| Literature DB >> 22492850 |
Mark A Micek1, Ana Judith Blanco, Jacquelyn Carlsson, Ingrid A Beck, Sandra Dross, Laurinda Matunha, Kristy Seidel, Pablo Montoya, Soren Gantt, Eduardo Matediana, Lilia Jamisse, Stephen Gloyd, Lisa M Frenkel.
Abstract
Single-dose nevirapine (sdNVP) given to prevent mother-to-child-transmission of HIV-1 selects NVP-resistance. Short-course zidovudine (ZDV) was hypothesized to lower rates of NVP-resistance. HIV-1 infected pregnant women administered sdNVP with or without short-course ZDV were assessed for HIV-1 mutations (K103N, Y181C, G190A, and V106M) prior to delivery and postpartum. Postpartum NVP-resistance was lower among 31 taking ZDV+sdNVP compared to 33 taking only sdNVP (35.5% vs. 72.7%; χ2 P = .003). NVP mutants decayed to <2% in 24/35 (68.6%) at a median 6 months postpartum, with no differences based on ZDV use (logrank P = .99). Short-course ZDV was associated with reduced NVP-resistance mutations among women taking sdNVP.Entities:
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Year: 2012 PMID: 22492850 PMCID: PMC3415891 DOI: 10.1093/infdis/jis282
Source DB: PubMed Journal: J Infect Dis ISSN: 0022-1899 Impact factor: 5.226