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Cited by 475

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Association between Adherence to Antiretroviral Therapy and Human Immunodeficiency Virus Drug Resistance

Open access
Sethi, A. K., Celentano, D. D., Gange, S. J., Moore, R. D., Gallant, J. E.·2003·Clinical Infectious Diseases

Abstract

Nonadherence to highly active antiretroviral therapy (HAART) is a major cause of human immunodeficiency virus (HIV) drug resistance; however the level of nonadherence associated with the greatest risk of resistance is unknown. Beginning in February 2000, 195 patients at the Johns Hopkins Outpatient Center (Baltimore, MD) who were receiving HAART and who had HIV loads of <500 copies/mL were recruited into a cohort study and observed for 1 year. At each visit, adherence to HAART was assessed and plasma samples were obtained and stored for resistance testing, if indicated. The overall incidence of viral rebound with clinically significant resistance was 14.5 cases per 100 person-years. By multivariate Cox proportional hazards regression, a cumulative adherence of 70%-89%, a CD4 cell nadir of <200 cells/microL, and the missing of a scheduled clinic visit in the past month were independently associated with an increased hazard of viral rebound with clinically significant resistance. Clinicians and patients must set high adherence goals to avoid the development of resistance.

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Crossref · 10.1086/378301

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Metadata

Authors
Sethi, A. K., Celentano, D. D., Gange, S. J., Moore, R. D., & Gallant, J. E.
Venue
Clinical Infectious Diseases
Published
2003-10-15
Volume
37
Issue
8
Pages
1112-1118
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W2108723265
Cited by
475
References
1
FWCI
14.88
Type
journal article
Language
en
Open access
bronze

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.