Evidence map›Paper›PMID 24596282›Full record

Observational studyThe Journal of infectious diseases2014

Transmission of nevirapine-resistant HIV type 1 via breast milk to infants after single-dose nevirapine in Beira, Mozambique.

Mark A Micek, Sandra Dross, Ana Judith Blanco, Ingrid A Beck, Laurinda Matunha, Kristy Seidel, Pablo Montoya, Eduardo Matediana, Soren Gantt, Stephen Gloyd and 1 more

Abstract readObservational Study
In one paragraph

Observational study in The Journal of infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Observational
  6. Article
  7. Breast milk pharmacokinetics of efavirenz and breastfed infants' exposure in genetically defined subgroups of mother-infant pairs: an observational study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2015
    Observational
  8. 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

11 authors.

Mark A MicekUniversity of Washington Health Alliance International.
Sandra DrossUniversity of Washington Seattle Children's Research Institute, Seattle, Washington;
Ana Judith BlancoUniversity of Washington Health Alliance International.
Ingrid A BeckSeattle Children's Research Institute, Seattle, Washington;
Laurinda MatunhaHealth Alliance International.
Kristy SeidelSeattle Children's Research Institute, Seattle, Washington;
Pablo MontoyaUniversity of Washington Health Alliance International.
Eduardo MatedianaMozambique Ministry of Health, Maputo.
Soren GanttUniversity of Washington Seattle Children's Research Institute, Seattle, Washington;
Stephen GloydUniversity of Washington Health Alliance International.
Lisa FrenkelUniversity of Washington Seattle Children's Research Institute, Seattle, Washington;

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
VENEREAL DISEASET32AI007140 · NIAID · UNIVERSITY OF WASHINGTON · PI Julia Cook Dombrowski · 1985 to 2026
$19.4M
Reservoirs of drug-resistant HIV-1R01AI058723 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI FRENKEL, LISA M · 2005 to 2009
$2.0M
NIAID NIH HHS P30 AI027757NIAID NIH HHS R01 AI058723NIAID NIH HHS T32 AI007140NIAID NIH HHS T32 AI07140
6 · The paper itself

Abstract

Acquisition of nevirapine (NVP)-resistant human immunodeficiency virus type 1 (HIV-1) by breast-feeding infants after receipt of single-dose NVP to prevent mother-to-child transmission is not well defined. A prospective observational study of 307 infants evaluated the rate of breast milk transmission of NVP-resistant HIV and the concentrations of mutants over time. NVP resistance was detected in 9 of 24 infants (37.5%; 95% confidence interval, 18.8%-59.4%) infected via breast milk. Eight had a pure mutant HIV population at the time infection was first detected, and majority mutant populations persisted in all 6 infants with follow-up specimens. Infection of breast-feeding infants with NVP-resistant HIV resulted in mutants persisting as the dominant virus, which may indefinitely compromise treatment with NVP-based antiretroviral regimens.

Indexed as

Infectious Disease Transmission, VerticalAnti-HIV AgentsBreast FeedingDrug Resistance, ViralFemaleHIV-1HIV InfectionsHumansMilk, HumanMozambiqueNevirapinePregnancyPregnancy Complications, InfectiousProspective StudiesAnti-HIV AgentsNevirapinedrug-resistanceHIV-1mother-to-child transmissionnevirapinezidovudine

Identifiers

PMID24596282
PMCPMC4133577

What OpenQuestion holds

Textmetadata
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.