Table 2.
Factors associated with multi-NRTI RAMs at first-line ART failure
| Univariate | Multivariate | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
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| Total patients | Multi-NRTI RAMs | OR | 95% CI | p | Global p* | OR | 95% CI | p | Global p* | |
| Age at genotyping (years) | ||||||||||
| ≤30 | 19 | 6 | 1 | 0.630 | 1 | 0.268 | ||||
| 31–40 | 59 | 21 | 1.20 | 0.40–3.61 | 0.749 | 0.49 | 0.12–1.91 | 0.302 | ||
| 41+ | 27 | 12 | 1.73 | 0.51–5.93 | 0.381 | 1.13 | 0.27–4.71 | 0.865 | ||
| Sex | ||||||||||
| Male | 69 | 26 | 1 | 0.874 | 1 | 0.972 | ||||
| Female | 36 | 13 | 0.93 | 0.41–2.16 | 0.874 | 0.98 | 0.38–2.54 | 0.972 | ||
| Mode of exposure | ||||||||||
| Heterosexual contact | 76 | 29 | 1 | 0.128 | 1 | 0.788 | ||||
| Homosexual contact | 19 | 4 | 0.43 | 0.13–1.43 | 0.169 | 0.77 | 0.20–2.92 | 0.700 | ||
| Other/unknown | 10 | 6 | 2.43 | 0.63–9.35 | 0.196 | 1.51 | 0.33–6.90 | 0.598 | ||
| Failing NRTI backbone | ||||||||||
| 3TC+d4T | 46 | 19 | 1 | 0.035 | 1 | 0.172 | ||||
| 3TC+AZT | 33 | 16 | 1.34 | 0.54–3.29 | 0.527 | 1.74 | 0.62–4.89 | 0.293 | ||
| Other | 26 | 4 | 0.26 | 0.08–0.87 | 0.029 | 0.46 | 0.12–1.80 | 0.262 | ||
| VL at genotyping (copies/ml) | ||||||||||
| ≤10,000 | 44 | 11 | 1 | 0.093 | 1 | 0.060 | ||||
| 10,001–100,000 | 38 | 18 | 2.70 | 1.06–6.87 | 0.037 | 3.73 | 1.24–11.23 | 0.019 | ||
| >100,000 | 23 | 10 | 2.31 | 0.79–6.73 | 0.126 | 2.53 | 0.69–9.20 | 0.160 | ||
| CD4 at genotyping (cells/µL) | ||||||||||
| ≤200 | 58 | 28 | 3.50 | 1.37–8.91 | 0.009 | 4.43 | 1.59–12.37 | 0.004 | 0.004 | |
| >200 | 38 | 8 | 1 | 0.009 | 1 | |||||
| Missing | 9 | 3 | 1.87 | 0.38–9.20 | 0.438 | 1.59 | 0.30–8.58 | 0.587 | ||
| Years since ART initiation | ||||||||||
| ≤2 | 49 | 9 | 1 | <0.001 | 1 | <0.001 | ||||
| >2 | 56 | 30 | 5.13 | 2.10–12.53 | <0.001 | 6.25 | 2.39–16.36 | <0.001 | ||
| Previous AIDS | ||||||||||
| No | 46 | 10 | 1 | 0.005 | 1 | 0.059 | ||||
| Yes | 59 | 29 | 3.48 | 1.46–8.28 | 0.005 | 2.52 | 0.97–6.56 | 0.059 | ||
| Subtype | ||||||||||
| B | 17 | 8 | 1 | 0.358 | 1 | 0.328 | ||||
| Non-B | 88 | 31 | 0.61 | 0.21–1.74 | 0.358 | 0.54 | 0.16–1.85 | 0.328 | ||
Global p-values are test for heterogeneity excluding not tested or missing values.
Results in bold represent significant covariates in the final model. Non-significant factors were presented in the multivariate model adjusted for significant predictors.
3TC=lamivudine; d4T=stavudine; AZT=zidovudine.