Low-Level Viremia Is Associated With Cumulative Adherence to Antiretroviral Therapy in Persons With HIV.

Low-Level Viremia Is Associated With Cumulative Adherence to Antiretroviral Therapy in Persons With HIV.
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DOI:
10.1093/ofid/ofab463
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发表时间:
2021-09
影响因子:
4.2
通讯作者:
MaWhinney S
MaWhinney S
中科院分区:
医学3区
文献类型:
--
作者:
Castillo-Mancilla JR;Morrow M;Coyle RP;Coleman SS;Zheng JH;Ellison L;Bushman LR;Kiser JJ;Anderson PL;MaWhinney S

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20 - 200拷贝/mL之间的低水平病毒血症(LLV)的驱动因素尚不清楚。在对497名接受含替诺福韦酯抗逆转录病毒治疗(ART)的HIV感染者进行的1042次访视中,评估了LLV与累积抗逆转录病毒依从性(使用二磷酸替诺福韦[TFV-DP]在干血斑中定量)之间的相关性。TFV-DP水平较低与LLV的几率较高相关。作为TFV-DP(fmol/冲头)类别从>1650降至800-1650; 800-1650降至<800;和>1650至<800,LLV与HIV VL <20拷贝/mL的校正比值比为2.0(95% CI,1.2-3.1)、2.4(95% CI,1.1-5.0)和4.6(95% CI,2.2-9.9)。这表明依从性可能会影响LLV。
The drivers of low-level viremia (LLV) between 20 and 200 copies/mL remain unclear. In 1042 person-visits from 497 persons with HIV on tenofovir disoproxil fumarate–containing antiretroviral therapy (ART), the association between LLV and cumulative antiretroviral adherence (quantified using tenofovir diphosphate [TFV-DP] in dried blood spots) was assessed. Lower TFV-DP levels were associated with higher odds of LLV. As TFV-DP (fmol/punch) categories decreased from >1650 to 800–1650; 800–1650 to <800; and >1650 to <800, the adjusted odds ratios for LLV vs HIV VL <20 copies/mL were 2.0 (95% CI, 1.2–3.1), 2.4 (95% CI, 1.1–5.0), and 4.6 (95% CI, 2.2–9.9), respectively. This suggests that adherence could impact LLV.
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发表时间: 2016-09-01
期刊: The New England journal of medicine
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