A Targeted Approach for Routine Viral Load Monitoring in Malawian Adults on Antiretroviral Therapy

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Mungwira, R.G. et al. (2018). Tropical Medicine 23:5. DOI : 10.1111/tmi.13047.

This study sought to optimize routine viral load (VL) monitoring through a targeted approach to reduce cost and identify adults at low risk for virologic failure (VF). A VF prediction tool to distinguish clinically stable, low‐risk adults who could be exempted from VL testing is a potential cost‐saving strategy to select clinically stable adults on first‐line antiretroviral therapy (ART) who may be exempted from VL testing at routine VL monitoring milestones in areas with high ART utilization and limited VL testing capacity.