Evidence map›Paper›PMID 18769347›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2008

Transmission cluster of multiclass highly drug-resistant HIV-1 among 9 men who have sex with men in Seattle/King County, WA, 2005-2007.

Susan E Buskin, Giovanina M Ellis, Gregory G Pepper, Lisa M Frenkel, Steven A Pergam, Geoffrey S Gottlieb, Carrie Horwitch, Jeffrey F Olliffe, Karen Johnson, Peter Shalit and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.0field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Leveraging Phylogenetics to Understand HIV Transmission and Partner Notification Networks.Journal of acquired immune deficiency syndromes (1999) · 2018
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  4. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Susan E BuskinHIV/AIDS Epidemiology Unit, HIV/AIDS Program, Public Health-Seattle & King County, 400 Yesler Way, Seattle, WA 98104, USA. susan.buskin@kingcounty.gov
Giovanina M Ellis
Gregory G Pepper
Lisa M Frenkel
Steven A Pergam
Geoffrey S Gottlieb
Carrie Horwitch
Jeffrey F Olliffe
Karen Johnson
Peter Shalit
Corinne Heinen
Margot Schwartz
Robert W Wood
University of Washington · USVirginia Mason Medical Center · USPublic Health – Seattle & King County · USSeattle Children's Hospital · USTown and Country Veterinary Clinic · US

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Grace C. John-Stewart · 1988 to 2026
$104.9M
NIAID NIH HHS P30 AI027757
6 · The paper itself

Abstract

backgroundFrom 2005 through 2007, Seattle health care providers identified cases of primary multiclass drug-resistant (MDR) HIV-1 with common patterns of resistance to antiretrovirals (ARVs). Through surveillance activities and genetic analysis, the local Health Department and the University of Washington identified phylogenetically linked cases among ARV treatment-naive and -experienced individuals.

methodsHIV-1 pol nucleotide consensus sequences submitted to the University of Washington Clinical Virology Laboratory were assessed for phylogenetically related MDR HIV. Demographic and clinical data collected included HIV diagnosis date, ARV history, and laboratory results.

resultsSeven ARV-naive men had phylogenetically linked MDR strains with resistance to most ARVs; these were linked to 2 ARV-experienced men. All 9 men reported methamphetamine use and multiple anonymous male partners. Primary transmissions were diagnosed for more than a 2-year period, 2005-2007. Three, including the 2 ARV-experienced men, were prescribed ARVs.

conclusionsThis cluster of 9 men with phylogenetically related highly drug-resistant MDR HIV strains and common risk factors but without reported direct epidemiologic links may have important implications to public health. This cluster demonstrates the importance of primary resistance testing and of collaboration between the public and private medical community in identifying MDR outbreaks. Public health interventions and surveillance are needed to reduce transmission of MDR HIV-1.

Indexed as

Drug Resistance, Multiple, ViralAnti-HIV AgentsContact TracingDisease OutbreaksHIV-1HIV InfectionsHomosexuality, MaleHumansMalePhylogenypol Gene Products, Human Immunodeficiency VirusRNA, ViralSequence Analysis, DNASexual PartnersWashingtonAnti-HIV Agentspol Gene Products, Human Immunodeficiency VirusRNA, Viral

Identifiers

PMID18769347
PMCPMC2586929
OpenAlexW1994937983

What OpenQuestion holds

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LicenceTDM
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Registered trials

None linked

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.