Evidence map›Paper›PMID 29040633›Full record

ArticleThe Journal of infectious diseases2017

Prevalence of Pre-antiretroviral-Treatment Drug Resistance by Gender, Age, and Other Factors in HIV-Infected Individuals Initiating Therapy in Kenya, 2013-2014.

Rachel A Silverman, Ingrid A Beck, Catherine Kiptinness, Molly Levine, Ross Milne, Christine J McGrath, Steve Bii, Barbra A Richardson, Grace John-Stewart, Bhavna Chohan and 4 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01898754 (Drug-resistance Testing in Kenya to Improve ART Suppression of HIV Replication), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

NCT01898754 nacompletednot on this map

Drug-resistance Testing in Kenya to Improve ART Suppression of HIV Replication

TypeinterventionalSponsorUniversity of WashingtonRan2013 to 2017Enrolled991ConditionsHIV PositiveArmsPre-ART Oligonucleotide Assay (OLA)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 30 citations in OpenAlex.

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  9. Maternal Human Immunodeficiency Virus (HIV) Drug Resistance Is Associated With Vertical Transmission and Is Prevalent in Infected Infants.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  10. Pretreatment and Acquired Antiretroviral Drug Resistance Among Persons Living With HIV in Four African Countries.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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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 at 3 institutions in 2 countries.

Rachel A SilvermanDepartment of Epidemiology, University of Washington, Seattle.
Ingrid A BeckSeattle Children's Research Institute, Washington.
Catherine KiptinnessDepartment of Global Health, University of Washington, Seattle.
Molly LevineSeattle Children's Research Institute, Washington.
Ross MilneSeattle Children's Research Institute, Washington.
Christine J McGrathDepartment of Global Health, University of Washington, Seattle.
Steve BiiSeattle Children's Research Institute, Washington.
Barbra A RichardsonDepartment of Global Health, University of Washington, Seattle.
Grace John-StewartDepartment of Epidemiology, University of Washington, Seattle.
Bhavna ChohanDepartment of Global Health, University of Washington, Seattle.
Samah R SakrCoptic Hospital, Nairobi.
James N KiarieDepartment of Obstetrics and Gynaecology, University of Nairobi, Kenya.
Lisa M FrenkelDepartment of Global Health, University of Washington, Seattle.
Michael H ChungDepartment of Epidemiology, University of Washington, Seattle.
University of Washington · USNairobi Hospital · KEUniversity of Nairobi · KE

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
Drug-resistance testing in Kenya to improve ART suppression of HIV replicationR01AI100037 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI FRENKEL, LISA M · 2012 to 2014
$3.1M
Reservoirs of drug-resistant HIV-1R01AI058723 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI FRENKEL, LISA M · 2005 to 2009
$2.0M
Pediatric HIV-1 in Africa: Pathogenesis and ManagementK24HD054314 · NICHD · UNIVERSITY OF WASHINGTON · PI JOHN-STEWART, GRACE C. · 2006 to 2016
$1.2M
NIAID NIH HHS P30 AI027757NIAID NIH HHS R01 AI058723NIAID NIH HHS R01 AI100037NICHD NIH HHS K24 HD054314
6 · The paper itself

Abstract

Background: Pre-antiretroviral-treatment drug resistance (PDR) is a predictor of human immunodeficiency virus (HIV) treatment failure. We determined PDR prevalence and correlates in a Kenyan cohort. Methods: We conducted a cross-sectional analysis of antiretroviral (ARV) treatment-eligible HIV-infected participants. PDR was defined as ≥2% mutant frequency in a participant's HIV quasispecies at pol codons K103N, Y181C, G190A, M184 V, or K65R by oligonucleotide ligation assay and Illumina sequencing. PDR prevalence was calculated by demographics and codon, stratifying by prior ARV experience. Poisson regression was used to estimate prevalence ratios. Results: PDR prevalences (95% confidence interval [CI]) in 815 ARV-naive adults, 136 ARV-experienced adults, and 36 predominantly ARV-naive children were 9.4% (7.5%-11.7%), 12.5% (7.5%-19.3%), and 2.8% (0.1%-14.5%), respectively. Median mutant frequency within an individual's HIV quasispecies was 67%. PDR prevalence in ARV-naive women 18-24 years old was 21.9% (9.3%-40.0%). Only age in females associated with PDR: A 5-year age decrease was associated with adjusted PDR prevalence ratio 1.20 (95% CI, 1.06-1.36; P = .004). Conclusions: The high PDR prevalence may warrant resistance testing and/or alternative ARVs in high HIV prevalence settings, with attention to young women, likely to have recent infection and higher rates of resistance. Clinical Trials Registration: NCT01898754.

Indexed as

Drug Resistance, ViralAdolescentAdultAgedAge FactorsCross-Sectional StudiesFemaleGenotypeGenotyping TechniquesHIVHIV InfectionsHumansKenyaMaleMiddle AgedMutation, Missensepol Gene Products, Human Immunodeficiency Virusantiretroviral therapyHIVoligonucleotide ligation assayPretreatment drug resistancetransmitted drug resistance

Identifiers

PMID29040633
PMCPMC5853791
OpenAlexW2762751259

What OpenQuestion holds

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Registered trials

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.