[Prevalence of antiretroviral drug resistance among previously untreated Spanish patients infected with HIV].

Abstract:

INTRODUCTION:Genotypic resistance was tested to investigate changes in the rates of resistance to antiretroviral drugs in non-treated patients in Spain. MATERIAL AND METHOD:A total of 209 HIV-infected patients from different autonomous communities in Spain without prior antiretroviral (AR) drug treatment were studied from 1997 to 2001. Regions of the HIV pol gene coding for protease (PR) and retrotranscriptase (RT) were sequenced in plasma samples by RT PCR amplification and automated PCR sequencing. RESULTS:At least one primary RT or PR mutation was detected in 14 patients (6.7%); 11 of them were associated with resistance to RT inhibitors (5.3%) and 3 to PR inhibitors (1.4%). The changes in the resistance rate between March 1997-February 1999 and March 1999-February 2001 were as follows: resistance mutations were detected in 3 of the 111 patients studied in the first period, and in 10 of 98 patients in the second period (2.7% versus 10.2%, P = 0.025). The infection time was less than three months in 1.5% of cases, less than 1 year in 13.4%, more than 1 year in 45.9% and unknown in 39.2%. CONCLUSION:The rate of primary resistance in naive patients is low in Spain, although there may be a trend toward an increase. The rising prevalence of resistance is a cause for concern.

authors

Guerrero A,Cañizares A,Tomás S,Velasco D,Cartelle M,Grupo de Estudio de las Resistencias Primarias del VIH en España.

doi

10.1016/s0213-005x(05)75040-0

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

605-8

issue

10

eissn

0213-005X

issn

1578-1852

pii

13081569

journal_volume

23

pub_type

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