alexa Real Life HAART Efficacy in Chronically HIV-1 Infected Children 15-Year Follow-Up
ISSN 2155-6113

Journal of AIDS & Clinical Research
Open Access

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Research Article

Real Life HAART Efficacy in Chronically HIV-1 Infected Children 15-Year Follow-Up

Fabrice Monpoux1*, Amandine Rubio2, Charlotte Sakarovitch3, Eric Fontas3, Jacqueline Cottalorda-Dufayard4 and Christian Pradier5

1Unité d’Hémato-Immuno-Cancerologie Infantile-GCS de Pédiatrie, Université de Nice Sophia-Antipolis–NICE cedex 3, France

2Clinique de Pédiatrie. Hôpital Couple Enfant, Université Joseph Fourier–GRENOBLE cedex 09, France

3Département de la Recherche Clinique et de l’Innovation, Université de Nice Sophia-Antipolis–NICE cedex 3, France

4Laboratoire de Virologie, Université de Nice Sophia-Antipolis–NICE cedex 3, France

5Département de santé publique, Université de Nice Sophia-Antipolis–NICE cedex 3, France

*Corresponding Author:
Fabrice Monpoux
Unité d’Hémato-Immuno-Cancerologie Infantile
GCS de Pediatrie, Hôpital de l’Archet 2
151, route de Saint Antoine
de Ginestière 06202 Nice
Cedex 3, France
Tel: 33-0492036064
Fax: 33-0492036578
E-mail: [email protected]

Received Date: April 23, 2012; Accepted Date: October 26, 2012; Published Date: October 28, 2012

Citation: Monpoux F, Rubio A, Sakarovitch C, Fontas E, Cottalorda-Dufayard J, et al. (2012) Real Life HAART Efficacy in Chronically HIV-1 Infected Children 15-Year Follow-Up. J AIDS Clinic Res 3:178. doi:10.4172/2155-6113.1000178

Copyright: © 2012 Monpoux F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Background: It is now widely accepted that the antiretroviral first line-treatment basis in HIV-1 infected children is a combination of 2 nucleoside reverse transcriptase inhibitors and 1 protease inhibitor or 1 non NRTI. However, after few months or years, some patients presented with virological failure. Objective: Using a “real life conditions” cohort, we aimed to study the median duration of Viral Controlled Replication (VCR) and the factors associated with failure in infected children. Methods: Thirty six HIV-1 infected patients were followed between September 1996 and September 2010. Children were included starting from the date of initiation of their first successful HAART. Duration of effective VCR was defined as a length, in months, from inclusion to virological failure defined as a HIV-1 PCR-RNA higher than 400 c/ml. Results: The overall median VCR duration was 46.2 months. Duration was significantly shorter in patients: previously exposed to mono therapies, with CD4 count lower than 350 and with PI-based HAART. After adjustment, the negative effect of PI-based HAART regimen compared to nNRTI-based HAART remained significant (HR=5.7 [95%CI=1.43-22.7]). Conclusion: Therefore, retrospective analysis of “real life” condition data in observational cohort may contribute to a better understanding of non optimal virological care.

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