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Okoroiwu HU, Umoh EA, Asanga EE, Edet UO, Atim-Ebim MR, Tangban EA, Mbim EN, Odoemena CA, Uno VK, Asuquo JO, Effiom-Ekaha OO, Dozie-Nwakile OC, Uchendu IK, Echieh CP, Emmanuel KJ, Ejemot-Nwadiaro RI, Nja GME, Oreh A, Uchenwa MO, Ufornwa EC, Nwaiwu NP, Ogar Ogar C, Nkang A, Kabiri OJ, Povedano-Montero FJ. Thirty-five years (1986-2021) of HIV/AIDS in Nigeria: bibliometric and scoping analysis. AIDS Res Ther 2022; 19:64. [PMID: 36539804 PMCID: PMC9768871 DOI: 10.1186/s12981-022-00489-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 12/08/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Acquired immunodeficiency syndrome (AIDS) is an acquired defect of the cellular immunity associated with the infection by the human immunodeficiency virus (HIV). The disease has reached pandemic proportion and has been considered a public health concern. This study is aimed at analyzing the trend of HIV/AIDS research in Nigeria. METHOD We used the PUBMED database to a conduct bibliometric analysis of HIV/AIDS-related research in Nigeria from 1986 to 2021 employing "HIV", "AIDS", "acquired immunodeficiency syndrome", "Human immunodeficiency virus", and "Nigeria" as search description. The most common bibliometric indicators were applied for the selected publications. RESULT The number of scientific research articles retrieved for HIV/AIDS-related research in Nigeria was 2796. Original research was the predominant article type. Articles authored by 4 authors consisted majority of the papers. The University of Ibadan was found to be the most productive institution. Institutions in the United States dominated external production with the University of Maryland at the top. The most utilized journal was PLoS ONE. While Iliyasu Z. was the most productive principal author, Crowel TA. was the overall most productive author with the highest collaborative strength. The keyword analysis using overlay visualization showed a gradual shift from disease characteristics to diagnosis, treatment and prevention. Trend in HIV/AIDS research in Nigeria is increasing yet evolving. Four articles were retracted while two had an expression of concern. CONCLUSION The growth of scientific literature in HIV/AIDS-related research in Nigeria was found to be high and increasing. However, the hotspot analysis still shows more unexplored grey areas in future.
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Affiliation(s)
| | | | | | - Uwem Okon Edet
- Department of Biological Sciences, Arthur Jarvis University, Akpabuyo, Nigeria
| | | | - Edum Abang Tangban
- Department of Nursing Science, Arthur Jarvis University, Akpabuyo, Nigeria
| | - Elizabeth Nkagafel Mbim
- Department of Public Health, Arthur Jarvis University, Akpabuyo, Nigeria ,grid.413097.80000 0001 0291 6387Microbiology Department, University of Calabar, Calabar, Nigeria
| | | | - Victor Kanu Uno
- Department of Human Anatomy, Arthur Jarvis University, Akpabuyo, Nigeria
| | - Joseph Okon Asuquo
- Department of Human Physiology, Arthur Jarvis University, Akpabuyo, Nigeria
| | | | - Ogechukwu C. Dozie-Nwakile
- grid.10757.340000 0001 2108 8257Department of Medical Laboratory Sciences, University of Nigeria, Enugu Campus, Enugu State, Nigeria
| | - Ikenna K. Uchendu
- grid.10757.340000 0001 2108 8257Department of Medical Laboratory Sciences, University of Nigeria, Enugu Campus, Enugu State, Nigeria
| | - Chidiebere Peter Echieh
- grid.413097.80000 0001 0291 6387Division of Cardiothoracic Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria
| | | | - Regina Idu Ejemot-Nwadiaro
