HBV lamivudine resistance among hepatitis B and HIV coinfected patients starting lamivudine, stavudine and nevirapine in Kenya

作者: H. N. Kim , J. Scott , A. Cent , L. Cook , R. A. Morrow

DOI: 10.1111/J.1365-2893.2011.01466.X

关键词:

摘要: Widespread use of lamivudine in antiretroviral therapy may lead to hepatitis B virus resistance HIV-HBV co-infected patients from endemic settings where tenofovir is not readily available. We evaluated 389 Kenyan HIV-infected adults before and for 18 months after starting highly-active with stavudine, nevirapine. Twenty-seven (6.9%) were HBsAg(+) anti-HBs negative: 24 HBeAg-negative, had HBV DNA ≤10,000 IU/ml. Sustained suppression <100 IU/ml occurred 89% 19 evaluable patients. Resistance only 2 subjects, both high baseline levels. Lamivudine can emerge the setting incomplete but was infrequently observed among low

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