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  2. Drivers of HIV-1 transmission: The Portuguese case

Drivers of HIV-1 transmission: The Portuguese case Artículos académico

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Resumen

  • Background Portugal has one of the most severe HIV-1 epidemics in Western Europe. Two subtypes circulate in parallel since the beginning of the epidemic. Comparing their transmission patterns and its association with transmitted drug resistance (TDR) is important to pinpoint transmission hotspots and to develop evidence-based treatment guidelines. Methods Demographic, clinical and genomic data were collected from 3599 HIV-1 naive patients between 2001 and 2014. Sequences obtained from drug resistance testing were used for subtyping, TDR determination and transmission clusters (TC) analyses. Results In Portugal, transmission of subtype B was significantly associated with young males, while transmission of subtype G was associated with older heterosexuals. In Portuguese originated people, there was a decreasing trend both for prevalence of subtype G and for number of TCs in this subtype. The active TCs that were identified (i.e. clusters originated after 2008) were associated with subtype B-infected males residing in Lisbon. TDR was significantly different when comparing subtypes B (10.8% [9.5–12.2]) and G (7.6% [6.4–9.0]) (p = 0.001). Discussion TC analyses shows that, in Portugal, the subtype B epidemic is active and fueled by young male patients residing in Lisbon, while transmission of subtype G is decreasing. Despite similar treatment rates for both subtypes in Portugal, TDR is significantly different between subtypes.

Área temática

  • Igualdad de género
  • Salud y bienestar

autores

  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Ana Barroso Abecasis
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Andrea Clemencia Pineda Peña
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Bram Vrancken
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Guangdi Li
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Kristof Theys
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Marta Pingarilho
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Perpetua Gomes
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Pieter Libin
  • http://research-hub.urosario.edu.co/ontology/vlocal#ExcludedPerson
    Ricardo Jorge Camacho

Publicado en

  • PLOS ONE Revistas

fecha de publicación

  • septiembre 1, 2019

Identidad

Identificador de objeto digital (DOI)

  • https://doi.org/10.1371/journal.pone.0218226

Identificador único PubMed

  • 31568476

Información adicional de documento

Volumen

  • 14

Cuestión

  • 9