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344878

Drug resistance in HIV's interaction with reverse transcriptase and integrase strand transfer inhibitors among Nigerians attending a military hospital

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Antimicrobial resistance

Abstract

Background: Human Immunodeficiency Virus (HIV) is a complex and dynamic virus that interacts with various cellular components and pathways, leading to the development of antiretroviral therapy (ART) resistance. One of the key factors contributing to ART resistance is the toxicity and inflammatory response associated with the virus's interaction with reverse transcriptase and integrase strand transfer inhibitors. The study aimed to assess circulating strains of HIV in relation to drug resistance among clients on tenofovir lamivudine dolutegravir (TLD) attending Nigerian Navy Hospital (NNH) Warri. Methods:  This was a cross-sectional study in which 120 HIV seropositive subjects, aged 18-65 were recruited through simple random sampling, and data was collected via semi-structured interviews. Five milliliters of venous blood were collected from each participant and plasma separation was done by centrifugation. Immuno-chromatographic Lateral Flow Assay and real-time PCR assay were employed for HIV strain typing and viral load estimation, respectively. Statistical analysis was conducted using Epi-info Statistical Software version 7.2, with significance set at p < 0.05. Results: The mean age of participants was 38.4±11.1 years and 68(56.7%) were females. Majority of the participants 41(34.2%) belonged to age group 41-50 years and 57(47.5%) were married. Most of the participants 107 (89.1%) had HIV-1 and 11(9.2%) had HIV-2 while only 2(1.7%) were having co-infection with HIV 1 and 2. Viral load was undetected in 48(40%) of the subjects and 64(53.3%) had suppressed viral load (≤1000 copies/ml) while 8(6.7%) had unsuppressed viral load (>1000 copies/ml). All subjects with unsuppressed viral load had HIV-1 with a mean age of 39.6±13.1 years and 4(50%) were male.  Conclusion: Our study highlights the prevalence of unsuppressed viral load in HIV-1-infected individuals on TLD at NNH Warri. Addressing drug resistance concerns remains crucial for effective antiretroviral therapy management. Clients with unsuppression were recommended for enhanced adherence counseling to diagnose treatment failure.

DOI

10.21608/mid.2024.265823.1775

Keywords

Drug resistance, HIV, Antiretroviral therapy, Unsuppression

Authors

First Name

Odekunle

Last Name

Odegbemi

MiddleName

Bola

Affiliation

Medical Laboratory Science Department, Faculty of Applied Health Science, Edo State University, Uzairue, Nigeria

Email

odegbemi21.odekunle@edouniversity.edu.ng

City

-

Orcid

0000000254299429

First Name

Mathew

Last Name

OLANIYAN

MiddleName

Folaranmi

Affiliation

Medical Laboratory Science Department, Faculty of Applied Health Science, Edo State University, Uzairue, Nigeria

Email

olaniyanmat@yahoo.com

City

-

Orcid

0000-0003-1119-3461

Volume

5

Article Issue

2

Related Issue

47401

Issue Date

2024-05-01

Receive Date

2024-01-27

Publish Date

2024-05-01

Page Start

479

Page End

488

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_344878.html

Detail API

https://mid.journals.ekb.eg/service?article_code=344878

Order

8

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

Drug resistance in HIV's interaction with reverse transcriptase and integrase strand transfer inhibitors among Nigerians attending a military hospital

Details

Type

Article

Created At

25 Dec 2024