Dolutegravir Resistance in Malawi’s National HIV Treatment Program

Author:

van Oosterhout Joep J12,Chipungu Chifundo1,Nkhoma Lyse3,Kanise Hope1,Hosseinipour Mina C4,Sagno Jean Babtiste5,Simon Katherine67,Cox Carrie67,Hoffman Risa2,Steegen Kim89,Matola Bilaal W10,Phiri Sam110,Jahn Andreas11,Nyirenda Rose11,Heller Tom3

Affiliation:

1. Partners in Hope, Lilongwe, Malawi

2. Division of Infectious Diseases, David Geffen School of Medicine, University of California, Los Angeles, California, USA

3. The Lighthouse Trust, Lilongwe, Malawi

4. University of North Carolina Project Malawi, Lilongwe, Malawi

5. DREAM, Communion of St. Egidio, Blantyre, Malawi

6. Baylor College of Medicine Children’s Foundation-Malawi, Lilongwe, Malawi

7. Baylor International Pediatric AIDS Initiative, Houston, Texas, USA

8. Department of Haematology & Molecular Medicine, National Health Laboratory Service, Johannesburg, South Africa

9. Department of Haematology & Molecular Medicine, University of the Witwatersrand, Johannesburg, South Africa

10. Department of Public Health and Family Medicine, Kamuzu University of Health Sciences, Lilongwe, Malawi

11. Department of HIV-AIDS, Ministry of Health, Lilongwe, Malawi

Abstract

Abstract Dolutegravir HIV drug resistance (HIVDR) data from Africa remain sparse. We reviewed HIVDR results of Malawians on dolutegravir-based antiretroviral therapy (November 2020–September 2021). Of 6462 eligible clients, 33 samples were submitted to South Africa, 27 were sequenced successfully, and 8 (30%) had dolutegravir HIVDR. Malawi urgently requires adequate HIVDR testing capacity.

Funder

United States Agency for International Development

Centers for Disease Control and Prevention

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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