Evidence map›Paper›PMID 20226326›Full record

ArticleDiagnostic microbiology and infectious disease2010

Acute HIV infection among pregnant women in Malawi.

Cynthia L Gay, Victor Mwapasa, David M Murdoch, Jesse J Kwiek, Susan A Fiscus, Steven R Meshnick, Myron S Cohen

Abstract readEvaluation Study
In one paragraph

Article in Diagnostic microbiology and infectious disease, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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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

7 authors at 4 institutions in 3 countries.

Cynthia L GayDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7030, USA. cynthia_gay@med.unc.edu
Victor Mwapasa
David M Murdoch
Jesse J Kwiek
Susan A Fiscus
Steven R Meshnick
Myron S Cohen
University of North Carolina at Chapel Hill · USDuke University · USMalawi-Liverpool-Wellcome Trust Clinical Research Programme · MWUniversity of Liverpool · GB

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
INFECTIOUS DISEASE PATHOGENESIS TRAININGT32AI007151 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JULIANO, JONATHAN J · 1985 to 2024
$5.5M
MALARIA AND HIV IN PREGNANT WOMEN IN MALAWIR01AI049084 · NIAID · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI MESHNICK, STEVEN RICHARD · 2001 to 2005
$1.5M
Viral and Placental Determinants of HIV-1 Subtype C Mother-to-Child TransmissionR00HD056586 · NICHD · OHIO STATE UNIVERSITY · PI KWIEK, JESSE J · 2007 to 2008
$497k
TRAINING MED SCHOOL FACULTY TO TACKLE MALARIA IN MALAWID43TW000908 · FIC · MICHIGAN STATE UNIVERSITY · PI TAYLOR, TERRIE ELLEN · 1997 to 2002
$430k
FIC NIH HHS 5 D43 TW00908FIC NIH HHS D43 TW000908NIAID NIH HHS 5 P30 AI50410NIAID NIH HHS AI 49084NIAID NIH HHS P30 AI050410NIAID NIH HHS R01 AI049084NIAID NIH HHS T32 AI007151NIAID NIH HHS T32AI07151NICHD NIH HHS R00 HD056586
6 · The paper itself

Abstract

There are limited data on acute HIV infection (AHI) prevalence during pregnancy. Malawian pregnant women admitted in the third trimester and meeting eligibility criteria underwent dual HIV rapid antibody testing. AHI prevalence was retrospectively detected through HIV RNA pooling of seronegative plasma. Among 3,825 pregnant women screened, dual HIV rapid testing indicated that 30.2% were HIV positive, 69.7% were HIV negative, and 0.1% were indeterminate. Sensitivity and specificity of dual rapid testing was 99.0% and 98.7%, respectively. Of 2,666 seronegative specimens, 2,327 had samples available for HIV RNA pooling; 5 women (0.21%) (95% confidence interval, 0.03-0.40%) had AHI with a median peripartum viral load of 1,324,766 copies/mL. Pregnant women are at risk for AHI, warranting counseling of all women and their sexual partners about incident HIV during pregnancy. Dual HIV rapid tests have high sensitivity and specificity. HIV testing should be repeated in the third trimester and/or at delivery.

Indexed as

AdultFemaleHIVHIV AntibodiesHIV InfectionsHumansMalawiPregnancyPregnancy Complications, InfectiousPregnant PeoplePrevalenceRNA, ViralSensitivity and SpecificityVirologyYoung AdultHIV AntibodiesRNA, Viral

Identifiers

PMID20226326
PMCPMC2864613
OpenAlexW2081197338

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.