Evidence map›Paper›PMID 35487541›Full record

ArticleGlobal health, science and practice2022

Casting a Wide Net: HIV Drug Resistance Monitoring in Pre-Exposure Prophylaxis Seroconverters in the Global Evaluation of Microbicide Sensitivity Project.

Lisa Levy, Jill M Peterson, Lauren D Kudrick, Bhavna Chohan, Everline Bosek, Irene Mukui, Mary Mugambi, Sarah Masyuko, Owen Mugurungi, Nonhlanhla Ndlovu and 13 more

Open access · diamondAbstract read
In one paragraph

Article in Global health, science and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

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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

23 authors at 9 institutions in 5 countries.

Lisa LevyFHI 360, Washington, DC, USA. llevy@fhi360.org.
Jill M PetersonFHI 360, Washington, DC, USA.
Lauren D KudrickUniversity of Pittsburgh, Pittsburgh, PA, USA.
Bhavna ChohanUniversity of Washington, Seattle, WA, USA.
Everline BosekUniversity of Washington, Seattle, WA, USA.
Irene MukuiDrugs for Neglected Diseases initiative, Nairobi, Kenya.
Mary MugambiNational AIDS & STI Control Program, Nairobi, Kenya.
Sarah MasyukoNational AIDS & STI Control Program, Nairobi, Kenya.
Owen MugurungiMinistry of Health and Child Care of Zimbabwe, Harare, Zimbabwe.
Nonhlanhla NdlovuPangaea Zimbabwe AIDS Trust, Harare, Zimbabwe.
Imelda MahakaPangaea Zimbabwe AIDS Trust, Harare, Zimbabwe.
Megan DunbarPangaea Zimbabwe AIDS Trust, Harare, Zimbabwe.
Anita HettemaFHI 360, Washington, DC, USA.
Rudo A P KuwengwaICAP Coverage, Quality, and Impact Network, New York, NY, USA.
Sindy MatseEswatini Ministry of Health, Mbabane, Eswatini.
Saiqa MullickWits Reproductive Health and HIV Institute, Faculty of Health Science, University of Witwatersrand, Johannesburg, South Africa.
Letitia GreenerPopulation Services International, Johannesburg, South Africa.
Cara O'ConnorAnova Health Institute, Johannesburg, South Africa.
Diantha PillayInternational Partnership for Microbicides, Johannesburg, South Africa.
Maria FawzyFHI 360, Washington, DC, USA.
John W MellorsUniversity of Pittsburgh, Pittsburgh, PA, USA.
Urvi M ParikhUniversity of Pittsburgh, Pittsburgh, PA, USA.
Global Evaluation of Microbicide Sensitivity (GEMS) project
Family Aids Caring Trust · ZWFamily Health International 360 · USUniversity of Pittsburgh · USKenya Medical Research Institute · KEAnova Health Institute · ZAISS International (South Africa) · ZAKenya AIDS Vaccine Initiative · KEMinistry of Health · SZSchool of the Art Institute of Chicago · US

Funding

PEPFAR
6 · The paper itself

Abstract

backgroundEvidence of HIV drug resistance (HIVDR) in individuals using oral pre-exposure prophylaxis (PrEP) who acquire HIV is limited to clinical trials and case studies. More data are needed to understand the risk of HIVDR with oral PrEP during PrEP rollout. Mechanisms to collect these data vary, and are dependent on cost, scale of PrEP distribution, and in-country infrastructure for the identification, collection, and testing of samples from PrEP seroconverters.

methodsThe Global Evaluation of Microbicide Sensitivity (GEMS) project, in collaboration with country stakeholders, initiated HIVDR monitoring among new HIV seroconverters with prior PrEP use in Eswatini, Kenya, South Africa, and Zimbabwe. Standalone protocols were developed to assess HIVDR among a national sample of PrEP users. In addition, HIVDR testing was incorporated into existing demonstration projects for key populations. LESSONS LEARNED: Countries are supportive of conducting a time-limited evaluation of HIVDR during the early stages of PrEP rollout. As PrEP rollout expands, the need for long-term HIVDR monitoring with PrEP will need to be balanced with maintaining national HIV drug resistance surveillance for pretreatment and acquired drug resistance. Laboratory capacity is a common obstacle to setting up a monitoring system.

conclusionsEstablishing HIV resistance monitoring within PrEP programs is feasible. Approaches to drug resistance monitoring may evolve as the PrEP programs mature and expand. The methods and implementation support offered by GEMS assisted countries in developing methods to monitor for drug resistance that best fit their PrEP program needs and resources.

Indexed as

Anti-HIV AgentsAnti-Infective AgentsHIV InfectionsPre-Exposure ProphylaxisDrug ResistanceHumansAnti-HIV AgentsAnti-Infective Agents

Identifiers

PMID35487541
PMCPMC9053149
OpenAlexW4224303337

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.