Emergence of untreatable, multidrug-resistant HIV-1 in patients failing second-line therapy in Kenya

We performed a countrywide assessment of HIV drug resistance among 123 patients with virological failure on second-line antiretroviral therapy (ART) in Kenya. The percentage of patients harbouring intermediate-to-high-level resistance was 27% for lopinavir-ritonavir, 24% for atazanavir-ritonavir and...

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Main Authors: Inzaule, S, Hamers, R, Mukui, I, Were, K, Owiti, P, Kwaro, D, de Wit, T, Zeh, C
Format: Journal article
Language:English
Published: Lippincott, Williams & Wilkins 2017
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author Inzaule, S
Hamers, R
Mukui, I
Were, K
Owiti, P
Kwaro, D
de Wit, T
Zeh, C
author_facet Inzaule, S
Hamers, R
Mukui, I
Were, K
Owiti, P
Kwaro, D
de Wit, T
Zeh, C
author_sort Inzaule, S
collection OXFORD
description We performed a countrywide assessment of HIV drug resistance among 123 patients with virological failure on second-line antiretroviral therapy (ART) in Kenya. The percentage of patients harbouring intermediate-to-high-level resistance was 27% for lopinavir-ritonavir, 24% for atazanavir-ritonavir and 7% for darunavir-ritonavir, and 25% had complete loss of activity to all available first and secondline drugs. Overall, one in four patients failing second-line ART have completely exhausted available antiretrovirals in Kenya, highlighting the need for increased access to third-line drugs.
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spelling oxford-uuid:7b1242b0-ef0b-411a-bf35-28ea2a2e56342022-03-26T20:48:15ZEmergence of untreatable, multidrug-resistant HIV-1 in patients failing second-line therapy in KenyaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7b1242b0-ef0b-411a-bf35-28ea2a2e5634EnglishSymplectic Elements at OxfordLippincott, Williams & Wilkins2017Inzaule, SHamers, RMukui, IWere, KOwiti, PKwaro, Dde Wit, TZeh, CWe performed a countrywide assessment of HIV drug resistance among 123 patients with virological failure on second-line antiretroviral therapy (ART) in Kenya. The percentage of patients harbouring intermediate-to-high-level resistance was 27% for lopinavir-ritonavir, 24% for atazanavir-ritonavir and 7% for darunavir-ritonavir, and 25% had complete loss of activity to all available first and secondline drugs. Overall, one in four patients failing second-line ART have completely exhausted available antiretrovirals in Kenya, highlighting the need for increased access to third-line drugs.
spellingShingle Inzaule, S
Hamers, R
Mukui, I
Were, K
Owiti, P
Kwaro, D
de Wit, T
Zeh, C
Emergence of untreatable, multidrug-resistant HIV-1 in patients failing second-line therapy in Kenya
title Emergence of untreatable, multidrug-resistant HIV-1 in patients failing second-line therapy in Kenya
title_full Emergence of untreatable, multidrug-resistant HIV-1 in patients failing second-line therapy in Kenya
title_fullStr Emergence of untreatable, multidrug-resistant HIV-1 in patients failing second-line therapy in Kenya
title_full_unstemmed Emergence of untreatable, multidrug-resistant HIV-1 in patients failing second-line therapy in Kenya
title_short Emergence of untreatable, multidrug-resistant HIV-1 in patients failing second-line therapy in Kenya
title_sort emergence of untreatable multidrug resistant hiv 1 in patients failing second line therapy in kenya
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