Prevalence of reverse transcriptase and protease mutations associated with antiretroviral drug resistance among drug-naïve HIV-1 infected pregnant women in Kagera and Kilimanjaro regions, Tanzania
2008

HIV Drug Resistance in Pregnant Women in Tanzania

Sample size: 246 publication 10 minutes Evidence: moderate

Author Information

Author(s): Nyombi Balthazar M, Holm-Hansen Carol, Kristiansen Knut I, Bjune Gunnar, Müller Fredrik

Primary Institution: Kilimanjaro Christian Medical College, Moshi, Tanzania

Hypothesis

What is the prevalence of mutations associated with antiretroviral drug resistance among drug-naïve HIV-1 infected pregnant women in Tanzania?

Conclusion

The baseline prevalence of primary mutations associated with antiretroviral drug resistance among treatment-naïve HIV-1 infected pregnant women in Kagera and Kilimanjaro regions is low.

Supporting Evidence

  • Primary mutations associated with NRTI resistance were detected among 3% of treatment-naïve strains.
  • Primary mutations associated with NNRTI resistance were found in 4% of treatment-naïve strains.
  • None of the primary mutations associated with PI resistance was found.

Takeaway

The study found that very few pregnant women in Tanzania have mutations that make HIV drugs less effective, which is good news for their treatment.

Methodology

The study analyzed HIV-1 pol gene sequences from 246 pregnant women, comparing those who were treatment-naïve and those who had received a single dose of Nevirapine.

Potential Biases

Potential bias due to reliance on self-reported information regarding drug exposure.

Limitations

Self-reported drug exposure may lead to under- or over-reporting, affecting the reliability of the findings.

Participant Demographics

The study included 246 HIV-1 infected pregnant women from Kagera and Kilimanjaro regions.

Statistical Information

P-Value

p = 0.032

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1742-6405-5-13

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