High prevalence of transmitted drug resistance in acute HIV-infected thai men who have sex with men

Jintanat Ananworanich*, Sunee Sirivichayakul, Suteeraporn Pinyakorn, Trevor A. Crowell, Rapee Trichavaroj, Jessica Weerayingyong, Nitiya Chomchey, James L.K. Fletcher, Frits Van Griensven, Praphan Phanuphak, Merlin L. Robb, Nelson L. Michael, Jerome H. Kim, Nittaya Phanuphak

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

As use of antiretroviral therapy in Thailand increases, so does the potential for transmission of drug-resistant HIV. We describe the prevalence of WHO surveillance drug resistance mutations among 120 subjects who underwent genotypic testing during acute HIV infection in Bangkok, Thailand. In this cohort of predominantly men who have sex with men, we observed an overall transmitted drug resistance prevalence of 9.2%, including nucleoside/nucleotide analog reverse transcriptase inhibitor 5.0%, nonnucleoside analog reverse transcriptase inhibitor 3.4%, and protease inhibitor 3.4%. These prevalence estimates are higher than previous reports of transmitted drug resistance in Thailand. Baseline drug resistance testing may be warranted, particularly among men who have sex with men.

Original languageEnglish
Pages (from-to)481-485
Number of pages5
JournalJournal of Acquired Immune Deficiency Syndromes
Volume68
Issue number4
DOIs
StatePublished - 1 Apr 2015
Externally publishedYes

Keywords

  • Thailand
  • acute HIV
  • men who have sex with men
  • transmitted drug resistance

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