TABLE 2.
Resistance detected by ViroSeqb |
Resistance detected by LigAmpc | |||||
---|---|---|---|---|---|---|
Predictor variable | N | Odds ratio (95% CI) | p value | N | Odds ratio (95% CI) | p value |
Maternal pre-NVP viral load (per log10 increase in HIV RNA) | 71 | 1.06 (0.5–2.3) | 0.89 | 64 | 0.98 (0.4–2.2) | 0.95 |
Maternal pre-NVP CD4 cell count (per decrease of 100 cells/µl) | 77 | 1.15 (0.9–1.4) | 0.20 | 69 | 1.15 (0.9–1.4) | 0.21 |
Infant viral load at 6–8 weeks (per log10 increase in HIV RNA)d | 41 | 1.65 (0.7–4.1) | 0.28 | 37 | 1.49 (0.6–4.7) | 0.21 |
HIV subtype (D vs. A)e | 65 | 1.51 (0.6–4.2) | 0.42 | 62 | 1.15 (0.4–3.2) | 0.79 |
HIV subtype (D vs. non-D)e | 80 | 1.70 (0.7–4.4) | 0.28 | 72 | 1.45 (0.5–3.9) | 0.46 |
Infant sex (male vs. female) | 80 | 0.50 (0.2–1.2) | 0.13 | 72 | 0.65 (0.3–1.7) | 0.37 |
Diagnosed with HIV infection at birth (yes/no) | 80 | 3.50 (1.3–9.4) | 0.013 | 72 | 3.90 (1.3–11.4) | 0.015 |
Univariate logistic regression models were used for analysis. Infants were enrolled in four studies (see Table 1).
Resistance detected by ViroSeq indicates detection of one or more NVP resistance mutation (A98G, L100I, K101E/P, K103N/S, V106A/M, Y181C/I/V, Y188C/H/L, G190A/S/C/E/Q/T/V, M230L, K103R+V179D).
LigAmp testing was performed to detect K103N, Y181C, and G190A; resistance detected by LigAmp indicates detection of one or more of these three mutations.
Viral load testing was performed at 6–8 weeks for infants in HIVNET 012, the Breast Feeding study, and the SWEN study; viral load testing was not performed at 6–8 weeks for infants in the Repeat Pregnancy study.
Among the 80 infants who had HIV subtype data, 41 had subtype A, 4 had subtype C, 24 had subtype D, and 11 had intersubtype recombinant HIV.