Evidence map›Paper›PMID 29020180›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Molecular Tracing of the Geographical Origin of Human Immunodeficiency Virus Type 1 Infection and Patterns of Epidemic Spread Among Migrants Who Inject Drugs in Athens.

Dimitrios Paraskevis, Evangelia Kostaki, Georgios K Nikolopoulos, Vana Sypsa, Mina Psichogiou, Julia Del Amo, Ioannis Hodges-Mameletzis, Dimitra Paraskeva, Athanasios Skoutelis, Meni Malliori and 4 more

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
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  7. Review
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  9. Molecular investigation of HIV-1 cross-group transmissions during an outbreak among people who inject drugs (2011-2014) in Athens, Greece.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2018
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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

14 authors.

Dimitrios ParaskevisDepartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Greece.
Evangelia KostakiDepartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Greece.
Georgios K NikolopoulosMedical School, University of Cyprus, Nicosia.
Vana SypsaDepartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Greece.
Mina PsichogiouFirst Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Greece.
Julia Del AmoNational Center for Epidemiology, Institute of Health Carlos III, Madrid, Spain.
Ioannis Hodges-MameletzisWorld Health Organization, Geneva, Switzerland.
Dimitra ParaskevaHellenic Center for Disease Control and Prevention, Amarousio.
Athanasios SkoutelisFifth Department of Internal Medicine and Infectious Diseases Evangelismos Hospital Athens.
Meni MallioriMedical School, National and Kapodistrian University of Athens, Greece.
Leslie WilliamsNational Development and Research Institutes, New York, New York.
Samuel R FriedmanNational Development and Research Institutes, New York, New York.
Georgios L DaikosFirst Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Greece.
Angelos HatzakisDepartment of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Greece.

Funding

Transdisciplinary Theoretical Svnthesis and Development CoreP30DA011041 · NIDA · NEW YORK UNIVERSITY · PI Holly Hagan · 1998 to 2026
$38.9M
NIDA NIH HHS P30 DA011041World Health Organization 001
6 · The paper itself

Abstract

backgroundHigh numbers of human immunodeficiency virus type 1 (HIV-1) infections among people who inject drugs (PWID) have been diagnosed in Athens, Greece, since 2011. We aimed to trace the geographic origin of HIV-1 infection for migrants who inject drugs and to investigate whether transmissions occur more frequently among migrants than among Greek nationals.

methodsMultiple cross-sectional studies were pooled to assemble all persons diagnosed with HIV-1 in Greece between 1 January 2011 and 31 October 2014. Phylogenetic analyses used maximum likelihood estimation. The hypothesis of ethnic compartmentalization was tested by reconstructing ancestral states of characters at the tips using the criterion of parsimony over a set of bootstrap trees.

resultsOf 2274 persons, 38.4% were PWID. Phylogenetic analyses showed the existence of 4 major PWID-specific local transmission networks (LTNs): CRF14_BG (437 [58.6%]), CRF35_AD (139 [18.6%]), subtype B (116 [15.6%]), and subtype A (54 [7.2%]). Of 184 non-Greek PWID, 78.3% had been infected within the PWID-LTNs. For 173 (94.3%), the origin of their infection was assumed to be in Greece (postmigration). For PWID infected within LTNs, transmissions for subtype A and CRF14_BG occurred more frequently among migrants than would be expected by chance (phyloethnic study).

conclusionsOur analysis showed that the majority of infections among migrants occurred postmigration. The existence of significant transmission networking among migrants highlights that this population is a priority for HIV prevention. As molecular analysis can estimate the probable country of HIV infection, it can help to inform the design of public health strategies.

Indexed as

Substance Abuse, IntravenousTransients and MigrantsAcquired Immunodeficiency SyndromeAdultCross-Sectional StudiesEpidemicsGeographyGreeceHIV-1HIV InfectionsHumansMalePhylogenyPrevalenceRisk-TakingRNA, ViralRNA, ViralHIVinjectorsmigrantsmolecular epidemiologyorigin of infection

Identifiers

PMID29020180
PMCPMC5850526

What OpenQuestion holds

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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.