Virological Outcomes and Drug Resistance in Chinese Patients after 12 Months of 3TC-Based First-Line Antiretroviral Treatment, 2011–2012
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{"title"=>"Virological outcomes and drug resistance in Chinese patients after 12 months of 3TC-based first-line antiretroviral treatment, 2011-2012", "type"=>"journal", "authors"=>[{"first_name"=>"Jing", "last_name"=>"Wang", "scopus_author_id"=>"57200016546"}, {"first_name"=>"Cui", "last_name"=>"He", "scopus_author_id"=>"55501939200"}, {"first_name"=>"Jenny H.", "last_name"=>"Hsi", "scopus_author_id"=>"55385907300"}, {"first_name"=>"Xiaoqin", "last_name"=>"Xu", "scopus_author_id"=>"55711378800"}, {"first_name"=>"Yong", "last_name"=>"Liu", "scopus_author_id"=>"57190245204"}, {"first_name"=>"Jianmei", "last_name"=>"He", "scopus_author_id"=>"55501902700"}, {"first_name"=>"Hua", "last_name"=>"Ling", "scopus_author_id"=>"35264622200"}, {"first_name"=>"Ping", "last_name"=>"Ding", "scopus_author_id"=>"8930784600"}, {"first_name"=>"Yi", "last_name"=>"Tong", "scopus_author_id"=>"56058664100"}, {"first_name"=>"Xiaobai", "last_name"=>"Zou", "scopus_author_id"=>"39763578300"}, {"first_name"=>"Quanhua", "last_name"=>"Zhou", "scopus_author_id"=>"35265590100"}, {"first_name"=>"Lingjie", "last_name"=>"Liao", "scopus_author_id"=>"22135471600"}, {"first_name"=>"Xia", "last_name"=>"Wang", "scopus_author_id"=>"56114030800"}, {"first_name"=>"Yuhua", "last_name"=>"Ruan", "scopus_author_id"=>"24477726000"}, {"first_name"=>"Yiming", "last_name"=>"Shao", "scopus_author_id"=>"7201599219"}, {"first_name"=>"Hui", "last_name"=>"Xing", "scopus_author_id"=>"35365230800"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84895555214", "pui"=>"372537519", "doi"=>"10.1371/journal.pone.0088305", "pmid"=>"24516631", "scopus"=>"2-s2.0-84895555214", "issn"=>"19326203", "isbn"=>"1932-6203"}, "id"=>"4f647a19-c46b-3a77-b09a-8f42abc6380a", "abstract"=>"OBJECTIVE: To determine the prevalence of virological failure and HIV drug resistance among Chinese patients one year after initiating lamivudine-based first-line antiretroviral treatment.\\n\\nMETHODS: A prospective cohort study with follow-up at 12 months was conducted in four urban sentinel sites in China. Antiretroviral naive patients ≥18 years old were recruited. Blood samples were collected for testing CD4 cell count, viral load, and (for samples with HIV-1 RNA ≥1000 copies/ml) genotyping of drug resistance.\\n\\nRESULTS: A total of 513 patients were enrolled in this cohort, of whom 448 (87.3%) were retained at 12 months. The median final CD4 cell count was 313 cells/mm(3), which increased from 192 cells/mm(3) at baseline (P<0.0001). Of the 448 remaining subjects, 394 (87.9%) had successful virological suppression (HIV RNA <1000 copies/ml). Among 54 samples with viral load ≥1000 copies/ml, 40 were successfully genotyped, and 11 were found with detectable HIV drug resistance mutations. Of these, the proportions of drug resistance to NNRTIs, NRTIs and PIs were 100%, 81.8% and 0%, respectively. Injecting drug use (AOR = 0.40, 95% CI: 0.19,0.84; P = 0.0154), CD4 count at baseline ≥350 cells/mm(3) (AOR = 0.32, 95% CI: 0.14,0.72; P = 0.0056), and missed doses in the past month (AOR = 0.30, 95% CI: 0.15,0.60; P = 0.0006) were significantly negatively associated with HIV RNA <1000 copies/ml.\\n\\nCONCLUSIONS: Our study demonstrates effective virological and immunological outcomes at 12 months among these who initiated first-line ART treatment. However, patients infected through drug injection, who missed doses, or with higher CD4 count at baseline are at increased risk for poor virological response.", "link"=>"http://www.mendeley.com/research/virological-outcomes-drug-resistance-chinese-patients-after-12-months-3tcbased-firstline-antiretrovi", "reader_count"=>24, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Researcher"=>4, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>2, "Other"=>2, "Student > Master"=>5, "Student > Bachelor"=>5}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Researcher"=>4, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>2, "Other"=>2, "Student > Master"=>5, "Student > Bachelor"=>5}, "reader_count_by_subject_area"=>{"Nursing and Health Professions"=>1, "Biochemistry, Genetics and Molecular Biology"=>2, "Medicine and Dentistry"=>12, "Agricultural and Biological Sciences"=>1, "Neuroscience"=>1, "Social Sciences"=>3, "Computer Science"=>1, "Immunology and Microbiology"=>3}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>12}, "Neuroscience"=>{"Neuroscience"=>1}, "Social Sciences"=>{"Social Sciences"=>3}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>3}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}}, "group_count"=>2}

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Relative Metric

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