Factors Affecting Virological Outcome When First-Line Antiretroviral Therapy Is Reintroduced After Unplanned Interruption

J Int Assoc Provid AIDS Care. 2020 Jan-Dec:19:2325958219899534. doi: 10.1177/2325958219899534.

Abstract

There is no guideline concerning choice of antiretroviral therapy (ART) for HIV-infected patients after unplanned interruption. We conducted a retrospective cohort study of HIV-infected patients reintroduced to first-line ART after having unplanned interruption for at least 1 month. Viral load was evaluated at 6 to 18 months after the reintroduction. There were 100 patients included in our study, and 55 of them achieved virological success. History of single interruption (adjusted odds ratio [aOR] 5.51%, 95% confidence interval [CI] 1.82-16.68, P = .003) and CD4 count ≥200 cell/mm3 at the time of reintroduction (aOR 4.33, 95% CI 1.14-16.39, P = .031) increased likelihood to achieve virological success.

Keywords: ART reintroduction; unplanned interruption; virological success.

MeSH terms

  • Adult
  • Anti-Retroviral Agents / therapeutic use*
  • Antiretroviral Therapy, Highly Active*
  • Drug Administration Schedule*
  • Drug Resistance, Viral
  • Female
  • HIV Infections / drug therapy*
  • Humans
  • Male
  • Middle Aged
  • Patient Compliance
  • Retrospective Studies
  • Treatment Outcome
  • Viral Load / drug effects*
  • Viral Load / statistics & numerical data
  • Young Adult

Substances

  • Anti-Retroviral Agents