Department of Epidemiology, University of North Carolina, Chapel Hill, NC 27599, USA.
J Acquir Immune Defic Syndr. 2012 Oct 1;61(2):258-62. doi: 10.1097/QAI.0b013e3182618f05.
The associations of acute HIV infection (AHI) and other predictors with transmitted drug resistance (TDR) prevalence were assessed in a cohort of HIV-infected, antiretroviral-naïve patients. AHI was defined as being seronegative with detectable HIV RNA. Binomial regression was used to estimate prevalence ratios and 95% confidence intervals for associations with TDR. Among 43 AHI patients, TDR prevalence was 20.9%, whereas prevalence was 8.6% among 677 chronically infected patients. AHI was associated with 1.9 times the prevalence of TDR (95% confidence intervals: 1.0 to 3.6) in multivariable analysis. AHI patients may represent a vanguard group that portends increasing TDR in the future.
在一组未经抗逆转录病毒治疗的 HIV 感染、抗逆转录病毒治疗初治患者中,评估了急性 HIV 感染 (AHI) 和其他预测因素与传播性耐药 (TDR) 流行率的相关性。AHI 的定义为 HIV RNA 可检测但血清阴性。采用二项回归估计与 TDR 相关的关联的患病率比和 95%置信区间。在 43 名 AHI 患者中,TDR 患病率为 20.9%,而在 677 名慢性感染患者中,患病率为 8.6%。多变量分析显示,AHI 与 TDR 的患病率增加 1.9 倍(95%置信区间:1.0 至 3.6)相关。AHI 患者可能代表一个先锋群体,预示着未来 TDR 的增加。