HIV drug resistance surveillance in countries scaling up pre-exposure prophylaxis

HIV drug resistance surveillance in countries scaling up pre-exposure prophylaxis PDF Author:
Publisher: World Health Organization
ISBN: 9240009817
Category : Medical
Languages : en
Pages : 36

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HIV drug resistance surveillance in countries scaling up pre-exposure prophylaxis

HIV drug resistance surveillance in countries scaling up pre-exposure prophylaxis PDF Author:
Publisher: World Health Organization
ISBN: 9240009817
Category : Medical
Languages : en
Pages : 36

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Book Description


HIV DRUG RESISTANCE SURVEILLANCE IN COUNTRIES SCALING UP PRE-EXPOSURE PROPHYLAXIS.

HIV DRUG RESISTANCE SURVEILLANCE IN COUNTRIES SCALING UP PRE-EXPOSURE PROPHYLAXIS. PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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HIV DRUG RESISTANCE SURVEILLANCE IN COUNTRIES SCALING UP PRE-EXPOSURE PROPHYLAXIS.

HIV DRUG RESISTANCE SURVEILLANCE IN COUNTRIES SCALING UP PRE-EXPOSURE PROPHYLAXIS. PDF Author: World Health Organization
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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HIV drug resistance

HIV drug resistance PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9240086315
Category : Medical
Languages : en
Pages : 46

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Book Description
This brief report summarizes recent information on HIV drug resistance (HIVDR) in the era of integrase-strand transfer inhibitors (INSTI) for HIV prevention and treatment. In this report, WHO documents high levels of HIV viral load suppression (>90%) in populations receiving dolutegravir (DTG)-containing antiretroviral therapy (ART). However, recent observational data reveal that HIVDR to DTG is emerging at levels exceeding those observed in clinical trials. Few countries have reported people not achieving viral suppression while receiving DTG-containing ART. However, amongst the surveys reported, levels of DTG resistance ranged from 3.9% to 8.6%, with levels as high as 19.6% observed among highly treatment-experienced people who transitioned to a DTG-containing ART while having high HIV viral loads. Levels of observed DTG resistance in real world populations receiving ART appear to be higher than anticipated from clinical trials. WHO recommends that countries routinely implement standardised surveillance of HIVDR to follow the prevalence and patterns of resistance among people not achieving suppressed viral load. The use of long acting cabotegravir (CAB-LA) for pre-exposure prophylaxis (PrEP) greatly reduces the risk of acquiring HIV. However, INSTI resistance has been observed in some cases with recent CAB-LA exposure, and delayed detection and confirmation of HIV infection can increase the risk of selection of INSTI drug resistance–associated mutations. Despite the possible risk, the roll-out of CAB-LA for PrEP should not be hindered. Scale-up of PrEP should be accompanied by standardized surveillance of drug resistance among people testing positive for HIV while receiving PrEP.

Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection

Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection PDF Author: World Health Organization
Publisher:
ISBN: 9789241549684
Category : AIDS (Disease)
Languages : en
Pages : 429

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Book Description
These guidelines provide guidance on the diagnosis of human immunodeficiency virus (HIV) infection, the use of antiretroviral (ARV) drugs for treating and preventing HIV infection and the care of people living with HIV. They are structured along the continuum of HIV testing, prevention, treatment and care. This edition updates the 2013 consolidated guidelines on the use of antiretroviral drugs following an extensive review of evidence and consultations in mid-2015, shared at the end of 2015, and now published in full in 2016. It is being published in a changing global context for HIV and for health more broadly.

Handbook of Antimicrobial Resistance

Handbook of Antimicrobial Resistance PDF Author: Matthias Gotte
Publisher: Springer
ISBN: 9781493906932
Category : Medical
Languages : en
Pages : 0

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Book Description
While many volumes have been written about various aspects of antimicrobial resistance, this book is a comprehensive reference work. All manifestations of resistance are addressed: viral; bacterial, parasitical and fungal are given dedicated sections. The underlining molecular mechanisms, which depend not only on the microbe but on the specific drug (target), are highly diverse. This work discusses and compares the biological, biochemical and structural aspects of resistance and its evolution.

Ethics and Drug Resistance: Collective Responsibility for Global Public Health

Ethics and Drug Resistance: Collective Responsibility for Global Public Health PDF Author: Euzebiusz Jamrozik
Publisher: Springer
ISBN: 9783030278762
Category : Philosophy
Languages : en
Pages : 448

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Book Description
This Open Access volume provides in-depth analysis of the wide range of ethical issues associated with drug-resistant infectious diseases. Antimicrobial resistance (AMR) is widely recognized to be one of the greatest threats to global public health in coming decades; and it has thus become a major topic of discussion among leading bioethicists and scholars from related disciplines including economics, epidemiology, law, and political theory. Topics covered in this volume include responsible use of antimicrobials; control of multi-resistant hospital-acquired infections; privacy and data collection; antibiotic use in childhood and at the end of life; agricultural and veterinary sources of resistance; resistant HIV, tuberculosis, and malaria; mandatory treatment; and trade-offs between current and future generations. As the first book focused on ethical issues associated with drug resistance, it makes a timely contribution to debates regarding practice and policy that are of crucial importance to global public health in the 21st century.

Challenges to Tackling Antimicrobial Resistance

Challenges to Tackling Antimicrobial Resistance PDF Author: Michael Anderson
Publisher: Cambridge University Press
ISBN: 1108799450
Category : Health & Fitness
Languages : en
Pages : 273

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Book Description
An accessible overview of the challenges in tackling AMR, and the economic and policy responses of the 'One Health' approach. It will appeal to policy-makers seeking to strengthen national and local polices tackling AMR, as well as students and academics who want an overview of the latest scientific evidence regarding effective AMR policies.

Antiretroviral Treatment in Sub-Saharan Africa

Antiretroviral Treatment in Sub-Saharan Africa PDF Author: Tizazu Fetene
Publisher: African Books Collective
ISBN: 9994455788
Category : AIDS (Disease)
Languages : en
Pages : 230

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Book Description
The introduction of antiretroviral therapy (ART) in middle and low income countries is arguably one of the most meaningful outcomes recorded in the fight against HIV and AIDS. A record number of some 6.2 million people living with HIV and AIDS are reported to be benefiting from the treatment, which is reported to have risen by 19 per cent between 2010 and 2011 and as a result of this, the region has also enjoyed a significant decline in AIDS mortality. This volume is the outcome of the call for abstracts put out by OSSREA in 2011 for senior researchers, social scientists and practitioners to write scientific articles on issues surrounding ARVs. The volume contains eight chapters organized into four sections: ART and quality of life; Adherence to ART; Traditional medicine and ART; and Sexual behaviour of ART attendants. The chapters are contributed by Academics and researchers from three different African countries: four from Ethiopia, two from Uganda and two from Zimbabwe.

Report on the global action plan on HIV drug resistance 2017–2021

Report on the global action plan on HIV drug resistance 2017–2021 PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9240071083
Category : Medical
Languages : en
Pages : 40

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Book Description