We sought to describe virologic and clinical retention outcomes among a group of HIV-infected adolescents and young adults (AYA) newly established in an adult HIV clinic compared with matched HIV-infected adults. AYA demonstrated lower rates of HIV-1 virologic suppression and higher rates of HIV-1 viral rebound and loss to follow-up compared with adults. African American AYA had the lowest rates of virologic suppression and the highest rates of viral rebound. Adult providers should consider HIV-infected AYA, particularly African American HIV-infected AYA, to potentially be at high risk for poor clinical outcomes in adult care.
From the Department of Medicine, Division of Infectious Diseases, Northwestern University Feinberg School of Medicine, Chicago, IL.
Received for publication May 6, 2011; accepted July 12, 2011.
The authors have no funding or conflicts of interest to disclose.
Presented at the 18th Conference on Retroviruses and Opportunistic Infections, February 27 to March 2, 2011, Boston, MA.
Correspondence to: Patrick A. Ryscavage, MD, Division of Infectious Diseases, Northwestern University Feinberg School of Medicine, 645 N. Michigan Ave, Suite 900, Chicago, IL 60611 (e-mail: email@example.com).