Evidence map›Paper›PMID 37280581›Full record

ArticleBMC pediatrics2023

Positivity rate, trend and associated risk factors of mother-to-child transmission of HIV among HIV-exposed infants.

Gadissa Gutema, Habteyes Hailu Tola, Dinka Fikadu, Dereje Leta, Birra Bejiga, Jaleta Bulti Tura, Saro Abdella, Hassen Mamo

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.1field-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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 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

8 authors at 3 institutions in 1 country.

Gadissa GutemaHIV/AIDS Research Team, TB and HIV/AIDS Research Directorate, Ethiopian Public Health Institute, PO Box 1242, Addis Ababa, Ethiopia. gadissagutema@gmail.com.ORCID 0000-0002-6117-1589
Habteyes Hailu TolaCollege of Health Sciences, Salale University, Fiche, Ethiopia.
Dinka FikaduTB Research Team, TB and HIV/AIDS Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Dereje LetaHIV/AIDS Research Team, TB and HIV/AIDS Research Directorate, Ethiopian Public Health Institute, PO Box 1242, Addis Ababa, Ethiopia.
Birra BejigaHIV/AIDS Research Team, TB and HIV/AIDS Research Directorate, Ethiopian Public Health Institute, PO Box 1242, Addis Ababa, Ethiopia.
Jaleta Bulti TuraHIV/AIDS Research Team, TB and HIV/AIDS Research Directorate, Ethiopian Public Health Institute, PO Box 1242, Addis Ababa, Ethiopia.
Saro AbdellaHIV/AIDS Research Team, TB and HIV/AIDS Research Directorate, Ethiopian Public Health Institute, PO Box 1242, Addis Ababa, Ethiopia.
Hassen MamoDepartment of Microbial, Cellular and Molecular Biology, College of Natural and Computational Sciences, Addis Ababa University, PO Box 1176, Addis Ababa, Ethiopia.
Ethiopian Public Health Institute · ETAddis Ababa University · ETSalale University

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMother-To-Child-Transmission (MTCT) of Human Immunodeficiency Virus (HIV) occurs during pregnancy, delivery and breastfeeding, and cause infection among several new-borns. However, there is limited recent evidence on the burden of MTCT of HIV in Ethiopia from a large-scale data. Thus, this study aimed to determine the positivity rate, trend and associated risk factors of MTCT among HIV-exposed infants. METHODOLOGY: A cross-sectional study was conducted among 5,679 infants whose specimen referred to Ethiopian Public Health Institute HIV referral laboratory for Early Infant Diagnosis (EID) from January 01, 2016, to December 31, 2020. Data were extracted from the national EID database. Frequencies and percentages were used to summarize the data on characteristics of infants. Logistic regression analysis was employed to identify factors associated with positivity rate of MTCT of HIV. Level of significance was set at 5%.

resultsThe mean age of the infants was 12.6 (± 14.6) weeks with an age range of 4 to 72 weeks. Half of the infants (51.4%) were female. The positivity rate of MTCT decreased from 2.9% in 2016 to 0.9% in 2020 with five-year average positivity rate of 2.6%. HIV test after six weeks (Adjusted odds ratio (AOR) = 2.7; 95% confidence interval (CI): (1.8-4.0,)); p < 0.001), absence of prevention of mother-to-child-transmission (PMTCT) service (AOR = 4.6; 95% CI: (2.9-7.4)); p = 0.001), nevirapine prophylaxis not received (AOR = 2.0; 95% CI: (1.3-3.2)); p < 0.001), and unknown ART status of the mother at delivery (AOR = 11; 95% CI: (5.5-22.1)); p < 0.001) were significantly associated with MTCT of HIV.

conclusionThe positivity rate of MTCT of HIV was showing declining tendency gradually in the study period. Strengthening PMTCT service, early HIV screening and starting ART for pregnant women, and early infant diagnosis are required to reduce the burden of HIV infection among infants exposed to HIV.

Indexed as

HIV InfectionsPregnancy Complications, InfectiousCross-Sectional StudiesFemaleHIVHumansInfantInfectious Disease Transmission, VerticalMalePregnancyRisk FactorsEarly Infant DiagnosisHIV-exposed infantsHuman immunodeficient virusMTCT

Identifiers

PMID37280581
PMCPMC10245613
OpenAlexW4379536568

What OpenQuestion holds

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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.