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Changing patterns in HIV reverse transcriptase resistance mutations after availability of tenofovir.

AbstractAssessment of 1177 human immunodeficiency virus (HIV) resistance genotypes at an HIV/AIDS clinic showed a decrease in the incidence of the K65R mutation, from 15.2% of isolates during the period 2002-2004 to 2.7% of isolates during the period 2005-2006 (P < .001), despite elevated and stable rates of tenofovir use. A reduction in the rate of coadministration of didanosine (from 41.6% of patients in 2004 to 0.8% of patients in 2006; P < .001) largely explained this observation.
AuthorsCarmen de Mendoza, Inmaculada Jiménez-Nacher, Carolina Garrido, Pablo Barreiro, Eva Poveda, Angélica Corral, Natalia Zahonero, Juan González-Lahoz, Vincent Soriano (Affiliation: Department of Infectious Diseases, Hospital Carlos III, Madrid, Spain. cmendoza at teleline.es)
JournalClinical infectious diseases : an official publication of the Infectious Diseases Society of America (Clin Infect Dis) Vol. 46 Issue 11 Pg. 1782-5 (Jun 1 2008) ISSN: 1537-6591 United States
PMID18426370 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Anti-HIV Agents
  • Phosphonic Acids
  • Reverse Transcriptase Inhibitors
  • tenofovir
  • Didanosine
  • Adenine
  • HIV Reverse Transcriptase
Topics
  • Adenine (analogs & derivatives, pharmacology)
  • Anti-HIV Agents (pharmacology)
  • Didanosine (pharmacology)
  • Drug Resistance, Multiple, Viral (genetics)
  • HIV Infections (metabolism)
  • HIV Reverse Transcriptase (antagonists & inhibitors, genetics)
  • HIV-1 (drug effects, enzymology, genetics)
  • Humans
  • Mutation
  • Phosphonic Acids (pharmacology)
  • Retrospective Studies
  • Reverse Transcriptase Inhibitors (pharmacology)