Time to First-Line Antiretroviral Therapy Failure and Its Predictors among People Living with HIV in Tanzania
This retrospective cohort study of over 36,000 Tanzanian patients reveals that while dolutegravir-based first-line antiretroviral therapy initially offers strong protection against treatment failure compared to non-dolutegravir regimens, this protective effect diminishes over time, underscoring the critical need for sustained virological monitoring and highlighting age and gender as significant predictors of failure.