Source:http://linkedlifedata.com/resource/pubmed/id/18582190
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2008-6-27
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pubmed:abstractText |
There is a lack of updated estimates of HIV-2 infection in Italy. Moreover, lack of standardized HIV-2 viral load (VL) and drug resistance tests challenges clinical practice. Among 2941 HIV-positive patients followed in our center (Brescia, Northern Italy), 220 (7.5%) were African at the beginning of the study period. We assessed a population of 151 HIV-Ab positive patients (141 of African origin), presenting for routine blood testing from January 2006 to May 2007. Those found infected with HIV-2 started an appropriate disease management with HIV-2 VL and genotypic drug resistance testing. Sixteen of 151 (10.6%) patients were positive for HIV-2. Of those 16 patients, 14 came from Africa. Among 7 experienced patients, 1 was responding to nelfinavir and 4 to lopinavir/ritonavir-containing regimens. Two patients were failing treatment: 1 patient was switched to a saquinavir/ritonavir-containing regimen and responded. The remaining patient switched to lamivudine + atazanavir + saquinavir + ritonavir did not respond, having had previous experience to multiple ineffective drugs, resulting in a very complex HIV-2 drug-resistance pattern. Accurate screening programs and integration of virological tools must be implemented urgently, given the high prevalence of HIV-2, particularly in immigrant patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1557-7449
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pubmed:author |
pubmed-author:BaldantiFaustoF,
pubmed-author:CarosiGiampieroG,
pubmed-author:CostarelliSilviaS,
pubmed-author:IzzoIlariaI,
pubmed-author:LapadulaGiuseppeG,
pubmed-author:MancaNinoN,
pubmed-author:PaolucciStefaniaS,
pubmed-author:Quiros-RoldanEugeniaE,
pubmed-author:RodellaAnnaA,
pubmed-author:TortiCarloC
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pubmed:issnType |
Electronic
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pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
489-94
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pubmed:meshHeading |
pubmed-meshheading:18582190-Adult,
pubmed-meshheading:18582190-Anti-HIV Agents,
pubmed-meshheading:18582190-Antiretroviral Therapy, Highly Active,
pubmed-meshheading:18582190-CD4 Lymphocyte Count,
pubmed-meshheading:18582190-Emigrants and Immigrants,
pubmed-meshheading:18582190-Female,
pubmed-meshheading:18582190-HIV Infections,
pubmed-meshheading:18582190-HIV-1,
pubmed-meshheading:18582190-HIV-2,
pubmed-meshheading:18582190-Humans,
pubmed-meshheading:18582190-Italy,
pubmed-meshheading:18582190-Male,
pubmed-meshheading:18582190-Middle Aged,
pubmed-meshheading:18582190-Prevalence
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pubmed:year |
2008
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pubmed:articleTitle |
Screening and Management of HIV-2-Infected Individuals in Northern Italy.
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pubmed:affiliation |
Institute of Infectious and Tropical Diseases, University of Brescia, Brecia, Italy.
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pubmed:publicationType |
Journal Article
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