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      Impact of Pill Sharing on Drug Resistance Due to a Wide-Scale Oral Prep Intervention in Generalized Epidemics.

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          Abstract

          The first antiretroviral drug (Truvada) to be used as a pre-exposure prophylaxis (PrEP) in preventing HIV transmission is about to be approved. Behavioral studies suggest that a portion of users may share anti-retroviral drugs with sex partners, family, or friends. Pill sharing will decrease PrEP efficacy and adherence level, and potentially create an environment favorable for the development of drug resistance. We aim to evaluate the potential impact of pill sharing on the PrEP effectiveness and on the rates of drug-resistance development in heterosexual populations.

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          Author and article information

          Journal
          J AIDS Clin Res
          Journal of AIDS & clinical research
          Jul 8 2012
          : Suppl 5
          : 4
          Affiliations
          [1 ] Vaccine & Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, USA.
          [2 ] Department of Infectious Disease Epidemiology, Faculty of Medicine, Imperial College London, London, UK.
          [3 ] CHU Sainte-Justine Research Centre, University of Montreal, Montreal, Quebec, Canada.
          Article
          NIHMS479010
          3870903
          24371543
          d90ab464-3b09-42ad-9ca8-a9b2383fc088
          History

          HIV,Pill sharing,Pre-exposure prophylaxis
          HIV, Pill sharing, Pre-exposure prophylaxis

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