Evidence map›Paper›PMID 29334973›Full record

ArticleHarm reduction journal2018

Options for reducing HIV transmission related to the dead space in needles and syringes.

William A Zule, Poonam G Pande, David Otiashvili, Georgiy V Bobashev, Samuel R Friedman, V Anna Gyarmathy, Don C Des Jarlais

Open access · goldAbstract read
In one paragraph

Article in Harm reduction journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Hepatitis A virus survival on drug paraphernalia.Journal of viral hepatitis · 2020
    Article
  5. Review
  6. Article
  7. 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

7 authors at 4 institutions in 1 country.

William A ZuleRTI International, 3040 E. Cornwallis Road, PO Box 12194, Research Triangle Park, NC, 2709-2194, USA. zule@rti.org.
Poonam G PandeIntegrated CMC Solutions, LLC, 1289 Fordham Blvd Suite 201, Chapel Hill, NC, 27514, USA.
David OtiashviliAddiction Research Center-Alternative Georgia, 14A Nutsubidze Street, Office 2, 0177, Tbilisi, Georgia.
Georgiy V BobashevRTI International, 3040 E. Cornwallis Road, PO Box 12194, Research Triangle Park, NC, 2709-2194, USA.
Samuel R FriedmanInstitute of Infectious Disease Research, National Development and Research Institutes, 71 West 23d Street, 4th floor, New York, NY, 10010, USA.
V Anna GyarmathyJohns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Don C Des JarlaisMount Sinai Beth Israel, 39 Broadway, Suite 530, New York, NY, 10006, USA.
RTI International · USJohns Hopkins University · USMount Sinai Beth Israel · USNational Development and Research Institutes · US

Funding

Transdisciplinary Theoretical Svnthesis and Development CoreP30DA011041 · NIDA · NEW YORK UNIVERSITY · PI Holly Hagan, Courtney McKnight · 1998 to 2026
$38.9M
The Role of Dead Space Syringes in HIV Epidemics Amount IDU's - Drug Abuse AspectR03DA026725 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI ZULE, WILLIAM A · 2009 to 2010
$163k
NIDA NIH HHS 1R03DA026725NIDA NIH HHS P30 DA011041NIDA NIH HHS R03 DA026725
6 · The paper itself

Abstract

backgroundWhen shared by people who inject drugs, needles and syringes with different dead space may affect the probability of HIV and hepatitis C virus (HCV) transmission differently.

methodsWe measured dead space in 56 needle and syringe combinations obtained from needle and syringe programs across 17 countries in Europe and Asia. We also calculated the amounts of blood and HIV that would remain in different combinations following injection and rinsing.

resultsSyringe barrel capacities ranged from 0.5 to 20 mL. Needles ranged in length from 8 to 38 mm. The average dead space was 3 μL in low dead space syringes with permanently attached needles, 13 μL in high dead space syringes with low dead space needles, 45 μL in low dead space syringes with high dead space needles, and 99 μL in high dead space syringes with high dead space needles. Among low dead space designs, calculated volumes of blood and HIV viral burden were lowest for low dead space syringes with permanently attached needles and highest for low dead space syringes with high dead space needles.

conclusionThe dead space in different low dead space needle and syringe combinations varied substantially. To reduce HIV transmission related to syringe sharing, needle and syringe programs need to combine this knowledge with the needs of their clients.

Indexed as

Equipment DesignAsiaEuropeHarm ReductionHIV InfectionsHumansNeedlesNeedle SharingSubstance Abuse, IntravenousSyringesDead spaceHepatitis C virusHIVNeedle and syringe programsNeedlesPeople who inject drugsSyringes

Identifiers

PMID29334973
PMCPMC5769352
OpenAlexW2784134334

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.