Antiretroviral regimen and suboptimal medication adherence are associated with low-level human immunodeficiency virus viremia.
Antiretroviral regimen and suboptimal medication adherence are associated with low-level human immunodeficiency virus viremia.
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DOI:
10.1093/ofid/ofu119
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发表时间:
2015-01
影响因子:
4.2
通讯作者:
Li JZ
中科院分区:
文献类型:
--
作者:
Konstantopoulos C;Ribaudo H;Ragland K;Bangsberg DR;Li JZ
Episodes of human immunodeficiency virus low-level viremia (LLV) are common in the clinical setting, but its association with antiretroviral therapy (ART) regimen and adherence remains unclear. Antiretroviral therapy adherence was evaluated in participants of the Research on Access to Care in the Homeless cohort by unannounced pill counts. Factors associated with increased risk of LLV include treatment with a protease inhibitor (PI)-based regimen (ritonavir-boosted PI vs nonnucleoside reverse-transcriptase inhibitor: adjusted hazard ratio [HR], 3.1; P = .01) and lower ART adherence over the past 3 months (HR, 1.1 per 5% decreased adherence, adjusted; P = .050). Patients with LLV may benefit from ART adherence counseling and potentially regimen modification.
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