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2015-06-03

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cc by (c) Ambrosioni et al., 2015
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/69204

Trends in Transmission of Drug Resistance and Prevalence of Non-B Subtypes in Patients with Acute or Recent HIV-1 Infection in Barcelona in the Last 16 Years (1997-2012)

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http://dx.doi.org/10.1371/journal.pone.0125837

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OBJECTIVES: To evaluate the prevalence of transmitted drug resistance (TDR) and non-B subtypes in patients with acute/recent HIV-1 infection in Barcelona during the period 1997-2012. METHODS: Patients from the "Hospital Clinic Primary HIV-1 Infection Cohort" with a genotyping test performed within 180 days of infection were included. The 2009 WHO List of Mutations for Surveillance of Transmitted HIV-1 Drug Resistance was used for estimating the prevalence of TDR and phylogenetic analysis for subtype determination. RESULTS: 189 patients with acute/recent HIV-1 infection were analyzed in 4 time periods (1997-2000, n=28; 2001-4, n=42; 2005-8, n=55 and 2009-12, n=64). The proportion of patients with acute/recent HIV-1 infection with respect to the total of newly HIV-diagnosed patients in our center increased over the time and was 2.18%, 3.82%, 4.15% and 4.55% for the 4 periods, respectively (p=0.005). The global prevalence of TDR was 9%, or 17.9%, 9.5%, 3.6% and 9.4% by study period (p=0.2). The increase in the last period was driven by protease-inhibitor and nucleoside-reverse-transcriptase-inhibitor resistance mutations while non-nucleoside-reverse-transcriptase inhibitor TDR and TDR of more than one family decreased. The overall prevalence of non-B subtypes was 11.1%, or 0%, 4.8%, 9.1% and 20.3 by study period (p=0.01). B/F recombinants, B/G recombinants and subtype F emerged in the last period. We also noticed an increase in the number of immigrant patients (p=0.052). The proportion of men-who-have-sex-with-men (MSM) among patients with acute/recent HIV-1 infection increased over the time (p=0.04). CONCLUSIONS: The overall prevalence of TDR in patients with acute/recent HIV-1 infection in Barcelona was 9%, and it has stayed relatively stable in recent years. Non-B subtypes and immigrants proportions progressively increased.

Matèries

Persones seropositives, Resistència als medicaments, Assaigs clínics, Barcelona (Catalunya)

Matèries (anglès)

HIV-positive persons, Drug resistance, Clinical trials, Barcelona (Catalonia)

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Articles publicats en revistes (ISGlobal)
Articles publicats en revistes (Fonaments Clínics)
Articles publicats en revistes (Medicina)

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AMBROSIONI, Juan, SUED, Omar, NICOLÁS, David, PARERA, Marta, LÓPEZ-DIÉGUEZ, María, ROMERO, Anabel, AGÜERO SANTANGELO, Fernando, MARCOS, Ma. angeles, MANZARDO, Christian, ZAMORA, Laura, GÓMEZ-CARRILLO, Manuel, GATELL, José m., PUMAROLA SUÑÉ, Tomàs, MIRÓ MEDA, José m. (josé maría). Trends in Transmission of Drug Resistance and Prevalence of
                Non-B Subtypes in Patients with Acute or Recent HIV-1 Infection
                in Barcelona in the Last 16 Years (1997-2012). _PLoS One_. 2015. Vol. 10, núm. 6, pàgs. e0125837. [consulta: 14 de gener de 2026]. ISSN: 1932-6203. [Disponible a: https://hdl.handle.net/2445/69204]

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