- grid.413097.80000 0001 0291 6387Department of Public Health, Faculty of Allied Medical Sciences, University of Calabar, Calabar, Nigeria
| | - Glory Mbe Egom Nja
- grid.413097.80000 0001 0291 6387Department of Public Health, Faculty of Allied Medical Sciences, University of Calabar, Calabar, Nigeria
| | - Adaeze Oreh
- Department of Planning, Research and Statistics, National Blood Service Commission, Abuja, Nigeria
| | - Mercy Ogechi Uchenwa
- grid.413097.80000 0001 0291 6387Microbiology Department, University of Calabar, Calabar, Nigeria
| | - Emmanuel Chukwuma Ufornwa
- grid.414823.80000 0004 1764 1103Medical Research Department, Federal Medical Centre, Owerri, Imo State Nigeria
| | - Ndidi Patience Nwaiwu
- grid.411539.b0000 0001 0360 4422Medical Laboratory Science Department, Imo State University, Owerri, Nigeria
| | - Christopher Ogar Ogar
- grid.413097.80000 0001 0291 6387Medical Laboratory Science, University of Calabar, Calabar, Nigeria
| | - Ani Nkang
- Department of Biological Sciences, Arthur Jarvis University, Akpabuyo, Nigeria
| | - Obinna Justice Kabiri
- grid.411539.b0000 0001 0360 4422Department of Medical Laboratory Science, Imo State University, Owerri, Imo State Nigeria
| | - F. Javier Povedano-Montero
- grid.119375.80000000121738416School of Biomedical and Health Sciences, Universidad Europea de Madrid, Madrid, Spain ,grid.4795.f0000 0001 2157 7667Department of Optics V (Optometry and Vision, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain ,grid.144756.50000 0001 1945 5329Neurology Unit, Hospital 12 de Octubre Research Institute (I+12), Madrid, Spain
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Maingi M, Stark AH, Iron-Segev S. The impact of Option B+ on mother-to-child transmission of HIV in Africa: A systematic review. Trop Med Int Health 2022; 27:553-563. [PMID: 35477948 PMCID: PMC9328372 DOI: 10.1111/tmi.13756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
Objective In 2015, the WHO released new guidelines to reduce mother‐to‐child transmission (MTCT) of HIV. The recommendations, known as Option B+, included initiation of lifelong highly active antiretroviral therapy regardless of CD4 count for all HIV‐positive pregnant and breastfeeding mothers. For infants, exclusive breastfeeding for 6 months and antiviral therapy were sanctioned. Targets of <5% transmission in breastfeeding populations and <2% in non‐breastfeeding populations were set. This review evaluated the impact of Option B+ on MTCT in African countries. Methods Using the PRISMA guidelines, a systematic search of PubMed and Google Scholar databases was conducted to identify relevant studies published between 2015 and 2021. All studies meeting inclusion criteria were evaluated. Results Of the 687 references screened, 22 studies from 11 countries (Cameroon, Ethiopia, Lesotho, Malawi, Rwanda, South Africa, Swaziland, Tanzania, Uganda, Zambia and Zimbabwe) met inclusion criteria. Six studies reported MTCT rates of <2%, 16 studies reported rates of 2–5% and two studies (Uganda and Zambia) reported 6% or more. Rates varied within the same study at different time points postpartum and amongst studies from the same country. Overall, reported MTCT rates appear to be close to WHO targets. However, diverse study designs, selection bias, extensive loss to follow‐up and undocumented adherence rates to Option B+ protocols may significantly underestimate MTCT rates of HIV in Africa. Conclusions Standardised protocols for impact evaluation must be established to provide evidenced‐based data on the efficacy of Option B+ in Africa.
