Evidence map›Paper›PMID 40488412›Full record

ArticleThe Journal of antimicrobial chemotherapy2025

HIV-1 drug resistance among people living with HIV receiving dolutegravir-based anti-retroviral regimens in Uganda: a national laboratory-based survey using remnant viral load samples, 2022.

Christine Watera, Juliana de Fatima Da Silva, Grace Namayanja, Juliet Nkugwa Asio, Deogratius Ssemwanga, Sherri Pals, Miriam Nabukenya, Elliot Raizes, Maria Nanyonjo, Bill Elur and 14 more

Abstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

24 authors.

Christine WateraDepartment of General Virololgy, Uganda Virus Research Institute (UVRI), Entebbe, Uganda.
Juliana de Fatima Da SilvaDivision of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Atlanta, USA.
Grace NamayanjaDivision of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Kampala, Uganda.
Juliet Nkugwa AsioDepartment of General Virololgy, Uganda Virus Research Institute (UVRI), Entebbe, Uganda.
Deogratius SsemwangaDepartment of General Virololgy, Uganda Virus Research Institute (UVRI), Entebbe, Uganda.ORCID 0000-0001-9675-4234
Sherri PalsDivision of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Atlanta, USA.ORCID 0000-0002-0003-6236
Miriam NabukenyaCentral Public Health Laboratories, Ministry of Health, Kampala, Uganda.
Elliot RaizesDivision of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Atlanta, USA.ORCID 0000-0001-5121-877X
Maria NanyonjoSequencing Platform, Medical Research Council (MRC)/UVRI & London School of Hygiene and Tropical Medicine (LSHTM) Uganda Research Unit, Entebbe, Uganda.
Bill ElurDivision of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Kampala, Uganda.
Esther NazziwaDivision of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Kampala, Uganda.
Grace SanyuDepartment of General Virololgy, Uganda Virus Research Institute (UVRI), Entebbe, Uganda.
Alisen AyitewalaCentral Public Health Laboratories, Ministry of Health, Kampala, Uganda.
Mina SsaliAIDS Control Program, Ministry of Health, Kampala, Uganda.
Cordelia KatureebeAIDS Control Program, Ministry of Health, Kampala, Uganda.
Hudson BalidawaAIDS Control Program, Ministry of Health, Kampala, Uganda.
Du-Ping ZhengDivision of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Atlanta, USA.
Clement ZehDivision of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Atlanta, USA.
Stephanie HackettDivision of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Atlanta, USA.
Christina MwangiDivision of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Kampala, Uganda.
Mary NaluguzaDivision of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Kampala, Uganda.
Jonathan NtaleDivision of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Kampala, Uganda.
Edward Katongole MbiddeDepartment of General Virololgy, Uganda Virus Research Institute (UVRI), Entebbe, Uganda.
Pontiano KaleebuDepartment of General Virololgy, Uganda Virus Research Institute (UVRI), Entebbe, Uganda.

Funding

U.S. Centers for Disease Control and Prevention (U.S. CDC) NU2GGH002132-02
6 · The paper itself

Abstract

BACKGROUND AND

objectivesUganda adopted dolutegravir as its preferred HIV treatment regimen in the national guidelines for treatment of HIV and AIDS in 2018. We conducted a survey to estimate dolutegravir resistance 4 years post-dolutegravir introduction in routine clinical settings. This was a cross-sectional survey to estimate the prevalence of HIV drug resistance (HIVDR) to dolutegravir among children and adults with viral non-suppression (VNS; ≥1000 copies/mL) receiving dolutegravir-based antiretroviral therapy for at least 9 months.

methodsWe used remnant specimens from routine viral load monitoring stored at Central Public Health Laboratories during February-April 2022. Genotyping of the protease, reverse transcriptase and integrase regions of the HIV-1 pol gene was done using Thermo Fisher® kits and analysed using the Stanford HIVDR database. Weighted prevalences of HIVDR with 95% confidence intervals (CI) were estimated for adults (≥15 years) and children (0-14 years).

resultsWe randomly selected 857 specimens including 457 from adults and 400 from children for HIVDR testing from 3578 eligible specimens collected during February-April 2022. Five hundred and eleven (59.6%) were successfully genotyped in the integrase region. Intermediate- to high-level dolutegravir HIVDR prevalence was 3.9% (CI: 0.7, 7.1) for adults and 6.6% (CI: 3.5, 9.6) for children.

conclusionHIVDR to dolutegravir was uncommon but present among both children and adults with VNS after 9 months or more of exposure to dolutegravir. Additional longitudinal outcomes data are needed to determine if adherence counselling for patients with VNS on dolutegravir regimens might improve outcomes.

Indexed as

Anti-HIV AgentsDrug Resistance, ViralHeterocyclic Compounds, 3-RingHIV-1HIV InfectionsHIV Integrase InhibitorsOxazinesPiperazinesViral LoadAdolescentAdultChildChild, PreschoolCross-Sectional StudiesDolutegravirFemaleAnti-HIV AgentsDolutegravirHeterocyclic Compounds, 3-RingHIV Integrase InhibitorsOxazinesPiperazinesPyridones

Identifiers

PMID40488412
PMCPMC12313458

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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.