Comparison of the Virological Response According to the Antiretroviral Regimens in Peruvian HIV Patients Who Presented the M184V Mutation in Two National Hospitals during the Years 2008 to 2019
Descripción del Articulo
        El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
            
    
                        | Autores: | , , | 
|---|---|
| Formato: | artículo | 
| Fecha de Publicación: | 2021 | 
| Institución: | Universidad Peruana de Ciencias Aplicadas | 
| Repositorio: | UPC-Institucional | 
| Lenguaje: | inglés | 
| OAI Identifier: | oai:repositorioacademico.upc.edu.pe:10757/655814 | 
| Enlace del recurso: | http://hdl.handle.net/10757/655814 | 
| Nivel de acceso: | acceso embargado | 
| Materia: | antiretroviral therapies HIV HIV genetics Cohort analysis Controlled study Genotype Human immunodeficiency virus infected patient Major clinical study Multicenter study  | 
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| dc.title.en_US.fl_str_mv | 
                  Comparison of the Virological Response According to the Antiretroviral Regimens in Peruvian HIV Patients Who Presented the M184V Mutation in Two National Hospitals during the Years 2008 to 2019 | 
    
| title | 
                  Comparison of the Virological Response According to the Antiretroviral Regimens in Peruvian HIV Patients Who Presented the M184V Mutation in Two National Hospitals during the Years 2008 to 2019 | 
    
| spellingShingle | 
                  Comparison of the Virological Response According to the Antiretroviral Regimens in Peruvian HIV Patients Who Presented the M184V Mutation in Two National Hospitals during the Years 2008 to 2019 Paredes, Raisa antiretroviral therapies HIV HIV genetics Cohort analysis Controlled study Genotype Human immunodeficiency virus infected patient Major clinical study Multicenter study  | 
    
| title_short | 
                  Comparison of the Virological Response According to the Antiretroviral Regimens in Peruvian HIV Patients Who Presented the M184V Mutation in Two National Hospitals during the Years 2008 to 2019 | 
    
| title_full | 
                  Comparison of the Virological Response According to the Antiretroviral Regimens in Peruvian HIV Patients Who Presented the M184V Mutation in Two National Hospitals during the Years 2008 to 2019 | 
    
| title_fullStr | 
                  Comparison of the Virological Response According to the Antiretroviral Regimens in Peruvian HIV Patients Who Presented the M184V Mutation in Two National Hospitals during the Years 2008 to 2019 | 
    
| title_full_unstemmed | 
                  Comparison of the Virological Response According to the Antiretroviral Regimens in Peruvian HIV Patients Who Presented the M184V Mutation in Two National Hospitals during the Years 2008 to 2019 | 
    
| title_sort | 
                  Comparison of the Virological Response According to the Antiretroviral Regimens in Peruvian HIV Patients Who Presented the M184V Mutation in Two National Hospitals during the Years 2008 to 2019 | 
    
| author | 
                  Paredes, Raisa | 
    
| author_facet | 
                  Paredes, Raisa Véliz, Fritner Lucchetti, Aldo  | 
    
| author_role | 
                  author | 
    
| author2 | 
                  Véliz, Fritner Lucchetti, Aldo  | 
    
| author2_role | 
                  author author  | 
    
| dc.contributor.author.fl_str_mv | 
                  Paredes, Raisa Véliz, Fritner Lucchetti, Aldo  | 
    
| dc.subject.en_US.fl_str_mv | 
                  antiretroviral therapies HIV HIV genetics Cohort analysis Controlled study Genotype Human immunodeficiency virus infected patient Major clinical study Multicenter study  | 
    
| topic | 
                  antiretroviral therapies HIV HIV genetics Cohort analysis Controlled study Genotype Human immunodeficiency virus infected patient Major clinical study Multicenter study  | 
    
| description | 
                  El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado. | 
    
| publishDate | 
                  2021 | 
    
| dc.date.accessioned.none.fl_str_mv | 
                  2021-05-03T13:57:35Z | 
    
| dc.date.available.none.fl_str_mv | 
                  2021-05-03T13:57:35Z | 
    
| dc.date.issued.fl_str_mv | 
                  2021-03-01 | 
    
| dc.type.en_US.fl_str_mv | 
                  info:eu-repo/semantics/article | 
    
| format | 
                  article | 
    
| dc.identifier.issn.none.fl_str_mv | 
                  08892229 | 
    
| dc.identifier.doi.none.fl_str_mv | 
                  10.1089/aid.2020.0115 | 
    
| dc.identifier.uri.none.fl_str_mv | 
                  http://hdl.handle.net/10757/655814 | 
    
| dc.identifier.eissn.none.fl_str_mv | 
                  19318405 | 
    
| dc.identifier.journal.en_US.fl_str_mv | 
                  AIDS Research and Human Retroviruses | 
    
| dc.identifier.eid.none.fl_str_mv | 
                  2-s2.0-85102244384 | 
    
| dc.identifier.scopusid.none.fl_str_mv | 
                  SCOPUS_ID:85102244384 | 
    
| dc.identifier.isni.none.fl_str_mv | 
                  0000 0001 2196 144X | 
    
| identifier_str_mv | 
                  08892229 10.1089/aid.2020.0115 19318405 AIDS Research and Human Retroviruses 2-s2.0-85102244384 SCOPUS_ID:85102244384 0000 0001 2196 144X  | 
    
| url | 
                  http://hdl.handle.net/10757/655814 | 
    
| dc.language.iso.en_US.fl_str_mv | 
                  eng | 
    
| language | 
                  eng | 
    
| dc.relation.url.en_US.fl_str_mv | 
                  https://www.liebertpub.com/doi/10.1089/AID.2020.0115?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed | 
    