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Affiliation(s)
- Mildred Maingi
- The Hebrew University of Jerusalem, Robert H. Smith Faculty of Agriculture, Food and Environment, Rehovot, Israel
| | - Aliza Hannah Stark
- The Hebrew University of Jerusalem, Robert H. Smith Faculty of Agriculture, Food and Environment, Rehovot, Israel
| | - Sharon Iron-Segev
- The Hebrew University of Jerusalem, Robert H. Smith Faculty of Agriculture, Food and Environment, Rehovot, Israel.,School of Nutritional Sciences, Peres Academic Center, Rehovot, Israel
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Eleje GU, Onubogu CU, Fiebai PO, Mbachu II, Akaba GO, Loto OM, Usman HA, Rabiu A, Chibuzor MT, Chukwuanukwu RC, Joe-Ikechebelu NN, Nwankwo CH, Kalu SO, Ogbuagu CN, Chukwurah SN, Uzochukwu CE, Oppah IC, Ahmed A, Egeonu RO, Jibuaku CH, Inuyomi SO, Adesoji BA, Anyang UI, Ogwaluonye UC, Emeka EA, Igue OE, Okoro OD, Aja PO, Chidozie CP, Ibrahim HS, Aliyu FE, Numan AI, Omoruyi SA, Umeononihu OS, Okoro CC, Nwaeju IK, Onwuegbuna AA, Umeh EO, Nweje SI, Eleje LI, Ajuba IC, Ikwuka DC, Igbodike EP, Chigbo CG, Ebubedike UR, Okafor CG, Obiegbu NP, Yakasai IA, Ezechi OC, Ikechebelu JI. Mother-to-child transmission of human immunodeficiency virus, hepatitis B virus and hepatitis C virus among pregnant women with single, dual or triplex infections of human immunodeficiency virus, hepatitis B virus and hepatitis C virus in Nigeria: A systematic review and meta-analysis. SAGE Open Med 2022; 10:20503121221095411. [PMID: 35509955 PMCID: PMC9058348 DOI: 10.1177/20503121221095411] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Accepted: 04/01/2022] [Indexed: 12/14/2022] Open
Abstract
Objectives: To systematically review literature and identify mother-to-child transmission rates of human immunodeficiency virus, hepatitis B virus, and hepatitis C virus among pregnant women with single, dual, or triplex infections of human immunodeficiency virus, hepatitis B virus, and hepatitis C virus in Nigeria. PRISMA guidelines were employed. Searches were on 19 February 2021 in PubMed, Google Scholar and CINAHL on studies published from 1 February 2001 to 31 January 2021 using keywords: “MTCT,” “dual infection,” “triplex infection,” “HIV,” “HBV,” and “HCV.” Studies that reported mother-to-child transmission rate of at least any of human immunodeficiency virus, hepatitis B virus and hepatitis C virus among pregnant women and their infant pairs with single, dual, or triplex infections of human immunodeficiency virus, hepatitis B virus, and hepatitis C virus in Nigeria irrespective of publication status or language were eligible. Data were extracted independently by two authors with disagreements resolved by a third author. Meta-analysis was performed using the random effects model of DerSimonian and Laird, to produce summary mother-to-child transmission rates in terms of percentage with 95% confidence interval. Protocol was prospectively registered in PROSPERO: CRD42020202070. The search identified 849 reports. After screening titles and abstracts, 25 full-text articles were assessed for eligibility and 18 were included for meta-analysis. We identified one ongoing study. Pooled mother-to-child transmission rates were 2.74% (95% confidence interval: 2.48%–2.99%; 5863 participants; 15 studies) and 55.49% (95% confidence interval: 35.93%–75.04%; 433 participants; three studies), among mother–infant pairs with mono-infection of human immunodeficiency virus and hepatitis B virus, respectively, according to meta-analysis. Overall, the studies showed a moderate risk of bias. The pooled rate of mother-to-child transmission of human immunodeficiency virus was 2.74% and hepatitis B virus was 55.49% among mother–infant pairs with mono-infection of HIV and hepatitis B virus, respectively. No data exists on rates of mother-to-child transmission of hepatitis C virus on mono-infection or mother-to-child transmission of human immunodeficiency virus, hepatitis B virus, and hepatitis C virus among mother–infant pairs with dual or triplex infection of HIV, hepatitis B virus and HCV in Nigeria.
