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HIV Drug Resistance among Pre-treatment Cases in Thailand: Four Rounds of Surveys during 2006-2013
Sombat Thanprasertsuk - ไม่ระบุหน่วยงาน
ชื่อเรื่อง (EN): HIV Drug Resistance among Pre-treatment Cases in Thailand: Four Rounds of Surveys during 2006-2013
ผู้แต่ง / หัวหน้าโครงการ (EN): Sombat Thanprasertsuk
บทคัดย่อ (EN): In Thailand, antiretroviral therapy (ART) was initiated to treat human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS) cases using the empirical regimen with no prior genotypic test to determine drug resistance. In order to assess prevalence rate of HIV drug resistance (HIVDR) among pre-treatment cases, four rounds of survey were carried out in ART clinics, including six, eight, 33 and four ART clinics in each round during 2006-2013. For which, HIVDR testing results were available in 310, 350, 797, and 413 cases in four rounds. It was revealed that HIVDR rates among naive cases were 2.0%, 2.8%, 4.0% and 4.8%, while in experienced cases, the rates were 0, 3.3%, 11.4% and 13.9%. The rates among all cases were 1.9%, 2.9%, 4.4% and 5.6%. Resistant drugs with the highest rates among all cases in the survey round 4 were nevirapine (3.6%) and efavirenz (3.1%). The results indicated the need to continue surveillance for pre-treatment HIVDR, and posed challenges to implement activities for protecting efficacy and prolong the use of empirical first-line regimen. A strategy to apply genotyping test, in a cost-effective approach, should be considered to prepare for situation when HIVDR increases beyond a critical level.
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ภาษา (EN): en
เอกสารแนบ (EN): http://nih.dmsc.moph.go.th/research/showimgdetil.php?id=534
เผยแพร่โดย (EN): 1 Department of Disease Control, Ministry of Public Health, Thailand 2 Thailand MOPH-US CDC collaboration, Division of Global HIV and Tuberculosis, Thailand 3 Bureau of Vector Borne Diseases, Department of Disease Control, Ministry of Public Health, Thailand 4 Bureau of AIDS, TB and STIs, Department of Disease Control, Ministry of Public Health, Thailand 5 National Institute of Health, Department of Medical Sciences, Ministry of Public Health, Thailand 6 Institute of Research, Knowledge Management and Standards for Disease Control, Department of Disease Control, Ministry of Public Health, Thailand
คำสำคัญ (EN): antiretroviral therapy; HIV; resistance; pre-treatment; Thailand
เจ้าของลิขสิทธิ์ (EN): National Institute of Health, Department of Medical Science
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HIV Drug Resistance among Pre-treatment Cases in Thailand: Four Rounds of Surveys during 2006-2013
Sombat Thanprasertsuk
1 Department of Disease Control, Ministry of Public Health, Thailand 2 Thailand MOPH-US CDC collaboration, Division of Global HIV and Tuberculosis, Thailand 3 Bureau of Vector Borne Diseases, Department of Disease Control, Ministry of Public Health, Thailand 4 Bureau of AIDS, TB and STIs, Department of Disease Control, Ministry of Public Health, Thailand 5 National Institute of Health, Department of Medical Sciences, Ministry of Public Health, Thailand 6 Institute of Research, Knowledge Management and Standards for Disease Control, Department of Disease Control, Ministry of Public Health, Thailand
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