Evidence map›Paper›PMID 32645148›Full record

ArticleBlood2020

HIV antiretroviral therapy and prevention use in US blood donors: a new blood safety concern.

Brian Custer, Claire Quiner, Richard Haaland, Amy Martin, Mars Stone, Rita Reik, Whitney R Steele, Debra Kessler, Phillip C Williamson, Steven A Anderson and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
0.8field-weighted citation impact, top 16% 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

26 citing papers in PubMed, 55 citations in OpenAlex.

  1. Perceptions of donor screening-Do I always need to tell the truth?Transfusion medicine (Oxford, England) · 2026
    Article
  2. Review
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  12. Suppressed HIV antibody responses following exposure to antiretrovirals-evidence from PrEP randomized trials and early antiretroviral treatment initiation studies.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2024
    Article
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  20. Undeclared pre-exposure or post-exposure prophylaxis (PrEP/PEP) use among syphilis-positive blood donors, England, 2020 to 2021.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 14 institutions in 1 country.

Brian CusterVitalant Research Institute, San Francisco, CA.
Claire QuinerVitalant Research Institute, San Francisco, CA.
Richard HaalandDivision of HIV/AIDS Prevention, US Centers for Disease Control and Prevention, Atlanta, GA.
Amy MartinDivision of HIV/AIDS Prevention, US Centers for Disease Control and Prevention, Atlanta, GA.
Mars StoneVitalant Research Institute, San Francisco, CA.
Rita ReikOneBlood, St. Petersburg, FL.
Whitney R SteeleScientific Affairs, American Red Cross, Rockville, MD.
Debra KesslerNew York Blood Center, New York, NY.
Phillip C WilliamsonCreative Testing Solutions, Tempe, AZ.
Steven A AndersonUS Food and Drug Administration, Silver Spring, MD.
Alan E WilliamsUS Food and Drug Administration, Silver Spring, MD.
Henry F RaymondSchool of Public Health, Rutgers University, Piscataway, NJ.
Willi McFarlandSan Francisco Department of Public Health, San Francisco, CA.
William T RobinsonLouisiana Department of Health, New Orleans, LA.
Sara GlickDepartment of Medicine, University of Washington, Public Health-Seattle & King County, Seattle, WA.
Kwa SeyLos Angeles Department of Health, Los Angeles, CA.
C David MeltonGeorgia Department of Public Health, Atlanta, GA.
Simone A GlynnNational Heart, Lung, and Blood Institute, National Institutes of Health, Rockville, MD; and.
Susan L StramerScientific Affairs, American Red Cross, Gaithersburg, MD.
Michael P BuschVitalant Research Institute, San Francisco, CA.
University of California, San Francisco · USAmerican Red Cross · USCenters for Disease Control and Prevention · USUnited States Food and Drug Administration · USGeorgia Department of Public Health · USLos Angeles County Department of Public Health · USLouisiana State Department of Health and Hospitals · USNational Institutes of Health · USNew York Blood Center · USOneBlood · USPublic Health – Seattle & King County · USRTI International · USRutgers, The State University of New Jersey · USSan Francisco Department of Public Health · US

Funding

FDA HHS HHSF223201510149C
6 · The paper itself

Abstract

Antiretroviral therapy (ART) to treat and pre-exposure prophylaxis (PrEP) to prevent HIV infection are effective tools to help end the HIV epidemic. However, their use could affect HIV transfusion-transmission risk. Three different ART/PrEP prevalence analyses in blood donors were conducted. First, blood samples from HIV-positive and a comparison group of infection-nonreactive donors were tested under blind using liquid chromatography-tandem mass spectrometry for ART. Second, blood donor samples from infection-nonreactive, 18- to 45-year-old, male, first-time blood donors in 6 US locations were tested for emtricitabine and tenofovir. Third, in men who have sex with men (MSM) participating in the 2017 Centers for Disease Control and Prevention National HIV Behavioral Surveillance (NHBS) from 5 US cities, self-reported PrEP use proximate to donation was assessed. In blind testing, no ART was detected in 300 infection-nonreactive donor samples, but in 299 HIV confirmed-infected donor samples, 46 (15.4%; 95% confidence interval [CI], 11.5% to 20.0%) had evidence of ART. Of the 1494 samples tested from first-time male donors, 9 (0.6%; 95% CI, 0.03% to 1.1%) had tenofovir and emtricitabine. In the NHBS MSM survey, 27 of 591 respondents (4.8%; 95% CI, 3.2% to 6.9%) reported donating blood in 2016 or 2017 and PrEP use within the same time frame as blood donation. Persons who are HIV positive and taking ART and persons taking PrEP to prevent HIV infection are donating blood. Both situations could lead to increased risk of HIV transfusion transmission if blood screening assays are unable to detect HIV in donations from infected donors.

Indexed as

Blood DonorsBlood SafetyPost-Exposure ProphylaxisPre-Exposure ProphylaxisAdolescentAdultAnti-HIV AgentsChromatography, LiquidEmtricitabineFemaleHIV InfectionsHumansMaleMiddle AgedRiskSingle-Blind MethodAnti-HIV AgentsEmtricitabineTenofovir

Identifiers

PMID32645148
PMCPMC7483439
OpenAlexW3041200265

What OpenQuestion holds

Textmetadata
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.