Prediction of HIV drug resistance based on virologic, immunologic, clinical, and/or adherence criteria in the Stratall ANRS 12110/ESTHER trial in Cameroon.

Boullé, Charlotte; Kouanfack, Charles; Laborde-Balen, Gabrièle; Aghokeng, Avelin Fobang; Boyer, Sylvie; Carrieri, Maria Patrizia; Kazé, Serge; Mben, Jean-Marc et al. · Clin Infect Dis · 2013

prospective_cohort · Level II

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Abstract

Our study in Cameroonian rural district hospitals showed that the immunologic and clinical failure criteria had poor performance to identify human immunodeficiency virus drug resistance in a timely manner. Switching to second-line antiretroviral therapy after 2 consecutive viral loads ≥5000 copies/mL, as recommended by the World Health Organization, appeared to be the most appropriate strategy.

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