Strategies Used in the Detection of Acute/Early HIV Infections. The NIMH Multisite Acute HIV Infection Study: I

被引:23
|
作者
Kerndt, Peter R. [1 ]
Dubrow, Robert [2 ]
Aynalem, Getahun [1 ]
Mayer, Kenneth H. [3 ]
Beckwith, Curt [3 ]
Remien, Robert H. [4 ]
Truong, Hong-Ha M. [5 ]
Uniyal, Apurva [1 ]
Chien, Michael [1 ]
Brooks, Ronald A. [6 ]
Vigil, Ofilio R. [7 ]
Steward, Wayne T. [5 ]
Merson, Michael [8 ]
Rotheram-Borus, Mary Jane [6 ]
Morin, Stephen F. [5 ]
机构
[1] Los Angeles Cty Dept Publ Hlth, Sexually Trasmitted Dis Program, Los Angeles, CA 90007 USA
[2] Yale Univ, Ctr Interdisciplinary Res AIDS, New Haven, CT USA
[3] Brown Univ, Providence, RI 02912 USA
[4] Columbia Univ, HIV Ctr Clin & Behav Studies, New York State Psychiat Inst, New York, NY USA
[5] Univ Calif San Francisco, Ctr AIDS Prevent Studies, San Francisco, CA 94143 USA
[6] Univ Calif Los Angeles, Ctr HIV Identificat Prevent & Treatment Serv, Los Angeles, CA USA
[7] Univ Calif San Diego, HIV Neurobehav Res Ctr, San Diego, CA 92103 USA
[8] Duke Univ, Durham, NC USA
关键词
Acute HIV infection; Nucleic acid amplification tests; HIV RNA testing; Early detection of acute HIV infection; UNITED-STATES; SEXUAL RISK; COITAL ACT; TRANSMISSION; DIAGNOSIS; OPPORTUNITIES; PREVENTION; RESISTANCE; BEHAVIOR; SPREAD;
D O I
10.1007/s10461-009-9580-8
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Acute/early HIV infection plays a critical role in onward HIV transmission. Detection of HIV infections during this period provides an important early opportunity to offer interventions which may prevent further transmission. In six US cities, persons with acute/early HIV infection were identified using either HIV RNA testing of pooled sera from persons screened HIV antibody negative or through clinical referral of persons with acute or early infections. Fifty-one cases were identified and 34 (68%) were enrolled into the study; 28 (82%) were acute infections and 6 (18%) were early infections. Of those enrolled, 13 (38%) were identified through HIV pooled testing of 7,633 HIV antibody negative sera and 21 (62%) through referral. Both strategies identified cases that would have been missed under current HIV testing and counseling protocols. Efforts to identify newly infected persons should target specific populations and geographic areas based on knowledge of the local epidemiology of incident infections.
引用
收藏
页码:1037 / 1045
页数:9
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