Evidence map›Paper›PMID 40387527›Full record

ArticleAIDS (London, England)2025

HIV-1 infection recency among individuals newly diagnosed with HIV in Greater Gaborone, Botswana.

Natasha O Moraka, Charity Ralegoreng, Goitseone M Lemogang, Richard Makwakwa, Marea N Pema, Patrick T Mokgethi, Ontlametse T Choga, Irene Gobe, Margaret Mokomane, Dorcas Maruapula and 8 more

Abstract read
In one paragraph

Article in AIDS (London, England), 2025. 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

18 authors.

Natasha O MorakaBotswana Harvard Health Partnership.
Charity RalegorengBotswana Harvard Health Partnership.
Goitseone M LemogangBotswana Harvard Health Partnership.
Richard MakwakwaBotswana Harvard Health Partnership.
Marea N PemaBotswana Harvard Health Partnership.
Patrick T MokgethiBotswana Harvard Health Partnership.
Ontlametse T ChogaBotswana Harvard Health Partnership.
Irene GobeFaculty of Health Sciences, School of Allied Health Professions, University of Botswana.
Margaret MokomaneFaculty of Health Sciences, School of Allied Health Professions, University of Botswana.
Dorcas MaruapulaBotswana Harvard Health Partnership.
Salang T MoutswiBotswana Harvard Health Partnership.
Laone RabatokoBotswana Harvard Health Partnership.
Queen LeteemaneBotswana Harvard Health Partnership.
Vanessa Strachan-AmaroBotswana Harvard Health Partnership.
Phenyo SaboneBotswana Harvard Health Partnership.
Terence MohammedBotswana Harvard Health Partnership.
Sikhulile MoyoBotswana Harvard Health Partnership.
Simani GaseitsiweBotswana Harvard Health Partnership.

Funding

Training in HIV Genomics, Treatment, and Cure Research in BotswanaD43TW009610 · FIC · THE BOTSWANA HARVARD HEALTH PARTNERSHIP · PI SHAHIN LOCKMAN, Joseph Moeketsi Makhema · 2013 to 2026
$4.4M
Viral Diversity an Innovative Biomarker for Refining Estimates of HIV IncidenceK43TW012350 · FIC · THE BOTSWANA HARVARD HEALTH PARTNERSHIP · PI Sikhulile Moyo · 2022 to 2026
$682k
FIC NIH HHS D43 TW009610FIC NIH HHS K43 TW012350
6 · The paper itself

Abstract

objectiveWe characterized individuals with HIV type 1 (HIV-1) recent infection using a two-step recent infection testing algorithm (RITA) in recently diagnosed, antiretroviral therapy (ART)-naive individuals within the Greater Gaborone area in Botswana.

designPlasma samples from a prospective longitudinal cohort study of individuals recently diagnosed with HIV within the Greater Gaborone area (2023-2024), the Tekodiso study, were used.

methodsRecent infection classification was determined using Limiting Antigen Avidity (LAg-avidity), as well as HIV viral load greater than 1000 copies/ml. LAg-normalized optical density (ODn) 1.5 or less represented a recency window of within 130 days postinfection. HIV viral load in plasma was quantified by Abbott m2000sp/Abbott m2000rt.

resultsA total of 157 participants were included in this analysis. Median age at enrolment was 34 years (Q1, Q3: 27, 41), and majority 102 (65%) were female. The median log 10 HIV viral load was 4.6 copies/ml (Q1, Q3: 3.9, 5.2). A total of 12 of 157: 7.6% [95% confidence interval (CI) 4.0-13] individuals were classified as having a recent infection. Recent infection was not associated with age, employment status, or nationality. We observed a lower likelihood of recent HIV infection with secondary or higher education level (OR = 0.1; 95% CI: 0.1- 0.9).

conclusionWe report a 7.6% rate of HIV recent infection by LAg-based RITA in recently diagnosed ART-naive individuals in Botswana. Our results highlight the need for continued HIV infection surveillance to improve targeted interventions for the prevention of HIV acquisition within the country.

Indexed as

HIV-1HIV InfectionsAdultBotswanaFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesViral LoadYoung AdultBotswanaGaboroneHIV type-1new HIV-1 diagnosesrecent infection

Identifiers

PMID40387527
PMCPMC12337902

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Registered trials

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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.