Question · asked by 1 review

An extended ZDV/3TC/LPV/r regimen administered to mothers vs Short‐Course AZT (intrapartum AZT/3TC/sd‐NVP): HIV transmission at 6 months among those whose diagnostic testing was negative at 6 weeks after birth

Population
HIV‐infected mothers and their breastfeeding infants
Intervention
An extended ZDV/3TC/LPV/r regimen administered to mothers
Comparison
Short‐Course AZT (intrapartum AZT/3TC/sd‐NVP)
Outcome
HIV transmission at 6 months among those whose diagnostic testing was negative at 6 weeks after birth

An extended ZDV/3TC/LPV/r regimen administered to mothers showed no clear difference in HIV transmission at 6 months among those whose diagnostic testing… compared with short course ZDV (intrapartum ZDV/3TC/sdNVP) (low certainty).

What each review found

Include earlier review versions
FindingEffectStudiesGRADE certainty
An extended ZDV/3TC/LPV/r regimen administered to mothers vs short course ZDV (intrapartum ZDV/3TC/sdNVP)
HIV transmission at 6 months among those whose diagnostic testing was negative at 6 weeks after birth · HIV‐infected mothers and their breastfeeding infants
An extended ZDV/3TC/LPV/r regimen administered to mothers showed no clear difference in HIV transmission at 6 months among those whose diagnostic testing… compared with short course ZDV (intrapartum ZDV/3TC/sdNVP) (low certainty).
Antiretroviral interventions for preventing breast milk transmission of HIV (2014) · Cochrane Headline outcomes only
HR 0.36 [0.13, 1.02]1 study · 597 participantsLow

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Antiretroviral interventions for preventing breast milk transmission of HIV
2014 · Cochrane Headline outcomes only
Not reportedNot extractedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.