TABLE 1 |.
Study characteristics and methods of swab collection.
Study design | Study setting | Study population | Specimen type | GA (weeks) at swab collection | Participant characteristics examined | ART at conception | DNA extraction | |
---|---|---|---|---|---|---|---|---|
| ||||||||
Short et al. (2021) [24] | Prospective observational | HIV specialist & general antenatal clinics of ten London hospitals (UK) | 53 PWLWH 22 HUPW |
High vaginal swab. Soft cup for CVF in PWLWH |
For PWLWH T1: 16.0–21.9 T2:22.0–26.9 T3: 27–31.9 For HUPW vaginal sampling occurred at one second trimester time point |
Maternal age Ethnicity BMI Smoker Parity PTB risk factors Birth outcome |
n = 41/53 | 16s rRNA gene amplification at V1-V2 hypervariable regions |
Price et al. [14] | Prospective cohort | Women & newborn hospital of the UTH in Lusaka (Zambia) | Total participants n = 461 Lost to follow up 88 HIV−ve 278 (term n = 259, sPTB n = 19) HIV +ve n = 85 (term n = 75, sPTB n = 10) |
Mid vaginal swab | Between 16 and 20 mean GA at first sample collection was 18 weeks (IQR: 17–19). Repeat specimen collection at 32 weeks for random subset of 66 PWLWH. 47 (71%) of these had cytokine analysis | Maternal age BMI GA Parity HIV seropositive Preconceptional ART |
n = 85 n = 44/75 (term) n = 6/10(sPTB) |
(WGS)sequencing |
Gudza-Mugabe et al. [29] | Prospective cohort | Harare & Chitungwiza central hospital antenatal clinics (Zimbabwe) | Eligible women = 420 Overall = 356 passed sequencing quality control PWLWH = 42 |
2 vaginal swabs at single time | 29 weeks, IQR (25–33) | Maternal age GA Partner smoker ART regimen Gravida Parity Blood CD4 Plasma VL |
n = 40/42 TDF, FTC, EFV (36) AZT+3TC (4) |
16s rRNA gene amplification |
Abbreviations: UTH, university teaching hospitals; WGS, whole genome shotgun.