Evidence map›Paper›PMID 23507660›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2013

HIV genotypes and primary drug resistance among HIV-seropositive blood donors in Brazil: role of infected blood donors as sentinel populations for molecular surveillance of HIV.

Cecília S Alencar, Ester C Sabino, Silvia M F Carvalho, Silvana C Leao, Anna B Carneiro-Proietti, Ligia Capuani, Cláudia L Oliveira, Danielle Carrick, Rebecca J Birch, Thelma T Gonçalez and 5 more

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In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 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

15 authors at 9 institutions in 2 countries.

Cecília S AlencarDepartment of Infectious Disease, Federal University of Sao Paulo, Sao Paulo, Brazil.
Ester C Sabino
Silvia M F Carvalho
Silvana C Leao
Anna B Carneiro-Proietti
Ligia Capuani
Cláudia L Oliveira
Danielle Carrick
Rebecca J Birch
Thelma T Gonçalez
Sheila Keating
Priscilla A Swanson
John Hackett
Michael P Busch
NHLBI Retrovirus Epidemiology Donor Study-II (REDS-II), International Component
Blood Systems Research Institute · USWestat (United States) · USFederal University of São João del-Rei · BRFundação Centro de Hematologia e Hemoterapia de Minas Gerais · BRFundação Hemopa · BRFundação Pró-Sangue Hemocentro de São Paulo · BRHemorio · BRUniversidade de São Paulo · BRUniversidade Federal de São Paulo · BR

Funding

NHLBI NIH HHS HHSN268200417175CNHLBI NIH HHS HHSN268200417175C/HO/NHLBI NIH HHS
6 · The paper itself

Abstract

backgroundThere are few surveillance studies analyzing genotypes or primary (transmitted) drug resistance in HIV-infected blood donors in Brazil. The aim of this study was to characterize patterns of HIV genotypes and primary resistance among HIV-seropositive donors identified at 4 geographically dispersed blood centers in Brazil.

methodsAll HIV-infected donors who returned for counseling at the 4 REDS-II Hemocenters in Brazil from January 2007 to March 2011 were invited to participate in a case-control study involving a questionnaire on risk factors. Viral sequencing was also offered to positive cases to assign genotypes and to detect and characterize primary resistance to reverse transcriptase and protease inhibitors according to World Health Organization guidelines.

resultsOf the 341 HIV-seropositive donors who consented to participate in the risk factor and genetics study, pol sequences were obtained for 331 (97%). Clade B was predominant (76%) followed by F (15%) and C (5%). Primary resistance was present in 36 [12.2%, 95% confidence interval (CI) 8.2 to 15.5] of the 303 individuals not exposed to antiretroviral therapy, varying from 8.2% (95% CI: 2.7 to 13.6) in Recife to 19.4% in São Paulo (95% CI: 9.5 to 29.2); there were no significant correlations with other demographics or risk factors.

conclusionsAlthough subtype B remains the most prevalent genotype in all 4 areas, increasing rates of subtype C in Sao Paulo and F in Recife were documented relative to earlier reports. Transmitted drug resistance was relatively frequent, particularly in the city of Sao Paulo which showed an increase compared with previous HIV-seropositive donor data from 10 years ago.

Indexed as

Blood DonorsAnti-HIV AgentsBase SequenceBrazilCase-Control StudiesDrug Resistance, ViralGenetic VariationGenotypeHIV-1HIV InfectionsHIV SeropositivityHumansMolecular Sequence Datapol Gene Products, Human Immunodeficiency VirusSentinel SurveillanceSequence Analysis, RNAAnti-HIV Agentspol Gene Products, Human Immunodeficiency Virus

Identifiers

PMID23507660
PMCPMC4136640
OpenAlexW1977799995

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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.