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Affiliation(s)
- George Uchenna Eleje
- Effective Care Research Unit, Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, Nigeria.,Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nnewi, Nigeria
| | | | - Preye Owen Fiebai
- Department of Obstetrics and Gynecology, University of Port Harcourt, Port Harcourt, Nigeria.,Department of Obstetrics and Gynecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
| | - Ikechukwu Innocent Mbachu
- Effective Care Research Unit, Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, Nigeria.,Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nnewi, Nigeria
| | - Godwin Otuodichinma Akaba
- Department of Obstetrics and Gynecology, University of Abuja, Abuja, Nigeria.,Department of Obstetrics and Gynecology, University of Abuja Teaching Hospital, Abuja, Nigeria
| | - Olabisi Morebise Loto
- Department of Obstetrics and Gynecology, Obafemi Awolowo University, Ile-Ife, Nigeria.,Department of Obstetrics and Gynecology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
| | - Hadiza Abdullahi Usman
- Department of Obstetrics and Gynecology, University of Maiduguri, Maiduguri, Nigeria.,Department of Obstetrics and Gynecology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
| | - Ayyuba Rabiu
- Department of Obstetrics and Gynecology, Bayero University Kano, Kano, Nigeria.,Department of Obstetrics and Gynecology, Aminu Kano Teaching Hospital, Kano, Nigeria
| | - Moriam Taiwo Chibuzor
- Cochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria
| | | | - Ngozi Nneka Joe-Ikechebelu
- Department of Community Medicine and Primary Health Care, Faculty of Medicine, Chukwuemeka Odumegwu Ojukwu University, Awka, Nigeria
| | | | - Stephen Okoroafor Kalu
- HIV Care Laboratory/HIV Care Department, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nnewi, Nigeria
| | | | - Shirley Nneka Chukwurah
- Gastroenterology Unit, Department of Medicine, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria
| | | | - Ijeoma Chioma Oppah
- Department of Obstetrics and Gynecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
| | - Aishat Ahmed
- Department of Obstetrics and Gynecology, University of Abuja Teaching Hospital, Abuja, Nigeria
| | - Richard Obinwanne Egeonu
- Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nnewi, Nigeria
| | | | | | - Bukola Abimbola Adesoji
- Department of Nursing, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
| | - Ubong Inyang Anyang
- Department of Obstetrics and Gynecology, University of Abuja Teaching Hospital, Abuja, Nigeria
| | | | - Ekene Agatha Emeka
- Department of Family Medicine, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria
| | - Odion Emmanuel Igue
- Department of Physiological Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Ogbonna Dennis Okoro
- Department of Parasitology & Entomology, Faculty of Veterinary Medicine, University of Maiduguri, Maiduguri, Nigeria
| | - Prince Ogbonnia Aja
- Immunology Unit, Department of Medical Laboratory Science, Nnamdi Azikiwe University, Awka, Nigeria
| | | | - Hadiza Sani Ibrahim
- Department of Obstetrics and Gynecology, Aminu Kano Teaching Hospital, Kano, Nigeria
| | - Fatima Ele Aliyu
- Department of Obstetrics and Gynecology, Aminu Kano Teaching Hospital, Kano, Nigeria
| | - Aisha Ismaila Numan
- Department of Obstetrics and Gynecology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
| | - Solace Amechi Omoruyi
- Department of Obstetrics and Gynecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
| | - Osita Samuel Umeononihu
- Effective Care Research Unit, Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, Nigeria.,Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nnewi, Nigeria
| | | | - Ifeanyi Kingsley Nwaeju
- Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nnewi, Nigeria
| | | | - Eric Okechukwu Umeh
- Department of Radiology, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria
| | - Sussan Ifeyinwa Nweje
- Department of Nursing, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nnewi, Nigeria
| | - Lydia Ijeoma Eleje
- Measurement, Evaluation and Research Unit, Department of Educational Foundations, Nnamdi Azikiwe University, Awka, Nigeria
| | - Ifeoma Clara Ajuba
- Department of Hematology, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria
| | | | - Emeka Philip Igbodike
- Department of Obstetrics and Gynecology, St Georges Hospital Memorial Centre, Lagos, Nigeria
| | | | | | - Chigozie Geoffrey Okafor
- Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nnewi, Nigeria
| | - Nnaedozie Paul Obiegbu
- Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nnewi, Nigeria
| | - Ibrahim Adamu Yakasai
- Department of Obstetrics and Gynecology, Bayero University Kano, Kano, Nigeria.,Department of Obstetrics and Gynecology, Aminu Kano Teaching Hospital, Kano, Nigeria
| | | | - Joseph Ifeanyichukwu Ikechebelu
- Effective Care Research Unit, Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, Nigeria.,Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nnewi, Nigeria
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