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                  info:eu-repo/semantics/embargoedAccess | 
    
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                  embargoedAccess | 
    
| dc.format.en_US.fl_str_mv | 
                  application/pdf | 
    
| dc.publisher.en_US.fl_str_mv | 
                  Mary Ann Liebert Inc. | 
    
| dc.source.es_PE.fl_str_mv | 
                  Universidad Peruana de Ciencias Aplicadas (UPC) Repositorio Academico - UPC  | 
    
| dc.source.none.fl_str_mv | 
                  reponame:UPC-Institucional instname:Universidad Peruana de Ciencias Aplicadas instacron:UPC  | 
    
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                  Universidad Peruana de Ciencias Aplicadas | 
    
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                  UPC | 
    
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                  UPC | 
    
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                  UPC-Institucional | 
    
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                  UPC-Institucional | 
    
| dc.source.journaltitle.none.fl_str_mv | 
                  AIDS Research and Human Retroviruses | 
    
| dc.source.volume.none.fl_str_mv | 
                  37 | 
    
| dc.source.issue.none.fl_str_mv | 
                  3 | 
    
| dc.source.beginpage.none.fl_str_mv | 
                  196 | 
    
| dc.source.endpage.none.fl_str_mv | 
                  203 | 
    
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                  https://repositorioacademico.upc.edu.pe/bitstream/10757/655814/1/license.txt | 
    
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                  8a4605be74aa9ea9d79846c1fba20a33 | 
    
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                  Repositorio académico upc | 
    
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| spelling | 
                  649f6cdcc27d8e2b0f56b3eb04c10ded3301ad98bbc6bbf672f468ad47479664482ef6ddd8306123a44ad0caffc047ab500Paredes, RaisaVéliz, FritnerLucchetti, Aldo2021-05-03T13:57:35Z2021-05-03T13:57:35Z2021-03-010889222910.1089/aid.2020.0115http://hdl.handle.net/10757/65581419318405AIDS Research and Human Retroviruses2-s2.0-85102244384SCOPUS_ID:851022443840000 0001 2196 144XEl texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.Introduction: In patients with HIV in antiretroviral treatment (ART) and virological failure to the first-line regimen, establishing a therapeutic regimen after having identified the M184V mutation, which confers ART resistance, represents a dilemma. Objective: To compare the virological response of the therapeutic regimens prescribed to patients with HIV who presented the M184V mutation in two national hospitals in Lima, Peru, during the years 2008 to 2019, and to determine the risk factors associated with poor virological response. Methods: A retrospective cohort study was developed based on the information of the HIV program participants with the M184V mutation. Results: A total of 175 participants were eligible for the study. The male sex predominated (75.4%), the current median age was 41 years [interquartile range (IQR) 35.84-47.47], and the time on ART was 89 months (IQR 57.7-124.53). The median initial viral load (VL) was 4.5 log10 copies/mL (IQR 3.97-5.09) and the time between genotyping and the change of therapy was 2 months (IQR 0-3.56). The most used antiretroviral regimen was protease inhibitor plus two nucleoside reverse transcriptase inhibitors (55.4%). With the protease inhibitor plus integrase inhibitor (PI + INI) ART, 69% less risk of poor virological response was obtained [p = .019 (confidence interval 95% 0.117-0.825)]. Conclusions: In patients with HIV and the M184V mutation, the PI + INI ART has shown a greater decrease in control VL and, thus, a good virological response. The risk factors associated with a poor virological response were the delay between genotyping and change of therapy, high levels of initial VL, and poor adherence among the participants.Revisión por paresapplication/pdfengMary Ann Liebert Inc.https://www.liebertpub.com/doi/10.1089/AID.2020.0115?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmedinfo:eu-repo/semantics/embargoedAccessUniversidad Peruana de Ciencias Aplicadas (UPC)Repositorio Academico - UPCAIDS Research and Human Retroviruses373196203reponame:UPC-Institucionalinstname:Universidad Peruana de Ciencias Aplicadasinstacron:UPCantiretroviral therapiesHIVHIV geneticsCohort analysisControlled studyGenotypeHuman immunodeficiency virus infected patientMajor clinical studyMulticenter studyComparison of the Virological Response According to the Antiretroviral Regimens in Peruvian HIV Patients Who Presented the M184V Mutation in Two National Hospitals during the Years 2008 to 2019info:eu-repo/semantics/articleLICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://repositorioacademico.upc.edu.pe/bitstream/10757/655814/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51false10757/655814oai:repositorioacademico.upc.edu.pe:10757/6558142021-05-03 13:57:36.11Repositorio académico upcupc@openrepository.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 | 
    
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