Evidence map›Paper›PMID 21603231›Full record

ArticleInfectious diseases in obstetrics and gynecology2011

Safety and tolerability of antiretrovirals during pregnancy.

Adriana Weinberg, Jeri Forster-Harwood, Jill Davies, Elizabeth J McFarland, Jennifer Pappas, Kay Kinzie, Emily Barr, Suzanne Paul, Carol Salbenblatt, Elizabeth Soda and 2 more

Abstract read
In one paragraph

Article in Infectious diseases in obstetrics and gynecology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Down-regulation of brush border efflux transporter expression in the kidneys of pregnant mice.Drug metabolism and disposition: the biological fate of chemicals · 2013
    Article
  7. Review
  8. Review
  9. Article
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

12 authors.

Adriana WeinbergSchool of Medicine University of Colorado Denver, Research Complex, Aurora, CO 80045, USA. adriana.weinberg@ucdenver.edu
Jeri Forster-Harwood
Jill Davies
Elizabeth J McFarland
Jennifer Pappas
Kay Kinzie
Emily Barr
Suzanne Paul
Carol Salbenblatt
Elizabeth Soda
Anna Vazquez
Myron J Levin

Funding

PHS HHS 2H12HA0070-07PHS HHS U0132915-05
6 · The paper itself

Abstract

Combination antiretroviral therapy (CART) dramatically decreases mother-to-child HIV-1 transmission (MTCT), but maternal adverse events are not infrequent. A review of 117 locally followed pregnancies revealed 7 grade ≥ 3 AEs possibly related to antiretrovirals, including 2 hematologic, 3 hepatic, and 2 obstetric cholestasis cases. A fetal demise was attributed to obstetric cholestasis, but no maternal deaths occurred. The drugs possibly associated with these AE were zidovudine, nelfinavir, lopinavir/ritonavir, and indinavir. AE or intolerability required discontinuation/substitution of nevirapine in 16% of the users, zidovudine in 10%, nelfinavir in 9%, lopinavir/ritonavir in 1%, but epivir and stavudine in none. In conclusion, nevirapine, zidovudine, and nelfinavir had the highest frequency of AE and/or the lowest tolerability during pregnancy. Although nevirapine and nelfinavir are infrequently used in pregnancy at present, zidovudine is included in most MTCT preventative regimens. Our data emphasize the need to revise the treatment recommendations for pregnant women to include safer and better-tolerated drugs.

Indexed as

AdultAnti-Retroviral AgentsDrug Therapy, CombinationFemaleHIV InfectionsHumansInfectious Disease Transmission, VerticalPregnancyPregnancy Complications, InfectiousRetrospective StudiesRisk FactorsAnti-Retroviral Agents

Identifiers

PMID21603231
PMCPMC3094700

What OpenQuestion holds

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Registered trials

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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.