Virological rebound in human immunodeficiency virus-infected patients with or without residual viraemia: results from an extended follow-up

Clin Microbiol Infect. 2013 Dec;19(12):E542-4. doi: 10.1111/1469-0691.12266. Epub 2013 Jul 24.

Abstract

Human immunodeficiency virus (HIV) -infected patients with HIV RNA loads of < 50 copies/mL were followed-up for a median (interquartile range) of 30.8 (11.7-32.9) months to study the effect of residual viraemia (RV) on virological rebound (VR). At baseline, 446 (60.3%) patients had undetectable HIV RNA (group A) and 293 (39.7%) had RV (1-49 HIV RNA copies/mL, group B) by kinetic PCR. VR occurred in 4 (0.9%) patients in group A and in 12 (4.1%) patients in group B (p 0.007). Time to VR was shorter among patients of group B (Log-rank test: p 0.003). However, the proportion of VR was extremely low also among patients with RV.

Keywords: Antiretroviral therapy; human immunodeficiency virus type 1viral load; kinetic PCR; virological failure; virological rebound.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-HIV Agents / therapeutic use
  • CD4 Lymphocyte Count
  • Female
  • Follow-Up Studies
  • HIV / physiology*
  • HIV Infections / drug therapy
  • HIV Infections / virology*
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • RNA, Viral / blood*
  • Viral Load
  • Viremia*

Substances

  • Anti-HIV Agents
  • RNA, Viral