-06-01 00:00:00

  • Replicative senescence: the final stage of memory T cell differentiation?

    abstract::One of the major obstacles to effective prolonged CD8 T cell control over HIV and other latent infections may be the intrinsic, genetically programmed barrier to unlimited proliferation that is characteristic of all normal human somatic cells. Replicative senescence, characterized extensively in cell culture for a var...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/1570162033485348

    authors: Effros RB

    更新日期:2003-04-01 00:00:00

  • HIV-1 residual viremia and proviral DNA in patients with suppressed plasma viral load (

    abstract::Low levels of plasma viremia (below 50 copies/ml of HIV-1 RNA) can be detected in the majority of HIV+ subjects successfully treated with HAART. Aim of our study was to evaluate the impact of different antiretroviral regimens on this residual viremia and on proviral HIV-1 DNA in HAART-treated subjects with plasma HIV ...

    journal_title:Current HIV research

    pub_type: 杂志文章,多中心研究

    doi:10.2174/157016208784325010

    authors: Nicastri E,Palmisano L,Sarmati L,D'Ettorre G,Parisi S,Andreotti M,Buonomini A,Pirillo FM,Narciso P,Bellagamba R,Vullo V,Montano M,Di Perri G,Andreoni M

    更新日期:2008-05-01 00:00:00