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Time from HIV infection to virological suppression
Time from HIV infection to virological suppression
- Source :
- AIDS. 31:2377-2385
- Publication Year :
- 2017
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2017.
-
Abstract
- Time from HIV infection to virological suppression: dramatic fall from 2007 to 2016.We examined the time from HIV infection to virological suppression in MSM who were first diagnosed at Melbourne Sexual Health Centre between 2007 and 2016.Retrospective cohort.Date of infection was imputed from the testing history or serological evidence of recent infection (negative or indeterminate western blot) or baseline CD4 cell count. Date of virological suppression was determined using clinical viral load data. We analysed predictors of diagnosis with serological evidence of recent infection (logistic regression) and time from diagnosis to suppression and from infection to suppression (Cox regression) using demographic, clinical, and behavioral covariates.Between 2007 and 2016, the median time from HIV infection to diagnosis fell from 6.8 to 4.3 months (P = 0.001), from diagnosis to suppression fell from 22.7 to 3.2 months (P 0.0001), and from infection to suppression fell from 49.0 to 9.6 months (P 0.0001). Serological evidence of recent infection increased from 15.6 to 34.3% (P 0.0001) of diagnoses. In the multivariate analyses, age, being recently arrived from a non-English speaking country, history of IDU, other sexually transmitted infections, and sexual risk were not associated with any of these measures.The duration of infectiousness in MSM diagnosed with HIV infection at Melbourne Sexual Health Centre in Victoria has fallen dramatically between 2007 and 2016 and the proportion diagnosed with serological evidence of recent infection has increased. This effect is observed across all population subgroups and marks a positive milestone for the treatment as prevention paradigm.
- Subjects :
- Male
0301 basic medicine
Pediatrics
medicine.medical_specialty
Sustained Virologic Response
Victoria
Immunology
Human immunodeficiency virus (HIV)
HIV Infections
medicine.disease_cause
Time
03 medical and health sciences
0302 clinical medicine
Humans
Immunology and Allergy
Medicine
030212 general & internal medicine
Homosexuality, Male
Hiv treatment
Seroconversion
Retrospective Studies
Reproductive health
business.industry
virus diseases
Retrospective cohort study
Viral Load
Treatment as prevention
030112 virology
Antiretroviral therapy
Virology
CD4 Lymphocyte Count
Infectious Diseases
Anti-Retroviral Agents
business
Viral load
Subjects
Details
- ISSN :
- 02699370
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- AIDS
- Accession number :
- edsair.doi.dedup.....85613c81691fe480211602c65b57256c
- Full Text :
- https://doi.org/10.1097/qad.0000000000001634