Evidence map›Paper›PMID 38719325›Full record

ArticleBMJ open2024

Risk of transmission of HIV to infants during breast/chest feeding when mothers/birthing parents living with HIV are on antiretroviral therapy: a protocol for a rapid review.

Pascal Djiadeu, Housne Begum, Chris Archibald, Taline Ekmekjian, Giovanna Busa, Jeffery Dansoh, Phu Van Nguyen, Joanna Merckx, Annie Fleurant

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Pascal DjiadeuPublic Health Agency of Canada, Ottawa, Ontario, Canada sti.secretariat-its@phac-aspc.gc.ca.
Housne BegumPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Chris ArchibaldPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Taline EkmekjianPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Giovanna BusaPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Jeffery DansohPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Phu Van NguyenPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Joanna MerckxPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Annie FleurantPublic Health Agency of Canada, Ottawa, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHIV is a major public health issue affecting millions globally. Women and girls account for 46% of new HIV infections in 2022 and approximately 1.3 million females become pregnant every year. Vertical transmission of HIV from persons living with HIV (PLHIV) to infants may occur through different modalities, such as through breast/chest feeding. Notably, 82% of PLHIV who chose to breast/chest feed are on antiretroviral therapy (ART) when feeding their infants. Precise estimates of the risk of postpartum transmission to infants during breast/chest feeding at varying viral load levels remain a significant gap in the literature. METHODS AND ANALYSIS: A rapid systematic search of electronic databases will be conducted from January 2005 to the present, including Medline, Embase and Global Health. The objective of this rapid review is to explore and assess the available evidence on the effect of varying viral load levels on the risk of HIV transmission to infants during breast/chest feeding when the birthing or gestational parent living with HIV is on ART. Study characteristics will be summarised and reported to support the narrative summary of the findings. The focus will be on the absolute risk of HIV transmission from birthing parent to infant during chest/breast feeding. The findings will also be stratified by month, including the risk of HIV transmission for 6 months and greater than 6 months postpartum. We will ascertain the risk of bias using A Measurement Tool to Assess Systematic Reviews 2, Quality of Prognosis Studies and Downs and Black checklist for the appropriate study type. A summary score will not be calculated, rather the strengths and limitations of the studies will be narratively described. ETHICS AND DISSEMINATION: No human subjects will be involved in the research. The findings of this rapid review will inform a future systematic review and will be disseminated through peer-reviewed publications, presentations and conferences. PROSPERO REGISTRATION NUMBER: CRD42024499393.

Indexed as

Breast FeedingHIV InfectionsInfectious Disease Transmission, VerticalViral LoadAnti-HIV AgentsAnti-Retroviral AgentsFemaleHumansInfantInfant, NewbornPregnancyPregnancy Complications, InfectiousResearch DesignSystematic Reviews as TopicAnti-HIV AgentsAnti-Retroviral AgentsHIV & AIDSPaediatric infectious disease & immunisationPostpartum WomenPublic healthSexually Transmitted Disease

Identifiers

PMID38719325
PMCPMC11086518

What OpenQuestion holds

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LicenceCC BY-NC
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.