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Table 2 Viral load and resistance profiles of children with virological failure (VL > 1000 copies/mL)

From: High level of treatment failure and drug resistance to first-line antiretroviral therapies among HIV-infected children receiving decentralized care in Senegal

Variables

n/N tested

%

%

Viral load (VL)

 VL ≥ 3 log10

320/498

64

 

  3 log10 ≤ VL ≤ 3.7 log10

120/320

 

37.5

  3.7 log10 < VL ≤ 4 log10

40/320

 

12.5

  4 log10 < VL ≤ 4.7 log10

100/320

 

31.25

  4.7 log10 < VL ≤ 5 log10

27/320

 

8.44

  5 > VL log10

33/320

 

10.31

 Median VL = 4 log10

   

Genotypes performed

304/320

 

95

Frequency of drug-resistant virus

 Resistance to at least one ART

263/304

86.5

 

  Resistance to NRTIs only

5/263

 

1.9

  Resistance to NNRTIs only

60/263

 

22.8

  Resistance to NRTIs+NNRTIs

197/263

 

74.9

  Resistance to NRTIs+NNRTIs+PIs

1/263

 

0.4

Frequency of drug resistance to the different drugs

 AZT

90/263

 

34.22

 d4T

93/263

 

35.36

 3TC/FTC

195/263

 

74.14

 ABC

165/263

 

62.73

 ddI

18/263

 

6.84

 TDF

43/263

 

16.34

 EFV

238/263

 

90.49

 NVP

253/263

 

96.19

 ETRa

125/263

 

47.52

 RPVa

136/263

 

51.71

Predicted resistance to the current regimen (3 drugs)

 No resistance

5/263

 

1.9

 1 out of 3 drugs

66/263

 

25.09

 2 out of 3 drugs

106/263

 

40.3

 3 out of 3 drugs

86/263

 

32.69

  1. aDrug not given in the current ART regimen