Evidence map›Paper›PMID 25047543›Full record

Trial reportBMC infectious diseases2014

Increase in transmitted resistance to non-nucleoside reverse transcriptase inhibitors among newly diagnosed HIV-1 infections in Europe.

Dineke Frentz, David A M C Van de Vijver, Ana B Abecasis, Jan Albert, Osamah Hamouda, Louise B Jørgensen, Claudia Kücherer, Daniel Struck, Jean-Claude Schmit, Jurgen Vercauteren and 27 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in BMC infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

  1. Trial
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  15. Assessment of HIV molecular surveillance capacity in the European Union, 2016.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2017
    Article
  16. Article
  17. National molecular surveillance of recently acquired HIV infections in Germany, 2013 to 2014.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2017
    Article
  18. Article
  19. Article
  20. Transmission of HIV Drug Resistance and the Predicted Effect on Current First-line Regimens in Europe.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    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

37 authors.

Dineke Frentz
David A M C Van de Vijver
Ana B Abecasis
Jan Albert
Osamah Hamouda
Louise B Jørgensen
Claudia Kücherer
Daniel Struck
Jean-Claude Schmit
Jurgen Vercauteren
Birgitta Åsjö
Claudia Balotta
Danail Beshkov
Ricardo J Camacho
Bonaventura Clotet
Suzie Coughlan
Algirdas Griskevicius
Zehava Grossman
Andrzej Horban
Tatjana Kolupajeva
Klaus Korn
Leondios G Kostrikis
Kirsi Liitsola
Marek Linka
Claus Nielsen
Dan Otelea
Dimitrios Paraskevis
Roger Paredes
Mario Poljak
Elisabeth Puchhammer-Stöckl
Anders Sönnerborg
Danica Stanekova
Maja Stanojevic
Eric Van Wijngaerden
Annemarie M J Wensing
Charles A B BoucherErasmus Medical Center, Rotterdam, the Netherlands. c.boucher@erasmusmc.nl.
SPREAD Programme

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne out of ten newly diagnosed patients in Europe was infected with a virus carrying a drug resistant mutation. We analysed the patterns over time for transmitted drug resistance mutations (TDRM) using data from the European Spread program.

methodsClinical, epidemiological and virological data from 4317 patients newly diagnosed with HIV-1 infection between 2002 and 2007 were analysed. Patients were enrolled using a pre-defined sampling strategy.

resultsThe overall prevalence of TDRM in this period was 8.9% (95% CI: 8.1-9.8). Interestingly, significant changes over time in TDRM caused by the different drug classes were found. Whereas nucleoside resistance mutations remained constant at 5%, a significant decline in protease inhibitors resistance mutations was observed, from 3.9% in 2002 to 1.6% in 2007 (p = 0.001). In contrast, resistance to non-nucleoside reverse transcriptase inhibitors (NNRTIs) doubled from 2.0% in 2002 to 4.1% in 2007 (p = 0.004) with 58% of viral strains carrying a K103N mutation. Phylogenetic analysis showed that these temporal changes could not be explained by large clusters of TDRM.

conclusionDuring the years 2002 to 2007 transmitted resistance to NNRTI has doubled to 4% in Europe. The frequent use of NNRTI in first-line regimens and the clinical impact of NNRTI mutations warrants continued monitoring.

Indexed as

Drug Resistance, ViralAdultAnti-HIV AgentsEuropeFemaleGenotypeHIV-1HIV InfectionsHumansMaleMutationPhylogenyPrevalenceAnti-HIV Agents

Identifiers

PMID25047543
PMCPMC4223652

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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.