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Background. Better integration of HIV and sexually transmitted infection (STI) prevention and treatment services is needed to accelerate progress towards the goal of zero new HIV infections. Objectives. To describe HIV positivity, antiretroviral therapy (ART) use, viral suppression and recency of HIV infection among symptomatic STI service attendees at two primary care clinics in South Africa. Methods. In a cross-sectional study, male and female STI service attendees presenting with symptoms consistent with STI syndromes were enrolled following informed consent. An interviewer-administered questionnaire was completed and appropriate genital and blood specimens were collected for STI testing and HIV biomarker measurements including recency of infection and antiretroviral (ARV) drug levels. Descriptive statistics were used to describe enrolled attendees, and to determine the proportion of attendees who were HIV-positive, recently infected, taking ART and virally suppressed. HIV-positive attendees with detectable ARVs were considered to be on ART, while those with viral loads (VLs) ≤200 copies/mL were considered virally suppressed. Results. Of 451 symptomatic attendees whose data were analysed, 93 (20.6%) were HIV-positive, with 15/93 (16.1%) being recently infected. Recent infection was independently associated with genital ulcer disease at presentation, especially ulcers with no detectable STI pathogens. Among the 78 (83.9%) with long-term infection, only 30 (38.5%) were on ART, with 23/30 (76.7%) virally suppressed. Conclusions. In a population at risk of HIV transmission, there was a high burden of recent infection and unsuppressed VLs. Incorporating pre-exposure prophylaxis, ART initiation and adherence support into STI services will be necessary for progress towards eliminating HIV transmission
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HIV Infections , Viral Load , Sexually Transmitted Diseases , HIV SeropositivityABSTRACT
【Objective】 To establish an indirect ELISA method for detecting IgG, IgM and IgA antibodies against Hepatitis E virus (HEV). 【Methods】 Tn-5 cells were infected with recombinant HEV baculovirus, and HEV-like particles (VLP) were collected and purified for coating antigen. The reaction conditions and methodology of indirect ELISA method were established and evaluated. The prevalence of HEV antibody among blood donors in Xishuangbanna were detected. 【Results】 The collected and purified VLP showed HEV antigenicity. The positive rates of anti-HEV IgG, IgM and IgA in blood donors in Xishuangbanna Prefecture were 18%(90/500), 5.6%(28/500) and 2.6%(13/500), respectively. The recent HEV infection rate was 1.8 % (9/500), and the seroprevalence of hepatitis E was 19.8% (99/500). Of the 13 anti-HEV IgA positive samples, 2 were both anti-HEV IgG and IgM negative. 【Conclusion】 HEV antibody positive is common among blood donors in Xishuangbanna, some of which are recent infections, posing a threat to the safety of blood transfusion. HEV IgA antibody indirect ELISA combined with human HEV IgM antibody detection can improve the detection rate of recent HEV infection.
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The newly reported HIV infected cases was collected, and HIV blood samples were detected to identify recent HIV infection in Tianjin during 2008-2015. Factors associated with HIV-1 infection were analyzed by the univariate and multivariate unconditional logistic regression. The recent HIV-1 infection proportion of homosexuals increased from 37.70% in 2008 to 83.68% in 2015. Those cases who aged ≤30 years (OR=1.53, 95%CI: 1.30-1.79), in han ethnic group (OR=1.40, 95%CI: 1.02-1.91), students (OR=1.79, 95%CI: 1.28-2.51) were more likely to be recent infected. The cases who had a high school education (OR=1.28, 95%CI: 1.05-1.56) or collage education (OR=1.23, 95%CI: 1.00-1.50) were more likely to be recent infected than those who had a primary school education. Compared with patients identified by hospitals, the recent HIV infections were more likely to be found through voluntary counseling and testing (VCT), STD outpatients, men who have sex with men (MSM) investigation and unpaid blood donors. Homosexual transmission has become the major route of HIV-1 recent infection in Tianjin.
