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HIV Suppression among Patients on Treatment in Vietnam: A Review of HIV Viral Load Testing in a Public Urban Clinic in Ho Chi Minh City.

Trinh TT, Montague BT, Flanigan TP, Gerard HM - AIDS Res Treat (2011)

Bottom Line: Results.We identified 228 cases.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of General Internal Medicine, Alpert School of Medicine of Brown University, 593 Eddy St., Providence, RI 02909, USA.

ABSTRACT
Background. There are few reports of HIV viral load (VL) testing among patients on ART in Vietnam. Methods. From a public clinic in Ho Chi Minh City (HCMC), we reviewed cases of VL measurements from adults on ART. Results. We identified 228 cases. Median age was 30 years (27-34), 85% were male, and 77% had a history of IDU. The mean ART duration was 26 months (95% CI 25-27); d4T/3TC/NVP was the most common regimen. Viral suppression was seen in 160/228 (70%). Viremia (>1000 copies/mL) was associated with prior ART exposure (OR 5.68, P < .0001) and immunologic failure (OR 4.69, P = .0001). Targeted testing accounted for 13% of cases, only half of which yielded viremia. Conclusion. We demonstrate a high HIV suppression rate among patients on ART in HCMC, Vietnam. In this setting, routine testing detects viremia missed by targeted testing.

No MeSH data available.


Related in: MedlinePlus

Flow chart of adult patients on ART >1 yr who received VL testing and enrolled for review.
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Related In: Results  -  Collection


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fig1: Flow chart of adult patients on ART >1 yr who received VL testing and enrolled for review.

Mentions: As of the end of February 2009, a total of 1028 patients were registered as active at the An Hoa OPC. Seven hundred and fifty-eight patients were receiving ART, and 467 of whom had been on ART for greater than one year's duration. We identified 235 unique cases of viral load measurements for review. Seven were excluded because of age less than 18 years yielding a total of 228 for our study (Figure 1).


HIV Suppression among Patients on Treatment in Vietnam: A Review of HIV Viral Load Testing in a Public Urban Clinic in Ho Chi Minh City.

Trinh TT, Montague BT, Flanigan TP, Gerard HM - AIDS Res Treat (2011)

Flow chart of adult patients on ART >1 yr who received VL testing and enrolled for review.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3066628&req=5

fig1: Flow chart of adult patients on ART >1 yr who received VL testing and enrolled for review.
Mentions: As of the end of February 2009, a total of 1028 patients were registered as active at the An Hoa OPC. Seven hundred and fifty-eight patients were receiving ART, and 467 of whom had been on ART for greater than one year's duration. We identified 235 unique cases of viral load measurements for review. Seven were excluded because of age less than 18 years yielding a total of 228 for our study (Figure 1).

Bottom Line: Results.We identified 228 cases.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of General Internal Medicine, Alpert School of Medicine of Brown University, 593 Eddy St., Providence, RI 02909, USA.

ABSTRACT
Background. There are few reports of HIV viral load (VL) testing among patients on ART in Vietnam. Methods. From a public clinic in Ho Chi Minh City (HCMC), we reviewed cases of VL measurements from adults on ART. Results. We identified 228 cases. Median age was 30 years (27-34), 85% were male, and 77% had a history of IDU. The mean ART duration was 26 months (95% CI 25-27); d4T/3TC/NVP was the most common regimen. Viral suppression was seen in 160/228 (70%). Viremia (>1000 copies/mL) was associated with prior ART exposure (OR 5.68, P < .0001) and immunologic failure (OR 4.69, P = .0001). Targeted testing accounted for 13% of cases, only half of which yielded viremia. Conclusion. We demonstrate a high HIV suppression rate among patients on ART in HCMC, Vietnam. In this setting, routine testing detects viremia missed by targeted testing.

No MeSH data available.


Related in: MedlinePlus