Article
HIV transmission dynamics and population-wide drug resistance in rural South Africa.
Nature communications - 29 Apr 2024
Kemp Steven A, Kamelian Kimia, Cuadros Diego F, Cheng Mark T K, Okango Elphas, Hanekom Willem, Ndung'u Thumbi, Pillay Deenan, Bonsall David, Wong Emily B, Tanser Frank, Siedner Mark J, Gupta Ravindra K
Abstract excerpt
Despite expanded antiretroviral therapy (ART) in South Africa, HIV-1 transmission persists. Integrase strand transfer inhibitors (INSTI) and long-acting injectables offer potential for superior viral suppression, but pre-existing drug resistance could threaten their effectiveness. In a community-based study in rural KwaZulu-Natal, prior to widespread INSTI usage, we enroled 18,025 individuals to characterise...
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