HIV drug resistance after the use of generic fixed-dose combination stavudine/lamivudine/nevirapine as standard first-line regimen

被引:27
作者
Marcelin, Anne-Genevieve [1 ]
Jarrousse, Bernard
Derache, Anne
Ba, Madina
Dakouo, Marie-lea
Doumbia, Alioune
Haidara, Lbrahima
Maiga, Almoustapha
Carcelain, Guislaine
Peytavin, Gilles
Katlama, Christine
Calvez, Vincent
机构
[1] Hop La Pitie Salpetriere, Paris, France
[2] SOLTHIS Segou, Solidarite Therapeut & Initiat SIDA, Paris, France
[3] ONG Wale, Segou, Mali
[4] ONG APROFEM, Segou, Mali
[5] Hop Bichat Claude Bernard, F-75877 Paris 18, France
关键词
D O I
10.1097/QAD.0b013e328235a527
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Early failures to stavudine/lamivudine/nevirapine used as a generic fixed-dose combination in Mali showed resistance mutations in 50% of cases (mostly M184V and Y181C). No thymidine analogue mutations were seen, suggesting that most nucleoside reverse transcriptase inhibitors could be used in a second-line regimen. This highlights the importance of the accessibility of HIV-RNA assays for monitoring treated patients in resource-poor countries to detect early virological failure in order to preserve future therapeutic options.
引用
收藏
页码:2341 / 2343
页数:3
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