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HIV pretreatment drug resistance among cisgender MSM and transgender women from Lima, Peru.

William L TrebelcockJavier R LamaAnn DuerrHugo SanchezRobinson CabelloTrupti GiladaPatricia SeguraSari L ReisnerKenneth H MayerJames MullinsRachel Bender Ignacio
Published in: Journal of the International AIDS Society (2020)
Prevalence of NNRTI resistance in three studies of ART-naïve MSM and TW in Lima, Peru reaches 10%. Because our study reports PDR in a population in which most acquired HIV recently, the overall prevalence of PDR, including previously treated persons, is likely underestimated. These results underscore the need for a nationally representative survey of PDR in Peru and consideration of non-NNRTI anchored first-line ART options. This study also represents the first evaluation of PDR in cis-MSM versus TW in South America, and demonstrates that, although TW are at higher risk of acquiring HIV, they are at similar risk of acquiring a virus with resistance mutations.
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