Real Life HAART Efficacy in Chronically HIV-1 Infected Children 15-Year Follow-Up*Corresponding Author: Fabrice Monpoux, Unite d'Hemato-Immuno- Cancerologie Infantile, GCS de Pediatrie, Hopital de l'Archet 2, 151, route de Saint Antoine de Ginestiere 06202 Nice Cedex 3, France, Tel: 33-0492036064, Fax: 33-0492036578, Email: [email protected]
Received Date: Apr 23, 2012 / Accepted Date: Oct 26, 2012 / Published Date: Oct 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.
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.