Evidence map›Paper›PMID 28146591›Full record

ArticlePloS one2017

High Levels of Transmitted HIV Drug Resistance in a Study in Papua New Guinea.

Evelyn Lavu, Ellan Kave, Euodia Mosoro, Jessica Markby, Eman Aleksic, Janet Gare, Imogen A Elsum, Gideon Nano, Petronia Kaima, Nick Dala and 6 more

Abstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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.

Evelyn LavuCentral Public Health Laboratory, Port Moresby, Papua New Guinea.
Ellan KaveCentral Public Health Laboratory, Port Moresby, Papua New Guinea.
Euodia MosoroCentral Public Health Laboratory, Port Moresby, Papua New Guinea.
Jessica MarkbyCentre for Biomedical Research, Burnet Institute, Melbourne, Victoria, Australia.
Eman AleksicCentre for Biomedical Research, Burnet Institute, Melbourne, Victoria, Australia.
Janet GareCentre for Biomedical Research, Burnet Institute, Melbourne, Victoria, Australia.
Imogen A ElsumCentre for Biomedical Research, Burnet Institute, Melbourne, Victoria, Australia.
Gideon NanoNational Department of Health, Port Moresby, Papua New Guinea.
Petronia KaimaMount Hagen Hospital, Mount Hagen, Papua New Guinea.
Nick DalaNational Department of Health, Port Moresby, Papua New Guinea.
Anup GurungWorld Health Organization, Port Moresby, Papua New Guinea.
Silvia BertagnolioHIV Department, World Health Organization, Geneva, Switzerland.
Suzanne M CroweCentre for Biomedical Research, Burnet Institute, Melbourne, Victoria, Australia.
Mark MyattBrixton Health, Llawryglyn, Powys, Wales, United Kingdom.
Anna C HearpsCentre for Biomedical Research, Burnet Institute, Melbourne, Victoria, Australia.
Michael R JordanDivision of Geographic Medicine and Infection Disease, Tufts Medical Center, Boston, Massachusetts, United States of America.

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionPapua New Guinea is a Pacific Island nation of 7.3 million people with an estimated HIV prevalence of 0.8%. ART initiation and monitoring are guided by clinical staging and CD4 cell counts, when available. Little is known about levels of transmitted HIV drug resistance in recently infected individuals in Papua New Guinea.

methodsSurveillance of transmitted HIV drug resistance in a total of 123 individuals recently infected with HIV and aged less than 30 years was implemented in Port Moresby (n = 62) and Mount Hagen (n = 61) during the period May 2013-April 2014. HIV drug resistance testing was performed using dried blood spots. Transmitted HIV drug resistance was defined by the presence of one or more drug resistance mutations as defined by the World Health Organization surveillance drug resistance mutations list.

resultsThe prevalence of non-nucleoside reverse transcriptase inhibitor transmitted HIV drug resistance was 16.1% (95% CI 8.8%-27.4%) and 8.2% (95% CI 3.2%-18.2%) in Port Moresby and Mount Hagen, respectively. The prevalence of nucleoside reverse transcriptase inhibitor transmitted HIV drug resistance was 3.2% (95% CI 0.2%-11.7%) and 3.3% (95% CI 0.2%-11.8%) in Port Moresby and Mount Hagen, respectively. No protease inhibitor transmitted HIV drug resistance was observed.

conclusionsThe level of non-nucleoside reverse transcriptase inhibitor drug resistance in antiretroviral drug naïve individuals recently infected with HIV in Port Moresby is amongst the highest reported globally. This alarming level of transmitted HIV drug resistance in a young sexually active population threatens to limit the on-going effective use of NNRTIs as a component of first-line ART in Papua New Guinea. To support the choice of nationally recommended first-line antiretroviral therapy, representative surveillance of HIV drug resistance among antiretroviral therapy initiators in Papua New Guinea should be urgently implemented.

Indexed as

Drug Resistance, ViralAdolescentAdultAnti-HIV AgentsFemaleHIVHIV InfectionsHumansMaleMicrobial Sensitivity TestsMutationPapua New GuineaPhylogenyPopulation SurveillanceRNA, ViralYoung AdultAnti-HIV AgentsRNA, Viral

Identifiers

PMID28146591
PMCPMC5287486

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.