Department of Public Health, University of Tor Vergata, Rome, Italy.
J Acquir Immune Defic Syndr. 2011 Aug 1;57(4):301-4. doi: 10.1097/QAI.0b013e318220ed92.
We evaluated 70 HIV-infected pregnant women with CD4⁺ cell count >350 cells per cubic millimeter who received zidovudine, lamivudine, and nevirapine from week 25 of gestation until 6 months after delivery and a 3-week tail of zidovudine and lamivudine at the moment of drug discontinuation. Forty days after the interruption of all drugs resistance mutations were present in 5 of 70 (7.1%) women. Two of them had the same mutation archived in baseline HIV DNA. The other 3 women had, at least once, detectable viral load and presence of mutations during treatment. Overall, the risk of developing resistance mutations in compliant women was low.
我们评估了 70 名 CD4⁺细胞计数>350 个/立方毫米的 HIV 感染孕妇,她们在妊娠 25 周时接受齐多夫定、拉米夫定和奈韦拉平治疗,直至分娩后 6 个月,并在停药时接受齐多夫定和拉米夫定的 3 周尾注。在 70 名女性中,有 5 名(7.1%)在停药后 40 天出现耐药突变。其中 2 人在基线 HIV DNA 中存在相同的突变。其他 3 名妇女在治疗期间至少有一次检测到病毒载量和突变。总体而言,依从性良好的女性发生耐药突变的风险较低。