High prevalence of HIV-1 drug resistance among patients on first-line antiretroviral treatment in Lomé, Togo
2011

High HIV-1 Drug Resistance in Togo

Sample size: 188 publication Evidence: moderate

Author Information

Author(s): Dagnra Anoumou Y, Vidal Nicole, Mensah Akovi, Patassi Akouda, Aho Komi, Salou Mounerou, Monleau Marjorie, Prince-David Mireille, Singo Assétina, Pitche Palokinam, Delaporte Eric, Peeters Martine

Primary Institution: Centre National de Référence des tests VIH-IST/PNLS and Laboratoire BIOLIM, FMMP/UL, Lomé, Togo

Hypothesis

What is the prevalence of HIV-1 drug resistance among patients on first-line antiretroviral treatment in Lomé, Togo?

Conclusion

The study found a high prevalence of drug-resistant HIV strains among patients receiving first-line antiretroviral treatment in Togo.

Supporting Evidence

  • 30.8% of patients experienced virologic failure.
  • 24.5% of all patients had drug-resistance mutations.
  • All patients with resistance were resistant to non-nucleoside reverse-transcriptase inhibitors.

Takeaway

Many people in Togo who are taking HIV medicine have viruses that don't respond to the treatment, which is a big problem.

Methodology

Patients on HAART for 10-14 months were enrolled, and viral load and drug-resistance testing were performed.

Potential Biases

Self-reported treatment history may lead to underreporting of prior ARV use.

Limitations

The study only included patients still receiving treatment, which may not represent the overall population.

Participant Demographics

Median age was 37 years, with 35.1% male participants.

Digital Object Identifier (DOI)

10.1186/1758-2652-14-30

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