Memorias do Instituto Oswaldo Cruz (May 2009)

Prevalence of antiretroviral drug resistance among treatment-naive and treated HIV-infected patients in Venezuela

  • Héctor Rafael Rangel,
  • Domingo José Garzaro,
  • Jaime Rafael Torres,
  • Julio Castro,
  • Jose Antonio Suarez,
  • Laura Naranjo,
  • John Ossenkopp,
  • Nahír Martinez,
  • Cristina Gutierrez,
  • Flor Helene Pujol

DOI
https://doi.org/10.1590/S0074-02762009000300020
Journal volume & issue
Vol. 104, no. 3
pp. 522 – 525

Abstract

Read online

An in-house, low-cost method was developed to determine the genotypic resistance of immunodeficiency virus type 1 (HIV-1) isolates. All 179 Venezuelan isolates analysed belonged to subtype B. Primary drug resistance mutations were found in 11% of 63 treatment-naïve patients. The prevalence of resistance in isolates from 116 HIV-positive patients under antiretroviral treatment was 47% to protease inhibitors, 65% to nucleoside inhibitors and 38% to non-nucleoside inhibitors, respectively. Around 50% of patients in the study harboured viruses with highly reduced susceptibility to the three classical types of drugs after only five years from their initial diagnoses.

Keywords