Genotypic Resistance Tests Sequences Reveal the Role of Marginalized Populations in HIV-1 Transmission in Switzerland.

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Version: author
Serval ID
serval:BIB_0C3A602D0EF8
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Genotypic Resistance Tests Sequences Reveal the Role of Marginalized Populations in HIV-1 Transmission in Switzerland.
Journal
Scientific reports
Author(s)
Shilaih M., Marzel A., Yang W.L., Scherrer A.U., Schüpbach J., Böni J., Yerly S., Hirsch H.H., Aubert V., Cavassini M., Klimkait T., Vernazza P.L., Bernasconi E., Furrer H., Günthard H.F., Kouyos R.
Working group(s)
Swiss HIV Cohort Study
Contributor(s)
Battegay M., Braun D., Bucher H., Burton-Jeangros C., Calmy A., Dollenmaier G., Egger M., Elzi L., Fehr J., Fellay J., Fux C., Gorgievski M., Haerry D., Hasse B., Hoffmann M., Hösli I., Kahlert C., Kaiser L., Keiser O., Kovari H., Ledergerber B., Martinetti G., de Tejada B.M., Marzolini C., Metzner K., Müller N., Nadal D., Nicca D., Pantaleo G., Rauch A., Regenass S., Rudin C., Schöni-Affolter F., Schmid P., Speck R., Stöckle M., Tarr P., Trkola A., Weber R.
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
14/06/2016
Peer-reviewed
Oui
Volume
6
Pages
27580
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Abstract
Targeting hard-to-reach/marginalized populations is essential for preventing HIV-transmission. A unique opportunity to identify such populations in Switzerland is provided by a database of all genotypic-resistance-tests from Switzerland, including both sequences from the Swiss HIV Cohort Study (SHCS) and non-cohort sequences. A phylogenetic tree was built using 11,127 SHCS and 2,875 Swiss non-SHCS sequences. Demographics were imputed for non-SHCS patients using a phylogenetic proximity approach. Factors associated with non-cohort outbreaks were determined using logistic regression. Non-B subtype (univariable odds-ratio (OR): 1.9; 95% confidence interval (CI): 1.8-2.1), female gender (OR: 1.6; 95% CI: 1.4-1.7), black ethnicity (OR: 1.9; 95% CI: 1.7-2.1) and heterosexual transmission group (OR:1.8; 95% CI: 1.6-2.0), were all associated with underrepresentation in the SHCS. We found 344 purely non-SHCS transmission clusters, however, these outbreaks were small (median 2, maximum 7 patients) with a strong overlap with the SHCS'. 65% of non-SHCS sequences were part of clusters composed of >= 50% SHCS sequences. Our data suggests that marginalized-populations are underrepresented in the SHCS. However, the limited size of outbreaks among non-SHCS patients in-care implies that no major HIV outbreak in Switzerland was missed by the SHCS surveillance. This study demonstrates the potential of sequence data to assess and extend the scope of infectious-disease surveillance.

Keywords
Adult, Anti-HIV Agents/therapeutic use, Cohort Studies, Drug Resistance, Viral/genetics, Female, Genotype, HIV Infections/drug therapy, HIV Infections/epidemiology, HIV Infections/transmission, HIV Infections/virology, HIV-1/classification, HIV-1/genetics, HIV-1/isolation & purification, Heterosexuality, Homosexuality, Male, Humans, Male, Middle Aged, Molecular Typing, Multivariate Analysis, Phylogeny, Substance Abuse, Intravenous/drug therapy, Substance Abuse, Intravenous/epidemiology, Substance Abuse, Intravenous/virology, Switzerland/epidemiology
Pubmed
Web of science
Open Access
Yes
Create date
18/06/2016 17:09
Last modification date
20/08/2019 13:33
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