Short communication Low rate of emergence of nevirapine and ...

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Eshleman SH, Mracna M, Guay LA, et al. Selection and fading of resistance mutations in women and infants receiving nevirapine to prevent HIV-1 vertical ...
Cahn

31/1/08

17:05

Page 135

Antiviral Therapy 13:135–139

Short communication Low rate of emergence of nevirapine and lamivudine resistance after post-partum interruption of a triple-drug regimen Héctor Pérez1†, Moira Vignoles 2†, Natalia Laufer 1,2, Alejandro Gómez 2, Patricia Coll1, Jorge Lattner1, María Rolón1, Horacio Salomón2 and Pedro Cahn1,3* 1

Fernandez Hospital, Infectious Diseases Unit, Buenos Aires, Argentina National Reference Center for AIDS, School of Medicine, University of Buenos Aires, Buenos Aires, Argentina 3 Huésped Foundation, Buenos Aires, Argentina 2



These authors contributed equally to this work *Corresponding author: E-mail: [email protected]

Introduction: Emergence of nevirapine (NVP) resistance may be a consequence of its use in monotherapy to prevent HIV mother-to-child transmission (MTCT). The aim of this study was to evaluate the emergence of strains resistant to NVP and lamivudine (3TC) after discontinuation of antiretroviral therapy (ART) with 3TC/zidovudine (ZDV)/NVP. Methods: Twenty pregnant women (ART-naive or preexposed only to ZDV), to whom 3TC/ZDV/NVP was prescribed as MTCT prophylaxis, were studied. They received ART for a median of 4 months with median viral load (VL) at labour