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Please use this identifier to cite or link to this item:
http://hdl.handle.net/123456789/1427
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| Title: | A new model to monitor the virological efficacy of antiretroviral treatment in resource-poor countries |
| Authors: | Colebunders, Robert Moses, Kamya R Laurence, John Shihab, Hasan M Semitala, Fred Lutwama, Fred Bakeera-Kitaka, Sabrina Lynen, Lut Spacek, Lisa Reynolds, Steven J Quinn, Thomas C Viner, Brant Mayanja-Kizza, Harriet |
| Keywords: | antiretroviral therapy developing countries HIV patients resource-limited settings virological efficacy Virological monitoring |
| Issue Date: | 2006 |
| Publisher: | Lancet Infect Dis |
| Abstract: | Monitoring the efficacy of antiretroviral treatment in developing countries is difficult because these countries
have few laboratory facilities to test viral load and drug resistance. Those that exist are faced with a shortage of
trained staff, unreliable electricity supply, and costly reagents. Not only that, but most HIV patients in resourcepoor
countries do not have access to such testing. We propose a new model for monitoring antiretroviral
treatment in resource-limited settings that uses patients’ clinical and treatment history, adherence to treatment,
and laboratory indices such as haemoglobin level and total lymphocyte count to identify virological treatment
failure, and offers patients future treatment options. We believe that this model can make an accurate diagnosis
of treatment failure in most patients. However, operational research is needed to assess whether this strategy
works in practice. |
| URI: | http://infection.thelancet.com http://hdl.handle.net/123456789/1427 |
| Appears in Collections: | Research Articles (IDI)
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| Robert Colebunders- idi-res1.pdf | | 92Kb | Adobe PDF | View/Open |
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