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. 2010 May;26(5):563–568. doi: 10.1089/aid.2009.0164

Table 2.

Detection of NRTI and NNRTI Resistance before HAART Initiation

 
 
 
ViroSeq
LigAmp (subtype A and D only)
Virally suppresseda sdNVP exposed No. tested No. results No. (%) with resistance No. tested No. (%) with resistance
Yes No 29 25 0 16 1d
  Yes 27 24 1b 20 1e
  Total 56 49 1 (2.0%) 36 2 (5.6%)
No No 16 14 0 8 0
  Yes 11 11 1c 7 3c,f,g
  Total 27 25 1 (4.0%) 15 3 (20.0%)
Overall   83 74 2 (2.7%) 51 5 (9.8%)

Pretreatment samples were analyzed with the ViroSeq HIV Genotyping System for detection of mutations in HIV protease and reverse transcriptase. Fifty-one of the 61 samples with subtype A or D HIV were also tested with the LigAmp assay for detection of selected NVP-resistance mutations (K103N, Y181C, and G190A); 10 subtype A or D samples had insufficient DNA remaining after genotyping for analysis with the LigAmp assay. The table shows the number of samples tested with each assay (no. tested), the number of samples with results with ViroSeq (no. with results), and the number of samples with resistance mutations detected by using each assay (no. with resistance). For children who had one or more resistance mutations detected in the pretreatment sample, the age of the child, HIV subtype, mutation(s) detected, and level of mutation detected (for LigAmp) are detailed in the footnotes.

a

Children were characterized as virally suppressed if their viral load was <1,000 copies/ml throughout the study period.

b

One-year-old child with subtype D HIV; T215A detected by ViroSeq.

c

One-year-old child with subtype A HIV; Y181C detected by ViroSeq and LigAmp (at 1.4%).

d

Five-year-old child with subtype D HIV; Y181C detected by LigAmp (at 2.6%).

e

This child was 1.4 years old with subtype D HIV; Y181C detected by LigAmp (at 5.2%).

f

This child was 1.4 years old with A/F recombinant HIV; Y181C detected by LigAmp (at 2.3%).

g

Six-month-old child with subtype D HIV; Y181C detected by LigAmp (at 3.9%).