Evidence map›Paper›PMID 28234955›Full record

ArticlePloS one2017

Expanding HIV-1 subtype B transmission networks among men who have sex with men in Poland.

Miłosz Parczewski, Magdalena Leszczyszyn-Pynka, Magdalena Witak-Jędra, Bartosz Szetela, Jacek Gąsiorowski, Brygida Knysz, Monika Bociąga-Jasik, Paweł Skwara, Anna Grzeszczuk, Maria Jankowska and 7 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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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

17 authors.

Miłosz ParczewskiDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Magdalena Leszczyszyn-PynkaDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Magdalena Witak-JędraDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Bartosz SzetelaDepartment of Infectious Diseases, Hepatology and Acquired Immune Deficiencies, Wrocław Medical University, Wrocław, Poland.
Jacek GąsiorowskiDepartment of Infectious Diseases, Hepatology and Acquired Immune Deficiencies, Wrocław Medical University, Wrocław, Poland.
Brygida KnyszDepartment of Infectious Diseases, Hepatology and Acquired Immune Deficiencies, Wrocław Medical University, Wrocław, Poland.
Monika Bociąga-JasikDepartment of Infectious Diseases, Jagiellonian University Medical College, Kraków, Poland.
Paweł SkwaraDepartment of Infectious Diseases, Jagiellonian University Medical College, Kraków, Poland.
Anna GrzeszczukDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, Białystok, Poland.
Maria JankowskaDepartment of Infectious Diseases, Medical University in Gdańsk, Gdańsk, Poland.
Grażyna BarałkiewiczDepartment of Infectious Diseases, J. Strus Hospital, Poznań, Poland.
Iwona Mozer-LisewskaDepartment of Infectious Diseases, Poznań University of Medical Sciences, Poznań, Poland.
Władysław ŁojewskiDepartment of Infectious Diseases, Regional Hospital in Zielona Gora, Zielona Góra, Poland.
Katarzyna KoziełDepartment of Infectious Diseases, Regional Hospital in Zielona Gora, Zielona Góra, Poland.
Edyta GrąbczewskaDepartment of Infectious Diseases and Hepatology Nicolaus Copernicus University, Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland.
Elżbieta JabłonowskaDepartment of Infectious Diseases and Hepatology, Medical University of Łódź, Łódź, Poland.
Anna UrbańskaDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, Szczecin, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionReconstruction of HIV transmission links allows to trace the spread and dynamics of infection and guide epidemiological interventions. The aim of this study was to characterize transmission networks among subtype B infected patients from Poland. MATERIAL AND

methodsMaximum likelihood phylogenenetic trees were inferred from 966 HIV-1 subtype B protease/reverse transcriptase sequences from patients followed up in nine Polish HIV centers. Monophyletic clusters were identified using 3% within-cluster distance and 0.9 bootstrap values. Interregional links for the clusters were investigated and time from infection to onward transmission estimated using Bayesian dated MCMC phylogeny.

resultsThree hundred twenty one (33.2%) sequences formed 109 clusters, including ten clusters of ≥5 sequences (n = 81, 8.4%). Transmission networks were more common among MSM (234 sequences, 68.6%) compared to other infection routes (injection drug use: 28 (8.2%) and heterosexual transmissions: 59 (17.3%) cases, respectively [OR:3.5 (95%CI:2.6-4.6),p<0.001]. Frequency of clustering increased from 26.92% in 2009 to 50.6% in 2014 [OR:1.18 (95%CI:1.06-1.31),p = 0.0026; slope +2.8%/year] with median time to onward transmission within clusters of 1.38 (IQR:0.59-2.52) years. In multivariate models clustering was associated with both MSM transmission route [OR:2.24 (95%CI:1.38-3.65),p<0.001] and asymptomatic stage of HIV infection [OR:1.93 (95%CI:1.4-2.64),p<0.0001]. Additionally, interregional networks were linked to MSM transmissions [OR:4.7 (95%CI:2.55-8.96),p<0.001].

conclusionsReconstruction of the HIV-1 subtype B transmission patterns reveals increasing degree of clustering and existence of interregional networks among Polish MSM. Dated phylogeny confirms the association between onward transmission and recent infections. High transmission dynamics among Polish MSM emphasizes the necessity for active testing and early treatment in this group.

Indexed as

Homosexuality, MalePhylogenyAdultBayes TheoremCluster AnalysisContact TracingFemaleGenotypeHeterosexualityHIV-1HIV InfectionsHIV ProteaseHumansMalePolandPublic Health SurveillanceHIV Proteasep16 protease, Human immunodeficiency virus 1

Identifiers

PMID28234955
PMCPMC5325290

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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.