Hospital-based surveillance for HTLV-1/2 infections in Spain.

Abstract:

:In Western countries, HTLV-1 infection is recognized mainly among foreigners coming from endemic areas. In contrast, HTLV-2 is found predominantly in native intravenous drug users (IDUs). Spain has experienced a large wave of immigration, which could have influenced the current prevalence and distribution of HTLV-1 and HTLV-2 infection. A 1-day cross-sectional survey was carried out in May 2005 in 13 hospitals distributed across Spain. A total of 2873 outpatient subjects were screened for HTLV-1/2 antibodies. Although the majority of the study population consisted of native Spaniards, 206 (7.2%) were immigrants. Two cases of HTLV-1 and one of HTLV-2 infection were found (overall prevalence, 0.1%). The two individuals with HTLV-1 were immigrants from endemic areas and the single case of HTLV-2 infection was a former Spaniard IDU coinfected with HIV-1. In summary, the current prevalence of HTLV-1/2 infection in Spain is low, with no evidence of spread beyond the classical risk groups. However, a rapidly growing population of immigrants from HTLV-1-endemic areas in Spain could modify this pattern and periodic surveillance studies including both natives and immigrants are warranted.

authors

Toro C,Aguilera A,Caballero E,Tuset C,Alvarez P,García-Campello M,Rodríguez-Iglesias M,de Lejarazu RO,Eiros J,Rodriguez C,del Romero J,Benito R,Calderón E,Santana O,Amor A,Gómez-Hernando C,García J,Soriano V

doi

10.1089/aid.2006.0192

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

1075-7

issue

9

eissn

0889-2229

issn

1931-8405

journal_volume

23

pub_type

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