Management Issues of HIV Infection in Poor Resource Setting Due to Unavailability of Drug Sensitivity Testing

Authors

  • Baba Usman Ahmadu Federal Medical Centre (FMC) Yola, Adamawa state

DOI:

https://doi.org/10.3126/jnps.v33i2.7699

Keywords:

Drug sensitivity testing, HIV Treatment failure, Health resource poor setting

Abstract

Despite the obvious benefits that rapid scale-up of antiretroviral therapy (ART) has had on cases of human immunodeficiency virus (HIV), treatment failure that is mostly associated with the emergence of HIV drug resistance still remains a major challenge. Index case is a stage 4 HIV patient who failed multiple ART, including nucleoside and nonnucleoside reverse transcriptase inhibitors (NRTIs and NNRTIs) and protease inhibitors (PIs). His clinical and immunological markers continued to fail despite completion of anti tuberculosis drugs, adequate nutrition, and treatment for opportunistic infections. This case indicates an emerging need to consider providing facility for HIV drug sensitivity testing at various sites in order to select appropriate second line antiretrovirals that would be of benefit to a patient.

DOI: http://dx.doi.org/10.3126/jnps.v33i2.7699  

J Nepal Paediatr Soc. 2013; 33(2):141-143

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Author Biography

Baba Usman Ahmadu, Federal Medical Centre (FMC) Yola, Adamawa state

Consultant Paediatrician, Department of Paediatrics

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Additional Files

Published

2013-10-07

How to Cite

Ahmadu, B. U. (2013). Management Issues of HIV Infection in Poor Resource Setting Due to Unavailability of Drug Sensitivity Testing. Journal of Nepal Paediatric Society, 33(2), 141–143. https://doi.org/10.3126/jnps.v33i2.7699

Issue

Section

Brief Reports/Case Reports/Case Series