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Objective To investigate the current status of HIV infection and the related factors in HIV antibody positive clients of female sex workers (FSWs) recently reported in Shaanxi province.Methods The HIV/AIDS cases newly diagnosed in males living in Shaanxi from January 1th of 2013 to June 30th of 2014 were selected and those infected through "commercial heterosexual behavior" were identified.The information about their demographic characteristics,previous unprotected heterosexual sex and the sample sources were collected,and serum or plasma samples were collected from them and tested with BED-CEIA.The proportion of recent HIV infections and associated factors were investigated.Results The proportion of recent HIV infection and HIV-antibody detection rate in 212 HIV antibody positive male clients of FSWs were 25.5％ and 6.6％ respectively.The cases who had the educational level of junior middle school or high middle school were wore likely to have long term HIV infections than those with lower educational level (aOR=0.28,95％ CI:0.08-0.93).Compared with patients identified by hospitals or sexually transmitted diseases clinics,recent HIV infections were more likely to be found through preoperative test or blood transfusion test (aOR=3.14,95％ CI:1.06-9.30) and blood donation test (aOR=4.19,95％ CI:1.01-17.42).Compared with the cases who had commercial sex only in Xi'an or other province or both in Xi'an and other province,the cases who had commercial sex in other cities in Shaanxi were more likely to be infected recently (aOR=0.19,95％CI:0.07-0.57).Compared with the cases had temporary heterosexual sex partner,those who had no temporary sex partners were more likely to be infected recently (aOR=9.03,95％CI:3.00-27.18)(P＜0.05).Conclusions The proportion of recent HIV infections among HIV antibody positive clients of FSWs was high and the HIV-antibody detection rate among them was low.The educational level,sample source,geographic area and temporary heterosexual partner were related factors for recent HIV infection.The HIV infection in the clients of FSWs,especially those with lower educational level,was serious in Shaanxi.It is necessary to strengthen behavior intervention and improve HIV defection according to the characteristics of this population
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Objective To investigate the current status of HIV infection and the related factors in HIV antibody positive clients of female sex workers (FSWs) recently reported in Shaanxi province.Methods The HIV/AIDS cases newly diagnosed in males living in Shaanxi from January 1th of 2013 to June 30th of 2014 were selected and those infected through "commercial heterosexual behavior" were identified.The information about their demographic characteristics,previous unprotected heterosexual sex and the sample sources were collected,and serum or plasma samples were collected from them and tested with BED-CEIA.The proportion of recent HIV infections and associated factors were investigated.Results The proportion of recent HIV infection and HIV-antibody detection rate in 212 HIV antibody positive male clients of FSWs were 25.5％ and 6.6％ respectively.The cases who had the educational level of junior middle school or high middle school were wore likely to have long term HIV infections than those with lower educational level (aOR=0.28,95％ CI:0.08-0.93).Compared with patients identified by hospitals or sexually transmitted diseases clinics,recent HIV infections were more likely to be found through preoperative test or blood transfusion test (aOR=3.14,95％ CI:1.06-9.30) and blood donation test (aOR=4.19,95％ CI:1.01-17.42).Compared with the cases who had commercial sex only in Xi'an or other province or both in Xi'an and other province,the cases who had commercial sex in other cities in Shaanxi were more likely to be infected recently (aOR=0.19,95％CI:0.07-0.57).Compared with the cases had temporary heterosexual sex partner,those who had no temporary sex partners were more likely to be infected recently (aOR=9.03,95％CI:3.00-27.18)(P＜0.05).Conclusions The proportion of recent HIV infections among HIV antibody positive clients of FSWs was high and the HIV-antibody detection rate among them was low.The educational level,sample source,geographic area and temporary heterosexual partner were related factors for recent HIV infection.The HIV infection in the clients of FSWs,especially those with lower educational level,was serious in Shaanxi.It is necessary to strengthen behavior intervention and improve HIV defection according to the characteristics of this population
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Objective To understand the status of recent infected and newly reported HIV cases in Jiangsu province. Methods Information including general demographic,mode of transmission and sample source of newly reported HIV infected cases was collected. Corresponding serum or plasma samples were collected and tested with BED-CEIA. Proportions of recent HIV infections among different populations were calculated,and associated factors of recent HIV infection calculated. Results Among cases infected through different channels as homosexual,heterosexual and needles sharing,the proportions of recent infections were 29.19%,17.40% and 21.75%, respectively. Statistically significant difference was seen between different populations(P<0.05). Compared with female cases,male cases were more likely to be recent infected(OR=1.569,95%CI:1.168-2.107). Compared with cases older than 35 years of age,the ones that younger than that age were more likely to be recently infected(OR=1.556,95%CI:1.289-1.879). Compared with cases who remained single,those married cases were more likely to be long-term infections(OR=0.789, 95%CI:0.649-0.960). Compared with patients identified by hospitals,the recent HIV infections were more likely to be found through voluntary counseling programs and testing(OR=2.278,95%CI:1.853-2.801),project-based surveillance programs(OR=2.409,95%CI:1.860- 3.120),and unpaid blood donation sites(OR=2.911,95%CI:2.118-4.001)(P<0.05). Conclusion Proportion of MSM ranked 1st in the newly reported HIV cases in Jiangsu province. Related HIV case-finding programs should be strengthened to reduce the secondary transmission.
