Molecular epidemiology of HIV-1 clades in Southern Brazil

Mem Inst Oswaldo Cruz. 2010 Dec;105(8):1044-9. doi: 10.1590/s0074-02762010000800015.

Abstract

Human immunodeficiency virus (HIV) clades B and C account for more than 60% of the HIV-1 infections worldwide. In this paper, we describe the profiles of patients infected with subtypes of HIV-1 from the state of Paraná, Southern Brazil, and correlate them with demographic and epidemiological findings. A retrospective analysis of HIV cases reported from 1999-2007 was also performed. Data from 293 patients were reviewed and 245 were older than 13 (58% female). The distribution of clades was as follows: B 140 (57%), C 67 (23%), F 24 (10%) and mosaic or unique recombinant forms (URFs) 24 (10%). Of the 48 patients younger than 13 years of age (62.5% male), vertical transmission occurred in 46 and the distribution of clades was as follows: B 14 (29%), C 24 (50%), F 7 (15%) and URFs 6 (13%). There was no significant difference in mortality between HIV-1 subtypes. In both groups, patients infected with clade C tended to have higher rates of injection drug use exposure risk.

MeSH terms

  • Adolescent
  • Adult
  • Brazil / epidemiology
  • Cross-Sectional Studies
  • Female
  • Genotype
  • HIV Infections / epidemiology*
  • HIV Infections / virology
  • HIV-1 / classification
  • HIV-1 / genetics*
  • Humans
  • Male
  • Retrospective Studies
  • Risk Factors