Evidence map›Paper›PMID 22089380›Full record

ArticleAIDS (London, England)2012

Prevalence of seroconversion symptoms and relationship to set-point viral load: findings from a subtype C epidemic, 1995-2009.

Patrick S Sullivan, Ulgen Fideli, Kristin M Wall, Elwyn Chomba, Cheswa Vwalika, William Kilembe, Amanda Tichacek, Nicole Luisi, Joseph Mulenga, Eric Hunter and 2 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in AIDS (London, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-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

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. A Simple Symptom Score for Acute Human Immunodeficiency Virus Infection in a San Diego Community-Based Screening Program.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  7. Article
  8. Article
  9. Lessons from acute HIV infection.Current opinion in HIV and AIDS · 2016
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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 at 2 institutions in 1 country.

Patrick S SullivanEmory University Rollins School of Public Health, Atlanta, Georgia 30322, USA. pssulli@emory.edu
Ulgen Fideli
Kristin M Wall
Elwyn Chomba
Cheswa Vwalika
William Kilembe
Amanda Tichacek
Nicole Luisi
Joseph Mulenga
Eric Hunter
Debrah Boeras
Susan Allen
Emory University · USWalter Reed National Military Medical Center · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
Virologic Correlates of Heterosexual TransmissionR01AI051231 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ALLEN, TODD M, HUNTER, ERIC · 2002 to 2022
$9.9M
Virologic Correlates of Heterosexual TransmissionR37AI051231 · NIAID · EMORY UNIVERSITY · PI HUNTER, ERIC · 2008 to 2017
$9.6M
EMORY AIDS INTERNATIONAL TRAINING AND RESEARCH PROGRAMD43TW001042 · FIC · EMORY UNIVERSITY · PI DEL RIO, CARLOS · 1998 to 2013
$6.8M
Couples HIV Counseling &Testing in two African capitalsR01MH066767 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ALLEN, SUSAN A · 2002 to 2006
$6.1M
Family Planning Promotion in HIV Infected ZambiansR01HD040125 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ALLEN, SUSAN A. · 2001 to 2005
$4.2M
HETEROSEXUAL TRANSMISSION AND THE NATURAL HISTORY OF HIVR01AI040951 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ALLEN, SUSAN A. · 1996 to 2000
$1.2M
HETEROSEXUAL TRANSMISSION AND THE NATURAL HISTORY OF HIVR01AI023980 · NIAID · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI ALLEN, SUSAN A. · 1988 to 1996
–
FIC NIH HHS D43 TW001042FIC NIH HHS D43TW001042NIAID NIH HHS P30 AI050409NIAID NIH HHS R01 AI023980NIAID NIH HHS R01 AI040951NIAID NIH HHS R01 AI051231NIAID NIH HHS R01AI23980NIAID NIH HHS R01AI40951NIAID NIH HHS R01AI51231NIAID NIH HHS R37 AI051231NICHD NIH HHS R01 HD040125NICHD NIH HHS R01HD40125NIMH NIH HHS R01 MH066767NIMH NIH HHS R01 MH66767
6 · The paper itself

Abstract

objectiveTo describe symptoms, physical examination findings, and set-point viral load associated with acute HIV seroconversion in a heterosexual cohort of HIV-discordant couples in Zambia.

designWe followed HIV serodiscordant couples in Lusaka, Zambia from 1995 to 2009 with HIV testing of negative partners and symptom inventories 3 monthly, and physical examinations annually.

methodsWe compared prevalence of self-reported or treated symptoms (malaria syndrome, chronic diarrhea, asthenia, night sweats, and oral candidiasis) and annual physical examination findings (unilateral or bilateral neck, axillary, or inguinal adenopathy; and dermatosis) in seroconverting vs. HIV-negative or HIV-positive intervals, controlling for repeated observations, age, and sex. A composite score comprised of significant symptoms and physical examination findings predictive of seroconversion vs. HIV-negative intervals was constructed. We modeled the relationship between number of symptoms and physical examination findings at seroconversion and log set-point viral load using linear regression.

resultsTwo thousand, three hundred and eighty-eight HIV-negative partners were followed for a median of 18 months; 429 seroconversions occurred. Neither symptoms nor physical examination findings were reported for most seroconverters. Seroconversion was significantly associated with malaria syndrome among nondiarrheic patients [adjusted odds ratio (aOR) = 4.0], night sweats (aOR = 1.4), and bilateral axillary (aOR = 1.6), inguinal (aOR = 2.2), and neck (aOR = 2.2) adenopathy relative to HIV-negative intervals. Median number of symptoms and findings was positively associated with set-point viral load (P < 0.001).

conclusionAlthough most acute and early infections were asymptomatic, malaria syndrome was more common and more severe during seroconversion. When present, symptoms and physical examination findings were nonspecific and associated with higher set-point viremia.

Indexed as

Sexual PartnersAdolescentAdultAstheniaCandidiasis, OralCohort StudiesDiarrheaEpidemicsFemaleFollow-Up StudiesGenotypeHeterosexualityHIV-1HIV SeropositivityHumansLinear Models

Identifiers

PMID22089380
PMCPMC3589587
OpenAlexW2046336575

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.