JAC Advance Access published online on December 19, 2003
Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkh024
© 2003 by The British Society for Antimicrobial Chemotherapy
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Leading article
1 INSERM U436, Mathematical and Statistical Modelling in Biology
and Medicine, CHU Pitié-Salpêtrière,
Paris, France
* Corresponding author. E-mail: eve{at}biomath.jussieu.fr.
Because treatment failure in many HIV-infected persons
may be due to multiple causes, including resistance to antiretroviral
agents, it is important to better tailor drug therapy to individual
patients. This improvement requires the prediction of treatment
outcome from baseline immunological or virological factors, and
from results of resistance tests. Here, we review briefly the available
clinical factors that have an impact on therapy outcome, and discuss
the role of a predictive modelling approach integrating these factors
proposed in a previous work. Mathematical and statistical models
could become essential tools to address questions that are difficult
to study clinically and experimentally, thereby guiding decisions
in the choice of individualized drug regimens.
Keywords: resistance tests, modelling, therapy outcome
Available clinical markers of treatment outcome
integrated in mathematical models to guide therapy in HIV infection
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