Evidence map›Paper›PMID 36288365›Full record

ArticlePloS one2022

Rate of virological failure and HIV-1 drug resistance among HIV-infected adolescents in routine follow-up on health facilities in Cameroon.

Calixte Ida Penda, Magaly Moukoko Mbonjo, Joseph Fokam, Armando Blondel Djiyou Djeuda, Ngondi Grace, Francis Ateba Ndongo, Serge Bilong, Bertrand Eyoum Bille, Paul Koki Ndombo, Avelin Aghokeng and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  8. Aging of adult lifetime survivors with perinatal HIV.Current opinion in HIV and AIDS · 2025
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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

12 authors at 6 institutions in 2 countries.

Calixte Ida PendaFaculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.ORCID 0000-0002-1070-2108
Magaly Moukoko MbonjoYaoundé Central Hospital, Yaoundé, Cameroon.
Joseph FokamFaculty of Health Sciences, University of Buea, Buea, Cameroon.
Armando Blondel Djiyou DjeudaFaculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.
Ngondi GraceFaculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.
Francis Ateba NdongoFaculty of Medicine and Biomedical Sciences, University of Ngaoundéré, Ngaoundéré, Cameroon.
Serge BilongFaculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.
Bertrand Eyoum BilleLaquintinie Hospital of Douala, Douala, Cameroon.
Paul Koki NdomboMother & Child Centre (MCH), Chantal Biya Foundation, Yaoundé, Cameroon.
Avelin AghokengMIVEGEC, Université de Montpellier, CNRS, IRD, Montpellier, France.
Alexis NdjoloChantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Carole Else Eboumbou MoukokoFaculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.
University of Douala · CMCentre International De Reference Chantal Biya · CMUniversité de Yaoundé I · CMCentral Hospital of Yaoundé · CMCentre National de la Recherche Scientifique · FRUniversity of Buea · CM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study was to determine the rates of virological failure (VF) and HIV drug resistance (HIVDR) amongst adolescents on antiretroviral Therapy (ART). A retrospectively designed study was conducted in 10 healthcare centers for adolescents living with HIV (ALHIV) in the two main cities of Cameroon (Yaoundé and Douala), from November 2018 to May 2019. Sociodemographic, clinical, therapeutic and laboratory parameters were collected from medical records. All enrolled ALHIV had viral load (VL) measurements following the national guidelines. All patients with a VL ≥ 1000 copies/ml were called to perform genotyping tests. The chi-square test was used to determine the factors associated with VF. Out of the 1316 medical records of ALHIV, we included 1083 ALHIV having a VL result. Among them, 276 (25.5%) were experiencing VF, and VF was significantly higher in ALHIV with suboptimal adherence (p<0.001), older adolescents (p<0.05), those who lived outside the city where they were receiving ART (p<0.006), severely immunocompromised (p<0.01) and started ART at infancy (p<0.02). Among the 45/276 (16.3%) participants with an available genotyping resistance testing (GRT) result, the overall rate of HIVDR was 93.3% (42/45). The most common mutations were K103N (n = 21/42, 52.3%) resulting in high-level resistance to Efavirenz and Nevirapine, followed by M184V (n = 20/42, 47.6%) and thymidine analog mutations (n = 15/42, 35.7%) associated with high-level resistance to Lamivudine and Zidovudine respectively. The high rate of VF and HIVDR among ALHIV regularly followed in health facilities in Cameroon highlights the need to develop interventions adapted to an adolescent-centered approach to preserve future ART options.

Indexed as

Anti-HIV AgentsHIV-1HIV InfectionsHIV SeropositivityAdolescentCameroonDrug Resistance, ViralFollow-Up StudiesHealth FacilitiesHumansLamivudineNevirapineRetrospective StudiesViral LoadZidovudineAnti-HIV AgentsLamivudineNevirapineZidovudine

Identifiers

PMID36288365
PMCPMC9604952
OpenAlexW4307313464

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.