Evidence map›Paper›PMID 40462047›Full record

SynthesisBMC public health2025

Prevalence of HIV drug resistance among patients experiencing first-line treatment failure in Ethiopia: a systematic review and meta-analysis.

Melashu Balew, Gedefaw Abeje, Alemtsehay Mekonnen, Getu Degu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public health, 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

4 authors.

Melashu BalewSchool of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. bmelashu@gmail.com.ORCID http://orcid.org/0000-0002-5066-0758
Gedefaw AbejeSchool of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Alemtsehay MekonnenSchool of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Getu DeguSchool of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe emergence of human immunodefiency virus (HIV) drug resistance presents a substantial challenge. Alternatives for effective treatment regimens are limited, and treatment strategies are complicated. Although a number of primary studies have been performed on HIV drug resistance in Ethiopia, individual study often lacks the statistical strength to draw conclusion. Therefore, the objective of this systematic review and meta-analysis was to estimate the pooled prevalence of HIV1 drug resistance among patients experiencing first-line treatment failure in Ethiopia.

methodsPrimary studies were searched from PubMed, SCOPUS, Embase, Google Scholar and online libraries. Studies identified through the search strategies were screened by titles and abstracts. Included studies were evaluated for risk of bias using the Joanna Briggs Institute (JBI) checklist. Data were extracted, and the pooled prevalence of HIV drug resistance was computed using STATA 17 software. Subgroup analysis and meta-regression were performed to identify heterogeneity. Publication bias was checked visually and statistically. Narrative synthesis was performed to describe study characteristics and findings; and forest plots were used to visually represent effect sizes and confidence intervals from individual studies to present and synthesize the results.

resultsA total of 10 studies with 1233 participants were included. The pooled prevalence rate of HIV drug resistance in patients with first line treatment failure was 73% (95% CI: 67-78%, I

conclusionsThe prevalence rate of HIV drug resistance in Ethiopia is high. This alarms health care workers, programmers and decision makers to consider ways of controlling the emergence of HIV drug resistance and the spread of drug-resistant strains. Timely monitoring of treatment failures, HIV drug resistance testing and switching on appropriate regimen classes are crucial for better treatment outcomes. There was high HIV drug resistance among children but with a high heterogeneity indicating the need for more primary studies. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42024533975.

Indexed as

Anti-HIV AgentsDrug Resistance, ViralHIV-1HIV InfectionsEthiopiaHumansPrevalenceTreatment FailureAnti-HIV AgentsDrug resistanceEthiopiaHIVTreatment failure

Identifiers

PMID40462047
PMCPMC12131523

What OpenQuestion holds

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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.