Transmission fitness of drug-resistant human immunodeficiency virus and the prevalence of resistance in the antiretroviral-treated population.

Leigh Brown, Andrew J; Frost, Simon D W; Mathews, W Christopher; Dawson, Keith; Hellmann, Nicholas S; Daar, Eric S; Richman, Douglas D; Little, Susan J · J Infect Dis · 2003

retrospective_cohort · Level III

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Abstract

Although the prevalence of drug-resistant strains in primary human immunodeficiency virus (HIV) infection in North America has recently increased, their transmission fitness remains unknown. The present study estimated the frequency of transmission of drug-resistant HIV from patients receiving antiretroviral therapy using retrospective surveys of clinic data. It revealed that resistant virus was transmitted only approximately 20% as frequently as expected from these patients. Individuals with primary resistance may become a significant source of resistant strains.

Medical subject headings