Bulletin of the World Health Organization

Survival, plasma HIV-1 RNA concentrations and drug resistance in HIV-1-infected Haitian adolescents and young adults on antiretrovirals

Macarthur Charles, Francine Noel, Paul Leger, Patrice Severe, Cynthia Riviere, Carole Anne Beauharnais, Erica Miller, John Rutledge, Heejung Bang, Wesley Shealey, Richard T D’Aquila, Roy M Gulick, Warren D Johnson, Peter F Wright, Jean William Pape & Daniel W Fitzgerald

Volume 86, Number 12, December 2008, 970-977

Table 2. Resistance mutations in Haitian patients 13–25 years of age with plasma HIV-1 RNA concentrations > 1000 copies/ml 12 months after initiation of ART, 2003–2005

HIV-1 mutationa Patients (n = 29) No. (%)
Any mutation conferring drug resistance 25 (86)
Mutation conferring resistance to NNRTIb 23 (79)
Reverse transcriptase M184V mutation conferring resistance to lamivudine 21 (72)
Mutations conferring resistance to both NNRTI and lamivudine 21 (72)
Mutations other than M184V conferring resistance to NRTIs 11 (38)
Any thymidine analogue mutationc 9 (31)
Two or more thymidine analogue mutations 7 (24)
Mutations conferring resistance to lamivudine, other NRTIs and NNRTIs 10 (35)

ART, antiretroviral therapy; NNRTIs, non-nucleoside reverse transcriptase inhibitors; NRTIs, nucleoside reverse transcriptase inhibitors; RNA, ribonucleic acid.
a Based on International AIDS Society-USA guidelines.
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b The most common NNRTI mutations were located in reverse transcriptase codons 103 and 181.
c Thymidine analogue mutations were located in reverse transcriptase codons 41, 67, 70, 210, 215 and 219.