Evidence map›Paper›PMID 42847628›Full record

ArticleInfection & chemotherapy2026

Incidence Rate and Factors Associated with Antiretroviral Therapy Regimen Change among Adult HIV Patients at Ngoerah Hospital Bali, Indonesia.

I Ketut Agus Somia, I Made Susila Utama, Anak Agung Ayu Yuli Gayatri, Ni Made Dewi Dian Sukmawati, Cokorda Agung Wahyu Purnamasidhi

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Article in Infection & chemotherapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

I Ketut Agus SomiaDivision of Tropical and Infectious Diseases, Department of Medicine, Ngoerah Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia. agus.somia@unud.ac.id.ORCID https://orcid.org/0000-0001-6339-3401
I Made Susila UtamaDivision of Tropical and Infectious Diseases, Department of Medicine, Ngoerah Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia.ORCID https://orcid.org/0000-0001-9676-0335
Anak Agung Ayu Yuli GayatriDivision of Tropical and Infectious Diseases, Department of Medicine, Ngoerah Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia.ORCID https://orcid.org/0000-0001-8277-8796
Ni Made Dewi Dian SukmawatiDivision of Tropical and Infectious Diseases, Department of Medicine, Ngoerah Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia.ORCID https://orcid.org/0000-0001-7380-0437
Cokorda Agung Wahyu PurnamasidhiDepartment of Internal Medicine, Udayana University Academic Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia.ORCID https://orcid.org/0000-0002-1646-3793

Funding

Ngoerah Hospital DP.04.03/XIV/1474/2024
6 · The paper itself

Abstract

backgroundThe human immunodeficiency virus (HIV) epidemic remains a major global health concern. While antiretroviral therapy (ART) has significantly improved survival rates, regimen changes during long-term treatment are common and may impact clinical outcomes. Data regarding the incidence rate and determinants of ART regimen changes among people living with HIV (PLHIV) in Bali, Indonesia, remain limited. MATERIAL AND

methodsThis retrospective cohort study included adult PLHIV receiving ART at Ngoerah Hospital, Bali, Indonesia, from July 2004 to December 2023. A total of 265 eligible patients were selected through systematic random sampling. Multivariable Cox Regression was used to identify factors associated with regimen change.

resultsDuring the study period, the incidence rate of ART regimen changes was 2.22 per 100 person-years (95% confidence interval [CI], 1.760-2.802), with 3,196.7 person-years of observation, and the median follow-up duration for patients was 11.7 years (interquartile range, 11.1-13.7). The median age was 45 years, and the majority were male (64.5%). In multivariate analysis, nevirapine (NVP)-based initial regimens (adjusted hazard ratio [aHR], 1.853; 95% CI, 1.031-3.329;

conclusionNVP-based regimens and low baseline CD4 counts were key factors of regimen change. Continuous monitoring, timely detection of treatment failure, and the use of more durable regimens are essential to improve long-term treatment outcomes for the HIV patients in our outpatient clinic in Bali, Indonesia.

Indexed as

Antiretroviral therapyHIVIncidence rateRegimen changeRisk factors

Identifiers

PMID42847628
PMCPMC13655468

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.