Evidence map›Paper›PMID 40698034›Full record

ReviewOpen forum infectious diseases2025

HIV-1 Drug Resistance in Children and Implications for Pediatric Treatment Strategies: A Systematic Review and Meta-analysis.

Joseph Fokam, Aude Christelle Ka'e, Bouba Yagai, Maria Mercedes Santoro, Judith Kose Otieno, Natella Rakhmanina, Collins Ambe Chenwi, Alex Durand Nka, Ezechiel Ngoufack Jagni Semengue, Davy-Hyacinthe Gouissi and 24 more

Abstract readReview
In one paragraph

Review in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

34 authors.

Joseph FokamLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.ORCID https://orcid.org/0000-0002-1501-2763
Aude Christelle Ka'eLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Bouba YagaiLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Maria Mercedes SantoroDepartment of Experimental Medicine, University of Rome Tor Vergata, Rome, Italy.
Judith Kose OtienoAfrica Centres for Disease Prevention and Control, Addis Ababa, Ethiopia.
Natella RakhmaninaElizabeth Glaser Pediatric AIDS Foundation, Washington, DC, USA.
Collins Ambe ChenwiLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Alex Durand NkaLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Ezechiel Ngoufack Jagni SemengueLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Davy-Hyacinthe GouissiLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Willy Leroi Pabo TognaLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Nelly KamgaingLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Tetang SuzieDepartment of Pediatrics, Essos Hospital Centre, Yaoundé, Cameroon.
Desire TakouLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Georges TetoLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Tatiana TekohLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Jeremiah Efakika GabisaLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Audrey Nayang MundoLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Lum ForgweiLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Naomi-Karell EtameLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Aurelie Minelle Kengni NguekoLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Michel Carlos Tommo TchouaketLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Boris TchoungaElizabeth Glaser Pediatric AIDS Foundation, Country Office, Douala, Cameroon.
Patrice TchendjouElizabeth Glaser Pediatric AIDS Foundation, Country Office, Douala, Cameroon.
Joelle Nounouce Bouba PamenFaculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.
Rogers Ajeh AwohFaculty of Health Sciences, University of Buea, Buea, Cameroon.
Gregory-Edie Halle-EkaneFaculty of Health Sciences, University of Buea, Buea, Cameroon.
Giulia CappelliLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Alexis NdjoloLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Francesca Ceccherini-SilbersteinDepartment of Experimental Medicine, University of Rome Tor Vergata, Rome, Italy.
Vittorio ColizziLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Jean KaseyaAfrica Centres for Disease Prevention and Control, Addis Ababa, Ethiopia.
Nicaise NdembiAfrica Centres for Disease Prevention and Control, Addis Ababa, Ethiopia.ORCID https://orcid.org/0000-0001-5131-3136
Carlo Federico PernoLaboratory of Virology, Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Failure in the prevention of mother-to-child HIV transmission (PMTCT) and pediatric treatment challenges led to pretreatment drug resistance (PDR) and acquired drug resistance (ADR) in children with HIV (CWHIV). Method: Interventional and observational data published between 2010 and 2024 on PDR and ADR in CWHIV were included and analyzed by random effects models. Results: Overall, 72 studies encompassing 9973 children were included. The prevalence (95% CI) of PDR was 32.48% (26.08-39.21), and high among those who failed PMTCT prophylaxis (43.23% [32.94-53.82]) versus those without PMTCT-intervention ( Conclusion: There are high burdens of PDR and ADR among CWHIV, suggesting the need to phase out pediatric NNRTIs used for either PMTCT or treatment. Emerging INSTI resistance among CWHIV highlights the relevance of drug-resistance surveillance strategies. Prospero registration No: CRD42023470034.

Indexed as

“acquired drug resistance”ARTchildren“pretreatment drug resistance”systematic review

Identifiers

PMID40698034
PMCPMC12282363

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.