最近感染的人群中原发性HIV-1耐药性的时间趋势
Robert M Grant1, Frederick M Hecht, Maria Warmerdam
1Gladstone Institute of Virology and Immunology, PO Box 914100, San Francisco, CA 94141, USA. rgrant@itsa.ucsf.edu
JAMA
|July 4, 2002
概括
对非核酸逆转录酶抑制剂 (NNRTIs) 的初级耐药性正在最近感染的个体中增加. 虽然对多种药物类别的耐药性仍然不常见,但基因型耐药性测试有助于预测治疗期间的病毒抑制.
科学领域:
- 传染性疾病 传染性疾病
- 病毒学 病毒学
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗逆转录病毒疗法 (ART) 改善了人类免疫缺陷病毒1型 (HIV-1) 管理.
- 增加ART使用可能会导致多类耐药HIV-1传播的增加.
- 监测耐药性趋势对于有效的HIV-1治疗策略至关重要.
研究的目的:
- 调查最近感染的人群中HIV-1耐药性的流行和趋势.
- 评估一个具有高ART透率的地理区域的耐药性模式.
- 为了将基因型耐药性与治疗结果相关联.
主要方法:
- 分析了最近感染HIV-1的225名患者连续的一系列病例.
- 进行了基因型和表型耐药性测试.
- 从1996年6月到2001年6月,评估了耐药性流行的时间趋势.
主要成果:
- 对非核酸逆转录酶抑制剂 (NNRTIs) 的耐药性显著增加,从0%增加到13.2%.
- 对2种或更多类药物的基因型耐药性从2.5%上升到13.2%.
- 与药物敏感感染患者相比,具有基因型耐药性的患者经历了更长的病毒抑制时间.
结论:
- 主要NNRTI耐药性正在最近感染的个体中增加.
- 对所有三大抗逆转录病毒药物类别的耐药性仍然很罕见.
- 早期感染时的基因型耐药性测试可以预测治疗期间病毒抑制的速度.
相关概念视频
Retrovirus Life Cycles
43.1K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
43.1K
Sexually Transmitted Infections
2.0K
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
2.0K
Pulmonary Tuberculosis I
1.7K
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
1.7K
Pharmacokinetics in Pediatric Patients: Drug Excretion
414
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
414


