Virologic response to efavirenz-based first-line antiretroviral therapy in children with previous exposure to antiretrovirals to prevent mother-to-child transmission.

Efavirenz-based first-line regimens have been widely used for children ≥3 years of age starting antiretroviral therapy, despite possible resistance with prior exposure to non-nucleoside reverse transcriptase inhibitors for prevention of mother-to-child transmission (PMTCT). We used logistic regressi...

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Main Authors: Patience Nyakato, Mary-Ann Davies, Karl-Gunter Technau, Geoffrey Fatti, Helena Rabie, Frank Tanser, Andrew Boulle, Robin Wood, Brian Eley, Shobna Sawry, Janet Giddy, Nosisa Sipambo, Louise Kuhn, Lee Fairlie, International epidemiology Database to Evaluate AIDS-Southern Africa (IeDEA-SA) Collaboration
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0233693
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author Patience Nyakato
Mary-Ann Davies
Karl-Gunter Technau
Geoffrey Fatti
Helena Rabie
Frank Tanser
Andrew Boulle
Robin Wood
Brian Eley
Shobna Sawry
Janet Giddy
Nosisa Sipambo
Louise Kuhn
Lee Fairlie
International epidemiology Database to Evaluate AIDS-Southern Africa (IeDEA-SA) Collaboration
author_facet Patience Nyakato
Mary-Ann Davies
Karl-Gunter Technau
Geoffrey Fatti
Helena Rabie
Frank Tanser
Andrew Boulle
Robin Wood
Brian Eley
Shobna Sawry
Janet Giddy
Nosisa Sipambo
Louise Kuhn
Lee Fairlie
International epidemiology Database to Evaluate AIDS-Southern Africa (IeDEA-SA) Collaboration
author_sort Patience Nyakato
collection DOAJ
description Efavirenz-based first-line regimens have been widely used for children ≥3 years of age starting antiretroviral therapy, despite possible resistance with prior exposure to non-nucleoside reverse transcriptase inhibitors for prevention of mother-to-child transmission (PMTCT). We used logistic regression to examine the association between PMTCT exposure and viral failure (VF) defined as two consecutive viral loads (VL)>1000 copies/ml between 6-18 months on ART. Children with previous nevirapine exposure for PMTCT were not at higher risk of VF compared to unexposed children (adjusted Odds Ratio (aOR): 0.79; 95% CI:0.56, 1.11).
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spelling doaj.art-eed2c839b7e74cf6b02e8a136db950dd2022-12-21T19:58:48ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01155e023369310.1371/journal.pone.0233693Virologic response to efavirenz-based first-line antiretroviral therapy in children with previous exposure to antiretrovirals to prevent mother-to-child transmission.Patience NyakatoMary-Ann DaviesKarl-Gunter TechnauGeoffrey FattiHelena RabieFrank TanserAndrew BoulleRobin WoodBrian EleyShobna SawryJanet GiddyNosisa SipamboLouise KuhnLee FairlieInternational epidemiology Database to Evaluate AIDS-Southern Africa (IeDEA-SA) CollaborationEfavirenz-based first-line regimens have been widely used for children ≥3 years of age starting antiretroviral therapy, despite possible resistance with prior exposure to non-nucleoside reverse transcriptase inhibitors for prevention of mother-to-child transmission (PMTCT). We used logistic regression to examine the association between PMTCT exposure and viral failure (VF) defined as two consecutive viral loads (VL)>1000 copies/ml between 6-18 months on ART. Children with previous nevirapine exposure for PMTCT were not at higher risk of VF compared to unexposed children (adjusted Odds Ratio (aOR): 0.79; 95% CI:0.56, 1.11).https://doi.org/10.1371/journal.pone.0233693
spellingShingle Patience Nyakato
Mary-Ann Davies
Karl-Gunter Technau
Geoffrey Fatti
Helena Rabie
Frank Tanser
Andrew Boulle
Robin Wood
Brian Eley
Shobna Sawry
Janet Giddy
Nosisa Sipambo
Louise Kuhn
Lee Fairlie
International epidemiology Database to Evaluate AIDS-Southern Africa (IeDEA-SA) Collaboration
Virologic response to efavirenz-based first-line antiretroviral therapy in children with previous exposure to antiretrovirals to prevent mother-to-child transmission.
PLoS ONE
title Virologic response to efavirenz-based first-line antiretroviral therapy in children with previous exposure to antiretrovirals to prevent mother-to-child transmission.
title_full Virologic response to efavirenz-based first-line antiretroviral therapy in children with previous exposure to antiretrovirals to prevent mother-to-child transmission.
title_fullStr Virologic response to efavirenz-based first-line antiretroviral therapy in children with previous exposure to antiretrovirals to prevent mother-to-child transmission.
title_full_unstemmed Virologic response to efavirenz-based first-line antiretroviral therapy in children with previous exposure to antiretrovirals to prevent mother-to-child transmission.
title_short Virologic response to efavirenz-based first-line antiretroviral therapy in children with previous exposure to antiretrovirals to prevent mother-to-child transmission.
title_sort virologic response to efavirenz based first line antiretroviral therapy in children with previous exposure to antiretrovirals to prevent mother to child transmission
url https://doi.org/10.1371/journal.pone.0233693
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