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Basic Characteristics of Mutations
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Mutation Site
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M41L |
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Mutation Site Sentence
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Table 2.Type and frequency of drug resistance mutations detected in 23 samples of HIV-positive FSWs with virological failure who remained on ART for at least 6 months |
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Mutation Level
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Amino acid level |
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Mutation Type
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Nonsynonymous substitution |
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Gene/Protein/Region
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RT |
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Standardized Encoding Gene
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gag-pol:155348
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Genotype/Subtype
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HIV-1 |
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Viral Reference
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-
|
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Functional Impact and Mechanisms
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Disease
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HIV Infections
|
|
Immune
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- |
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Target Gene
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-
|
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Clinical and Epidemiological Correlations
|
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Clinical Information
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- |
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Treatment
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NRTIs |
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Location
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Uganda |
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Literature Information
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|
PMID
|
31266818
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Title
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Sustained virological response and drug resistance among female sex workers living with HIV on antiretroviral therapy in Kampala, Uganda: a cross-sectional study
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Author
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Namale G,Kamacooko O,Bagiire D,Mayanja Y,Abaasa A,Kilembe W,Price M,Ssemwanga D,Lunkuse S,Nanyonjo M,Ssenyonga W,Mayaud P,Newton R,Kaleebu P,Seeley J
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Journal
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Sexually transmitted infections
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Journal Info
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2019 Sep;95(6):405-411
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Abstract
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OBJECTIVES: We assessed the prevalence and risk factors associated with virological failure among female sex workers living with HIV on antiretroviral therapy (ART) in Kampala, Uganda. METHODS: We conducted a cross-sectional study between January 2015 and December 2016 using routinely collected data at a research clinic providing services to women at high risk of STIs including HIV. Plasma samples were tested for viral load from HIV-seropositive women aged >/=18 years who had been on ART for at least 6 months and had received adherence counselling. Samples from women with virological failure (>/=1000 copies/mL) were tested for HIV drug resistance by population-based sequencing. We used logistic regression to identify factors associated with virological failure. RESULTS: Of 584 women, 432 (74%) with a mean age of 32 (SD 6.5) were assessed, and 38 (9%) were found to have virological failure. HIV resistance testing was available for 78% (28/38), of whom 82.1% (23/28) had at least one major drug resistance mutation (DRM), most frequently M184V (70%, 16/23) and K103N (65%, 15/23). In multivariable analysis, virological failure was associated with participant age 18-24 (adjusted OR (aOR)=5.3, 95% CI 1.6 to 17.9), self-reported ART non-adherence (aOR=2.6, 95% CI 1.2 to 5.8) and baseline CD4+ T-cell count =350 cells/mm(3) (aOR=3.1, 95% CI 1.4 to 7.0). CONCLUSIONS: A relatively low prevalence of virological failure but high rate of DRM was found in this population at high risk of transmission. Younger age, self-reported ART non-adherence and low CD4+ T-cell count on ART initiation were associated with increased risk of virological failure.
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Sequence Data
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MH166811-MH166838
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