Transmission of a multidrug-resistant HIV-! from an accupational exposure, in São Paulo, Brazil
AIDS
;
29(12): 1580-1583, 2015.
Article
in English
| LILACS, SES-SP, SESSP-IALPROD, SES-SP, SESSP-IALACERVO
| ID: biblio-1022260
ABSTRACT
We documented the first transmission of a multidrug-resistant HIV from an occupational exposure in Sao Paulo, Brazil, albeit with antiretroviral prophylaxis instituted within 1 h after the accident. A 27-year-old female healthcare worker (HCW) sustained an index finger needle stick injury with a 20-gauge needle while puncturing the forearm of an HIV-infected patient. The putative source (index) patient was a 44-year-old homeless female, on irregular use of zidovudine (AZT), lamivudine (3TC) and ritonavir boosted lopinavir(LPV/r). She was hepatitis C virus (HCV) coinfected and had been prescribed different regimens including nucleos(t)ide reverse transcriptase inhibitors (NRTI), non-nucleos(t)ide reverse transcriptase inhibitors (NNRTI) or protease inhibitors since 2011. Around the time of the accident, she had a HIV viral load of 4.56 log10, HCV viral load of 5.9 log10 (Abbott Real Time HIV and HCV, USA) and CD4+ cell count (BD Biosciences FACSCalibur Flow Cytometer, USA) of 143 cells/µl. After the HCW tested negative by rapid test, AZT/3TC/LPV/r was instituted, as suggested by current guidelines [1,2], within 1 h of the accident.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Humans
/
Drug Resistance
/
Molecular Sequence Data
/
Cluster Analysis
/
HIV Infections
/
Occupational Exposure
/
HIV-1
/
Needlestick Injuries
/
Adult
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
AIDS
Year:
2015
Type:
Article
Institution/Affiliation country:
Secretaria da Saúde do Estado de São Paulo/BR
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