Evidence map›Paper›PMID 27195602›Full record

ArticleThe Pediatric infectious disease journal2016

Providing Safe and Effective Preventative Antiretroviral Prophylaxis to HIV-exposed Newborns via a Novel Drug Delivery System in Tanzania.

Alexander P Dahinten, Dorothy E Dow, Coleen K Cunningham, Levina J Msuya, Blandina T Mmbaga, Robert A Malkin

Abstract read
In one paragraph

Article in The Pediatric infectious disease journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 4 institutions in 1 country.

Alexander P DahintenFrom the *Developing World Healthcare Technologies Lab, Duke University, Durham, North Carolina; †Department of Pediatrics, Duke University Medical Center, Durham, North Carolina; and ‡Department of Pediatrics, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
Dorothy E Dow
Coleen K Cunningham
Levina J Msuya
Blandina T Mmbaga
Robert A Malkin
National Institute of Allergy and Infectious Diseases · USDuke University · USJohns Hopkins University Center for AIDS ResearchPresident's Emergency Plan for AIDS Relief · US

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
HIV/AIDS Clinical Trials UnitU01AI069484 · NIAID · DUKE UNIVERSITY · PI BARTLETT, JOHN A · 2007 to 2011
$14.6M
Institutional Training Grant in Pediatric Infectious DiseaseT32HD060558 · NICHD · DUKE UNIVERSITY · PI CUNNINGHAM, COLEEN K. · 2011 to 2015
$1.0M
Integrating Mental Health into a HIV Clinic to Improve Outcomes in Tanzanian YouthK01TW009985 · FIC · DUKE UNIVERSITY · PI DOW, DOROTHY E. · 2015 to 2019
$667k
FIC NIH HHS K01 TW009985NIAID NIH HHS P30 AI064518NIAID NIH HHS U01 AI069484NICHD NIH HHS T32 HD060558PEPFAR
6 · The paper itself

Abstract

backgroundIn developing countries, antiretroviral therapy provides life-saving treatment to HIV-positive women and their children before, during and after birth. However, supply chain challenges such as long distances, medication shortages and nonfacility deliveries often compromise consistent access to prophylactic treatment for at-risk infants. A proposed intervention to address these challenges, often referred to as the "Pratt Pouch," allows for liquid-formulation medications, such as nevirapine (NVP), to be repackaged into single-dose pouches. These pouches are distributed antenatally.

methodsHIV-positive women at Kilimanjaro Christian Medical Centre in Moshi, Tanzania received 14 pouches each containing a single dose of NVP for prevention of mother-to-child transmission. Women were trained on how to open the pouch and dispense the medication to their infants after delivery. All participating women were asked to return to Kilimanjaro Christian Medical Centre 7-14 days after delivery, where infant blood spots were collected to assess NVP levels.

resultsAll enrolled women (21/21) administered NVP to their infants within 24 hours of birth. All enrolled infants (22/22) had NVP blood concentrations over 100 ng/mL and exhibited no health concerns attributable to over or under dosing.

conclusionsThe Pratt Pouch intervention provides a clinically appropriate solution for addressing liquid-formulation antiretroviral access challenges in developing countries.

Indexed as

Antibiotic ProphylaxisAnti-HIV AgentsDried Blood Spot TestingDrug Delivery SystemsFemaleHIV InfectionsHumansInfant, NewbornInfant, Newborn, DiseasesInfectious Disease Transmission, VerticalMaleNevirapinePregnancyPregnancy Complications, InfectiousReagent Kits, DiagnosticTanzaniaAnti-HIV AgentsNevirapineReagent Kits, Diagnostic

Identifiers

PMID27195602
PMCPMC4987201
OpenAlexW2401140680

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.