학술논문

Pretreatment human immunodeficiency virus type 1 (HIV-1) drug resistance in transmission clusters of the Cologne-Bonn region, Germany
Document Type
article
Source
Clinical Microbiology and Infection. 25(2)
Subject
Medical Microbiology
Biomedical and Clinical Sciences
HIV/AIDS
Prevention
Infection
Adult
Anti-HIV Agents
Drug Resistance
Viral
Female
Germany
HIV Infections
HIV-1
Humans
Male
Middle Aged
Cluster
Drug-resistant mutations
Human immunodeficiency virus
Network analysis
Phylogenetic analysis
Clinical Sciences
Public Health and Health Services
Microbiology
Clinical sciences
Medical microbiology
Language
Abstract
ObjectivesIn Germany, previous reports have demonstrated transmitted human immunodeficiency virus type 1 (HIV-1) drug-resistance mutations (DRM) in 11% of newly diagnosed individuals, highlighting the importance of drug-resistance screening before the initiation of antiretroviral therapy (ART). Here, we sought to understand the molecular epidemiology of HIV DRM transmission in the Cologne-Bonn region of Germany, given one of the highest rates of new HIV diagnoses in western Europe (13.7 per 100 000 habitants).MethodsWe analysed 714 HIV-1 ART-naive infected individuals diagnosed at the University Hospitals Cologne and Bonn between 2001 and 2016. Screening for DRM was performed according to the Stanford University Genotypic Resistance Interpretation. Shared DRM were defined as any DRM present in genetically linked individuals (