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Basic Characteristics of Mutations
|
|
Mutation Site
|
V179E |
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Mutation Site Sentence
|
Phylogenetic analysis demonstrated that this strain of subtype C virus, with primary nonnucleoside reverse-transcriptase inhibitor (NNRTI) mutations E138A and V179E, had been transmitted recently and rapidly among Scottish PWID but had not yet spread anywhere else in the UK. |
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Mutation Level
|
Amino acid level |
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Mutation Type
|
Nonsynonymous substitution |
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Gene/Protein/Region
|
RT |
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Standardized Encoding Gene
|
gag-pol:155348
|
|
Genotype/Subtype
|
HIV-1 |
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Viral Reference
|
-
|
|
Functional Impact and Mechanisms
|
|
Disease
|
HIV Infections
|
|
Immune
|
- |
|
Target Gene
|
-
|
|
Clinical and Epidemiological Correlations
|
|
Clinical Information
|
- |
|
Treatment
|
NNRTIs |
|
Location
|
Scotland |
|
Literature Information
|
|
PMID
|
32877546
|
|
Title
|
From Hospital to the Community: Redesigning the Human Immunodeficiency Virus (HIV) Clinical Service Model to Respond to an Outbreak of HIV Among People Who Inject Drugs
|
|
Author
|
Metcalfe R,Ragonnet-Cronin M,Bradley-Stewart A,McAuley A,Stubbs H,Ritchie T,O'Hara R,Trayner K,Glover C,Laverty L,Sills L,Brown K,Gunson R,Campbell J,Milsoevic C,Anderson P,Peters SE
|
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Journal
|
The Journal of infectious diseases
|
|
Journal Info
|
2020 Sep 2;222(Suppl 5):S410-S419
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Abstract
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An outbreak of human immunodeficiency virus (HIV) among people who inject drugs in Glasgow, Scotland started in 2014. We describe 156 cases over 5 years and evaluate the impact of clinical interventions using virological and phylogenetic analysis. We established (1) HIV services within homeless health facilities, including outreach nurses, and (2) antiretroviral therapy (ART) via community pharmacies. Implementation of the new model reduced time to ART initiation from 264 to 23 days and increased community viral load suppression rates to 86%. Phylogenetic analysis demonstrated that 2019 diagnoses were concentrated within a single network. Traditional HIV care models require adaptation for this highly complex population.
|
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Sequence Data
|
-
|