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HIV resistance testing in the USA - a model for the application of pharmacogenomics in the clinical setting.

机译:美国的HIV耐药性测试-一种在临床环境中应用药物基因组学的模型。

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摘要

Although there is debate about how and when the medical community will readily adopt pharmacogenomics into clinical practice, HIV genotyping has become an integral part of AIDS patient management in the USA since 1996. Genotyping for HIV-1 drug resistance serves as a paradigm for the way pharmacogenomics is likely to be introduced into patient care. This review discusses the unique role that HIV-1 genotype testing plays in identifying resistance in patients and how that information is used to modify therapy selection and impact the progression of disease [1]. In addition, the important issues relating to reimbursement and the cost-effectiveness of genotyping are also discussed.
机译:尽管关于医学界如何以及何时将药物基因组学迅速应用于临床实践存在争议,但自1996年以来,HIV基因分型已成为美国AIDS患者管理不可或缺的一部分。针对HIV-1耐药性的基因分型成为该方法的范例药物基因组学很可能会引入患者护理中。这篇综述讨论了HIV-1基因型测试在识别患者抵抗力中的独特作用,以及该信息如何用于修改治疗选择和影响疾病进展[1]。此外,还讨论了与报销和基因分型的成本效益有关的重要问题。

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