Evidence map›Paper›PMID 42487809›Full record

ArticleFrontiers in public health2026

HIV viral suppression outcomes of Tenofovir- and Abacavir-based antiretroviral regimens among children on ART in Zambia.

Jonathan Gwasupika, Judie Magura, Lewis Phiri, Ephraim Chikwanda, Elizabeth Kabeta, Ray Handema

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Jonathan GwasupikaNational Health Research and Training Institute (NHRTI), Formerly Tropical Diseases Research Centre (TDRC), Ndola, Zambia.
Judie MaguraAfrica Health Research Institute (AHRI), Durban, South Africa.
Lewis PhiriCentre for Infectious Disease Research in Zambia (CIDRZ), Lusaka, Zambia.
Ephraim ChikwandaNational Health Research and Training Institute (NHRTI), Formerly Tropical Diseases Research Centre (TDRC), Ndola, Zambia.
Elizabeth KabetaNational Health Research and Training Institute (NHRTI), Formerly Tropical Diseases Research Centre (TDRC), Ndola, Zambia.
Ray HandemaSchool of Medicine, University College of Ndola, Ndola, Zambia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Use of ART has remarkably decreased HIV related morbidity and mortality rates globally. Children living with HIV in Zambia are initiated on an Abacavir-based regimen to suppress viral replication. This study assessed the achievement of HIV viral suppression among children taking Abacavir and Tenofovir-based regimens and the predicting factors associated with viral load suppression in Zambian children. Methods: This was a retrospective cross-sectional analysis of routinely collected data on all children diagnosed with HIV aged below 15 years attending the ART clinic from 1 January 2016 to 31 December 2018 at the Paediatric University Teaching Hospital in Lusaka, Zambia. Logistic regression was used to explore factors associated with HIV virological suppression. Ethical approval for the study was sought from the University of Zambia Biomedical Research Ethical Committee and the National Health Research Authority. Results: About 78.4% of children on ART achieved virological suppression (262/334). An increase in age showed about 20% reduced odds of virological suppression (AOR 0.80, CI 0.71-0.95), while a child on ABC/3TC/LPV-r combination of ART compared to TDF/XTC/DTG, showed about 88% reduced odds of virological suppression (AOR 0.12, CI 0.04-0.41). Conclusion: Despite an increased uptake of ART, the viral suppression found in this study was lower than the UNAIDS target of 95% of people on ART to be virally suppressed. Greater sensitization and education on the importance of treatment adherence are required to achieve this target, and further studies are needed to determine the factors contributing to the low viral load suppression in children.

Indexed as

Anti-HIV AgentsDideoxynucleosidesHIV InfectionsTenofovirViral LoadAbacavirAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantMaleRetrospective StudiesZambiaAbacavirAnti-HIV AgentsDideoxynucleosidesTenofoviradherenceantiretroviral therapy (ART)pediatric HIVpredicting factorsviral suppression

Identifiers

PMID42487809
PMCPMC13388562

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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.