Viral Blips After Treatment Initiation During Acute Human Immunodeficiency Virus Infection

Author:

Crowell Trevor A12ORCID,Pinyakorn Suteeraporn12,Sacdalan Carlo3,Kroon Eugène3,Colby Donn J3,Puttamaswin Suwanna3,Ubolyam Sasiwimol4,Trichavaroj Rapee5,Butterworth Oratai12,Turk Ellen12,Mccullough Corinne12,Chomont Nicolas6,de Souza Mark23,Robb Merlin L12,Phanuphak Nittaya3,Ananworanich Jintanat1237,

Affiliation:

1. US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA

2. Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland, USA

3. South East Asia Research Collaboration in HIV, Thai Red Cross AIDS Research Centre, Bangkok, Thailand

4. The HIV Netherlands Australia Thailand Research Collaboration, Thai Red Cross AIDS Research Centre, Bangkok, Thailand

5. Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand

6. Centre de Recherche du Centre Hospitalier de l’Université de Montréal and Department of Microbiology, Infectiology and Immunology, Université de Montréal, Montreal, Quebec, Canada

7. Department of Global Health, University of Amsterdam, Amsterdam, The Netherlands

Abstract

Abstract Transient viral blips ≥20 copies/mL were observed in 16.9% of acutely treated adults with HIV. Blip incidence increased from 0.0 (95% CI, 0.0–2.9)/100 person-years after ART in Fiebig I to 15.9 (7.6–29.2) in Fiebig V. Increasing viral load and Fiebig stage at ART initiation were independently predictive of blips.

Funder

Henry M. Jackson Foundation

US Department of the Army

Thai Government Pharmaceutical Organization

ViiV Healthcare

Gilead

Merck

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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