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AIDS Research and Treatment
Volume 2011 (2011), Article ID 230953, 7 pages
Research Article

HIV Suppression among Patients on Treatment in Vietnam: A Review of HIV Viral Load Testing in a Public Urban Clinic in Ho Chi Minh City

1Department of General Internal Medicine, Alpert School of Medicine of Brown University, 593 Eddy St., Providence, RI 02909, USA
2Division of Infectious Diseases, Alpert School of Medicine of Brown University, 164 Summit Avenue Rise Building 148, Providence, RI 02906, USA
3Médicins du Monde, Ho Chi Minh City, Vietnam
4Management Sciences for Health/Supply Chain Management System (MSH/SCMS), 25 Bui Thi Xuan, Hanoi, Vietnam

Received 15 May 2010; Accepted 15 December 2010

Academic Editor: Joep Lange

Copyright © 2011 T. Tony Trinh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. There are few reports of HIV viral load (VL) testing among patients on ART in Vietnam. Methods. From a public clinic in Ho Chi Minh City (HCMC), we reviewed cases of VL measurements from adults on ART. Results. We identified 228 cases. Median age was 30 years (27–34), 85% were male, and 77% had a history of IDU. The mean ART duration was 26 months (95% CI 25–27); d4T/3TC/NVP was the most common regimen. Viral suppression was seen in 160/228 (70%). Viremia (>1000 copies/mL) was associated with prior ART exposure (OR 5.68, ) and immunologic failure (OR 4.69, ). Targeted testing accounted for 13% of cases, only half of which yielded viremia. Conclusion. We demonstrate a high HIV suppression rate among patients on ART in HCMC, Vietnam. In this setting, routine testing detects viremia missed by targeted testing.