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Objective To understand the status of recent infected and newly reported HIV cases in Jiangsu province. Methods Information including general demographic,mode of transmission and sample source of newly reported HIV infected cases was collected. Corresponding serum or plasma samples were collected and tested with BED-CEIA. Proportions of recent HIV infections among different populations were calculated,and associated factors of recent HIV infection calculated. Results Among cases infected through different channels as homosexual,heterosexual and needles sharing,the proportions of recent infections were 29.19%,17.40% and 21.75%, respectively. Statistically significant difference was seen between different populations(P<0.05). Compared with female cases,male cases were more likely to be recent infected(OR=1.569,95%CI:1.168-2.107). Compared with cases older than 35 years of age,the ones that younger than that age were more likely to be recently infected(OR=1.556,95%CI:1.289-1.879). Compared with cases who remained single,those married cases were more likely to be long-term infections(OR=0.789, 95%CI:0.649-0.960). Compared with patients identified by hospitals,the recent HIV infections were more likely to be found through voluntary counseling programs and testing(OR=2.278,95%CI:1.853-2.801),project-based surveillance programs(OR=2.409,95%CI:1.860- 3.120),and unpaid blood donation sites(OR=2.911,95%CI:2.118-4.001)(P<0.05). Conclusion Proportion of MSM ranked 1st in the newly reported HIV cases in Jiangsu province. Related HIV case-finding programs should be strengthened to reduce the secondary transmission.
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Objective To study the situation of HIV infections among men who have sex with men (MSM) in Tianjin during 2008-2009 and to provide reasonable evidence for intervention strategy.Methods Transect investigations in MSM were conducted three times during 2008-2009.Blood samples were collected and detected to identify the recent HIV infection with IgG-capture BED-enzyme immunoassay (BED-CEIA) before HIV incidence was estimated.Results 1799 specimens were tested and the HIV prevalence rates of each study were 6.7％,8.6％ and 6.2％,while the incidence rates were 2.7％,2.5％ and 2.8％,respectively.The estimated incidence rates among these testees were 5.36％ and 5.52％ per year in 2008 and 2009.Conclusion Results of this study showed that the HIV incidence stabilized at high level among MSM in Tianjin,calling for the effective interventions be taken for HIV/AIDS control and prevention.
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Introducción: La inclusión en las pruebas de detección del VIH de la capacidad de determinar el antígeno p24 ha potenciado su capacidad diagnóstica para infecciones recientes. Objetivos: Evaluar el antígeno p24 como predictor de infección reciente por VIH en pacientes con prueba confirmatoria negativa. Método: Estudio descriptivo de seroconversión en 245 muestras de personas desde los 14 años de edad con resultado confirmatorio negativo para el VIH, en muestras de las serotecas de los laboratorios de Salud Pública Distrital y el Centralizado de VIH en la ciudad de Bogotá, Colombia. Se encontraron en 12 de ellas y se estudió la seroconversión en 6. Resultados: Se confirmó seroconversión en el 60% de pacientes positivos para prueba presuntiva de p24 y en el 75% de los positivos para confirmatoria del mismo antígeno. Conclusiones: Estos resultados sugieren la necesidad de realizar pruebas diagnósticas adicionales a todos los casos con resultado reactivo en prueba presuntiva y negativo para confirmatoria, en los que la reactividad de la primera pueda estar determinada por la presencia del antígeno p24 en a muestra, a fin de establecer una posible infección reciente por este virus.
Background: The inclusion of the capacity to generate p24 antigen in presumptive tests to detect the Human Immunodeficiency Virus (HIV) have enhanced its diagnosing potential in recent infection cases. The absence of this condition in confirmatory tests creates a risk of false negatives. Aims: To assess p24 antigen as a predictor of recent HIV infection in patients with negative confirmation test. Methods and design: Descriptive study of seroconversion of patients with confirmed negative test for HIV. Scenario: A study based on samples taken from the erum banks of the District Public Health Lab and Centralized HIV Lab in Bogotá, D.C., Colombia. Participants: p24 antigen was sought in 245 samples of people aged 14 or older, either reactive for presumptive tests or negative for confirmatory tests. The antigen was found in 12 of them and seroconversion took place in 6 of them. Interventions: 253 blood samples, either reactive for presumptive tests or negative for confirmatory tests were obtained out of 393,247 samples taken between January 2006 and November 2007. Finally, seroconversion was studied in patients with reactive test for p24 antigen. Outcome measurement: Seroconversion took place in patients with reactive tests for p24 antigen test for presumptive test and negative confirmatory test. Results: Seroconversion was confirmed in 60% of the patients tested positive for presumptive p24 antigen and in 75% of the patients tested positive for confirmatory test of the same antigen. Conclusions: These results suggest the need to carry out additional diagnostic tests to all cases with reactive results in presumptive testing and negative confirmatory testing in which the reactivity of the presumptive testing can be determined by the presence of p24 antigen in the sample, in order to establish a possible recent infection by this virus.