HIV-1 cross-resistance to second-generation non-nucleoside reverse transcriptase inhibitors among individuals failing antiretroviral therapy in Cameroon: implications for the use of long-acting treatment regimens in low- and middle-income countries

Among patients failing treatment in Cameroon, there is a high-level of cross-resistance to 2ndGenNNRTI due to wide exposure to 1stGenNNRTI. Thus, in LMICs sharing similar programmatic features, the use of NNRTI-sparing regimens should be prioritized as a public health approach, while second-generation-NNRTI long-acting regimens should be guided by genotyping or for clients without previous exposure to NNRTIs.

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Publication Details

Journal
JAC-Antimicrobial Resistance
Published
2025-03-04
DOI
https://doi.org/10.1093/jacamr/dlaf059
Primary Topic
HIV/AIDS drug development and treatment
Type
article
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article

HIV-1 cross-resistance to second-generation non-nucleoside reverse transcriptase inhibitors among individuals failing antiretroviral therapy in Cameroon: implications for the use of long-acting treatment regimens in low- and middle-income countries

Grâce Beloumou, Alex Durand Nka, Ezéchiel Ngoufack Jagni Semengue, Alexis Ndjolo et al.
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JAC-Antimicrobial Resistance
HIV/AIDS drug development and treatment
article

HIV-1 cross-resistance to second-generation non-nucleoside reverse transcriptase inhibitors among individuals failing antiretroviral therapy in Cameroon: implications for the use of long-acting treatment regimens in low- and middle-income countries

Grâce Beloumou, Alex Durand Nka, Ezéchiel Ngoufack Jagni Semengue, Alexis Ndjolo, Nicaise Ndembi, Yagaï Bouba, Sandrine Djupsa, Joseph Fokam, Collins Ambe Chenwi, Vittorio Colizzi, Aude Christelle Ka’e, Carlo Federico Perno, Davy-Hyacinthe Gouissi Anguechia, Désiré Takou, Dora Mbanya, Vincent Kamaël Mekel
article en

Abstract

Among patients failing treatment in Cameroon, there is a high-level of cross-resistance to 2ndGenNNRTI due to wide exposure to 1stGenNNRTI. Thus, in LMICs sharing similar programmatic features, the use of NNRTI-sparing regimens should be prioritized as a public health approach, while second-generation-NNRTI long-acting regimens should be guided by genotyping or for clients without previous exposure to NNRTIs.

JAC-Antimicrobial ResistanceVol. 7(2)
University of Rome Tor Vergata (IT), University of Maryland, Baltimore (US), Université de Yaoundé I (CM), University of Buea (CM), University of Health Science (KH), Centre International De Reference Chantal Biya (CM), Saint Camillus International University of Health and Medical Sciences (IT), Africa Centres for Disease Control and Prevention (ET), Bambino Gesù Children's Hospital (IT), Ministry of Public Health (CM), Istituti di Ricovero e Cura a Carattere Scientifico (IT)
No poverty
Openalex Percentile: Top 88%
HIV/AIDS drug development and treatment
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