Temesgen Z, Cainelli F, Poeschla EM, Vlahakis SAR, Vento S. Approach to salvage antiretroviral therapy in heavily antiretroviral-experienced HIV-positive adults.
THE LANCET. INFECTIOUS DISEASES 2006;
6:496-507. [PMID:
16870528 DOI:
10.1016/s1473-3099(06)70550-3]
[Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Despite dramatic declines in HIV-associated morbidity and mortality as a result of highly active antiretroviral therapy, management of heavily treatment-experienced patients remains complex and challenging. Treatment response rates with subsequent antiretroviral regimens are lower than with initial antiretroviral therapy. Additionally, increased mortality has been associated with multidrug-resistant HIV. We review data relevant to management of such patients and offer a systematic approach to constructing a salvage antiretroviral regimen.
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