Limited Risk of Drug Resistance After Discontinuation of Antiretroviral Prophylaxis for the Prevention of Breastfeeding Transmission of HIV

作者:Palombi Leonardo; Luhanga Richard; Galluzzo Clementina; Andreotti Mauro; Liotta Giuseppe; Ceffa Susanna; Haswell Jere; Marazzi Maria Cristina; Vella Stefano; Giuliano Marina*
来源:JAIDS: Journal of Acquired Immune Deficiency Syndromes , 2011, 57(4): 301-304.
DOI:10.1097/QAI.0b013e318220ed92

摘要

We evaluated 70 HIV-infected pregnant women with CD4(+) cell count >350 cells per cubic millimeter who received zidovudine, lamivudine, and nevirapine from week 25 of gestation until 6 months after delivery and a 3-week tail of zidovudine and lamivudine at the moment of drug discontinuation. Forty days after the interruption of all drugs resistance mutations were present in 5 of 70 (7.1%) women. Two of them had the same mutation archived in baseline HIV DNA. The other 3 women had, at least once, detectable viral load and presence of mutations during treatment. Overall, the risk of developing resistance mutations in compliant women was low.

  • 出版日期2011-8-1