Evidence map›Paper›PMID 30309385›Full record

ArticleBMC research notes2018

Surveillance of transmitted HIV-1 antiretroviral drug resistance in the context of decentralized HIV care in Senegal and the Ebola outbreak in Guinea.

Aristid Ekollo Mbange, Djiba Kaba, Abou Abdallah Malick Diouara, Halimatou Diop-Ndiaye, Ndeye Fatou Ngom-Ngueye, Ahmed Dieng, Seynabou Lo, Kine Ndiaye Toure, Mamadou Fall, Wilfred Fon Mbacham and 4 more

Abstract read
In one paragraph

Article in BMC research notes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 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

14 authors.

Aristid Ekollo MbangeInstitut de Recherche en Santé, de Surveillance Epidémiologique et de Formation (IRESSEF), Diamniadio, Sénégal.ORCID http://orcid.org/0000-0003-4280-2303
Djiba KabaLaboratoire de Bactériologie-Virologie, Centre Hospitalier Universitaire, Aristide Le Dantec/Université Cheikh Anta Diop de Dakar, Dakar, Sénégal.
Abou Abdallah Malick DiouaraInstitut de Recherche en Santé, de Surveillance Epidémiologique et de Formation (IRESSEF), Diamniadio, Sénégal.
Halimatou Diop-NdiayeInstitut de Recherche en Santé, de Surveillance Epidémiologique et de Formation (IRESSEF), Diamniadio, Sénégal.
Ndeye Fatou Ngom-NgueyeCentre de Traitement Ambulatoire, Fann, Centre Hospitalier Universitaire, Dakar, Sénégal.
Ahmed DiengHôpital régional de Saint-Louis, Saint-Louis, Sénégal.
Seynabou LoHôpital régional de Saint-Louis, Saint-Louis, Sénégal.
Kine Ndiaye ToureCentre de Traitement Ambulatoire, Fann, Centre Hospitalier Universitaire, Dakar, Sénégal.
Mamadou FallLaboratoire de Bactériologie-Virologie, Centre Hospitalier Universitaire, Aristide Le Dantec/Université Cheikh Anta Diop de Dakar, Dakar, Sénégal.
Wilfred Fon MbachamThe Biotechnology center, Department of Biochemistry, University of Yaoundé I, Yaoundé, Cameroon.
Mariama Sadjo DialloLaboratoire de Biologie Moléculaire Nestor Bangoura/Hélène Labrousse, Hôpital National Donka, Conakry, Guinée.
Mohamed CisseLaboratoire de Biologie Moléculaire Nestor Bangoura/Hélène Labrousse, Hôpital National Donka, Conakry, Guinée.
Souleymane MboupInstitut de Recherche en Santé, de Surveillance Epidémiologique et de Formation (IRESSEF), Diamniadio, Sénégal.
Coumba Toure KaneInstitut de Recherche en Santé, de Surveillance Epidémiologique et de Formation (IRESSEF), Diamniadio, Sénégal. ctourekane@yahoo.co.uk.

Funding

European and Developing Countries Clinical Trials Partnership 1049-WANETAM EDCTP-RegNet-2015
6 · The paper itself

Abstract

objectivesDisruption in HIV care provision may enhance the development and spread of drug resistance due to inadequate antiretroviral therapy. This study thus determined the prevalence of HIV-1 transmitted drug resistance (TDR) in settings of decentralized therapy and care in Senegal and, the Ebola outbreak in Guinea. Antiretroviral-naïve patients were enrolled following a modified WHO TDR Threshold Survey method, implemented in Senegal (January-March 2015) and Guinea (August-September 2015). Plasma and dried blood spots specimens, respectively from Senegalese (n = 69) and Guinean (n = 50) patients, were collected for direct sequencing of HIV-1 pol genes. The Stanford Calibrated Population Resistance program v6.0 was used for Surveillance Drug Resistance Mutations (SDRMs).

resultsGenotyping was successful from 54/69 (78.2%) and 31/50 (62.0%) isolates. In Senegal, TDR prevalence was 0% (mean duration since HIV diagnosis 4.08 ± 3.53 years). In Guinea, two patients exhibited SDRMs M184V (NRTI), T215F (TAM) and, G190A (NNRTI), respectively. TDR prevalence at this second site, however, could not be ascertained because of low sample size. Phylogenetic inference confirmed CRF02_AG predominance in Senegal (62.96%) and Guinea (77.42%). TDR prevalence in Senegal remains extremely low suggesting improved control measures. Continuous surveillance in both settings is mandatory and, should be done closest to diagnosis/transmission time and with larger sample size.

Indexed as

Disease OutbreaksAdultAnti-HIV AgentsDrug Resistance, ViralEbolavirusFemaleGenotyping TechniquesGuineaHemorrhagic Fever, EbolaHIV-1HIV InfectionsHumansMaleMiddle AgedMutationPhylogenyAnti-HIV AgentsDecentralizationEbolaFirst-line regimenHIV-1 transmitted drug resistanceSurveillanceWest-Africa

Identifiers

PMID30309385
PMCPMC6182815

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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.