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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/1427

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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