Evidence map›Paper›PMID 22823755›Full record

ArticleAIDS research and human retroviruses2013

Transmitted antiretroviral drug resistance in newly HIV-infected and untreated patients in Ségou and Bamako, Mali.

Almoustapha Issiaka Maiga, Djeneba Bocar Fofana, Aichatou Chehy Maiga, Fodie Diallo, Zaina Ait-Arkoub, Fatoumata Daou, Mamadou Cisse, Yaya Dit Sadio Sarro, Aboubacar Alassane Oumar, Aliou Sylla and 6 more

Open access · greenAbstract read
In one paragraph

Article in AIDS research and human retroviruses, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

6 citing papers in PubMed, 18 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

16 authors at 4 institutions in 5 countries.

Almoustapha Issiaka MaigaUnite d'Epidemiologie Moleculaire de la Resistance du VIH aux ARV, SEREFO, FMPOS, Universite des Sciences Techniques et des Technologies de Bamako, USTTB, Bamako, Mali. amaiga@icermali.org
Djeneba Bocar Fofana
Aichatou Chehy Maiga
Fodie Diallo
Zaina Ait-Arkoub
Fatoumata Daou
Mamadou Cisse
Yaya Dit Sadio Sarro
Aboubacar Alassane Oumar
Aliou Sylla
Christine Katlama
Babafemi Taiwo
Robert Murphy
Anatole Tounkara
Anne-Genevieve Marcelin
Vincent Calvez
Inserm · FRUniversité des Sciences, des Techniques et des Technologies de Bamako · MLNorthwestern University · USMinistère de la Santé · MA

Funding

Northwestern University AITRPD43TW007995 · FIC · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MURPHY, ROBERT LEO · 2008 to 2012
$1.6M
FIC NIH HHS D43TW007995
6 · The paper itself

Abstract

The WHO recommends regular surveillance for transmitted antiretroviral drug-resistant viruses in HIV antiretroviral treatment (ART)-naive patients in resource-limited settings. This study aimed to assess the prevalence of mutations associated with resistance in ART-naive patients newly diagnosed with HIV in Bamako and Ségou in Mali. HIV-positive patients who never received ART were recruited in Bamako and Ségou, Mali. The reverse transcriptase (RT) and protease (PR) genes of these patients were sequenced by the "ViroSeq" method. Analysis and interpretation of the resistance were made according to the WHO 2009 list of drug resistance mutations. In all, 51/54 (94.4%) sample patients were sequenced. The median age (IQR) of our patients was 24 (22-27) years and the median CD4 count was 380 (340-456) cells/mm(3). The predominant subtype was recombinant HIV-1 CRF02_AG (66.7%) followed by CRF06_cpx (12%) and CRF09_cpx (4%). Four patients had mutations associated with resistance, giving an overall prevalence of resistance estimated at 7.9%. There were two (4%) patients with nucleoside reverse transcriptase inhibitor (NRTI) mutations (one M184V and one T215Y), two (4%) with non-NRTI mutations (two K103N), and one (2%) with a protease inhibitor mutation (one I54V). The prevalence of primary resistance in newly infected patients in Mali is moderate (7.9%). This indicates that the standard NNRTI-based first-line regimen used in Mali is suboptimal for some patients. This study should be done regularly to inform clinical practice.

Indexed as

AdultAnti-HIV AgentsCD4 Lymphocyte CountDrug Resistance, ViralFemaleHIV-1HIV InfectionsHumansMaleMaliMutationPrevalenceSequence AnalysisYoung AdultAnti-HIV Agents

Identifiers

PMID22823755
PMCPMC3537298
OpenAlexW1985640570

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.