Table 2.
Tests for acquired drug resistance and number of episodes of virological failure* and corresponding rates per 1000 person-years 6 months after ART initiation. HIV-CAUSAL Collaboration 2000–2015.
Baseline characteristics | Tests for acquired drug resistance | Tests detecting acquired drug resistance | Virological failure episodes* | ||||
---|---|---|---|---|---|---|---|
N | Tests/1000 person-years | N | Tests/1000 person-years | N | Episodes/1000 person-years | ||
Overall | 2672 | 20.1 | 794 | 6 | 1874 | 14.1 | |
| |||||||
CD4 count, cells/mm3 | <100 | 449 | 28.9 | 207 | 13.3 | 227 | 14.8 |
100 – 200 | 433 | 23.5 | 138 | 7.5 | 254 | 13.8 | |
200 – 350 | 750 | 19.3 | 216 | 5.6 | 546 | 14.1 | |
350 – 500 | 487 | 15.8 | 111 | 3.6 | 403 | 13 | |
>500 | 553 | 19.1 | 122 | 4.2 | 404 | 15.3 | |
HIV-RNA, copies/mL | <10000 | 435 | 16 | 111 | 4.1 | 425 | 15.6 |
10000 – 100000 | 1117 | 18.4 | 338 | 5.6 | 803 | 13.2 | |
>100000 | 1120 | 25 | 345 | 7.7 | 646 | 14.4 | |
Sex | Male | 1959 | 18.1 | 574 | 5.3 | 1300 | 12 |
Female | 713 | 29 | 220 | 9 | 574 | 23.4 | |
Age, years | 18 – 35 | 1318 | 23.9 | 382 | 6.9 | 953 | 17.3 |
35 – 50 | 1136 | 18.3 | 351 | 5.7 | 790 | 12.8 | |
>50 | 218 | 14 | 61 | 3.9 | 131 | 8.4 | |
Mode of HIV acquisition | Heterosexual | 1087 | 25.8 | 367 | 8.7 | 778 | 18.7 |
Homo/bi-sexual | 1326 | 16.9 | 337 | 4.3 | 864 | 11 | |
Injection drug-use | 127 | 30.1 | 36 | 8.5 | 120 | 28.5 | |
Other/unknown | 132 | 17 | 54 | 7 | 102 | 13.2 | |
Calendar year | 2000–2004 | 1403 | 24 | 486 | 8.3 | 1104 | 18.9 |
2005–2009 | 1069 | 19 | 264 | 4.7 | 609 | 10.8 | |
2010 – 2015 | 200 | 11.1 | 44 | 2.4 | 162 | 9 | |
Region of origin | Western countries | 524 | 9.2 | 181 | 3.2 | 602 | 10.6 |
Sub-Saharan Africa | 159 | 28.2 | 65 | 11.5 | 128 | 22.7 | |
Rest of the world | 137 | 13.6 | 55 | 5.4 | 109 | 10.8 | |
Unknown | 1852 | 30.9 | 493 | 8.2 | 1035 | 17.2 | |
Ethnicity | White | 1288 | 22.1 | 312 | 5.4 | 849 | 14.6 |
Black | 727 | 38.1 | 245 | 12.8 | 461 | 24.2 | |
Other/unknown | 657 | 11.9 | 237 | 4.3 | 564 | 10.2 | |
Testing for transmitted drug resistance | No | 1478 | 19 | 508 | 6.6 | 1200 | 15.5 |
Yes | 1194 | 11.1 | 286 | 5.2 | 674 | 12.2 |
Virological failure was defined as the second of two consecutive HIV-RNA≥400 copies/mL preceded by HIV-RNA≤50 copies/mL.