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Detection of minority drug resistant mutations in Malawian HIV-1 subtype C-positive patients initiating and on first-line antiretroviral therapy.

Zhiyong ZhouKevin TangGuoqing ZhangNellie Wadonda-KabondoKundai MoyoLori A RoweJoshua R DeVosNick WagarDu-Ping ZhengHongxiong GuoJohn NkengasongMike FraceScott SammonsChunfu Yang
Published in: African journal of laboratory medicine (2018)
The results revealed the presence of minority DRMs to NRTIs and NNRTIs in specimens collected at baseline and virologic failure time points. These minority DRMs not only increased resistance levels to NRTIs and NNRTIs for the prescribed ART, but also expanded resistance to additional major first-line ART drugs. This study suggested that drug resistance testing that uses more sensitive technologies, is needed in this setting.
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