Abstract：
:To follow the progression of HIV seropositivity among heterosexual adults at risk for HIV infection in the country of Rwanda prospectively, up to 100 patients with sexually transmitted diseases (STD) were tested each month from 1988 to 1991 at the health centre of Biryogo, which is located in a very crowded sector of the capital city, Kigali. Each patient had a blood sample tested anonymously for the presence of HIV antibodies. HIV seropositivity was defined as a reactive ELISA test combined to a reactive Western blot test. The overall HIV seropositivity among the 2058 subjects tested was 61%. It was higher (73%) among the 688 women tested as compared to the 1362 men tested (55%; P < 0.001). The per cent HIV seropositivity did not increase between 1988 and 1991, neither among the male nor among the female clinic attenders. However, the per cent seropositivity was higher in the older age groups, especially among the males. This exceedingly high proportion of HIV-infected STD patients in Kigali re-emphasizes the urgent need to include STD treatment, prevention and control among the priority actions for decreasing HIV transmission in African towns. Also, as the per cent seropositivities did not show any trend to increase over the 4-year period considered, we propose that our intensive HIV serosurveillance strategy among STD patients in Kigali be modified, since the plateau of HIV infection appears to have been attained in this particular high-risk population.
journal_name
Int J STD AIDSjournal_title
International journal of STD & AIDSauthors
Karita E,Martinez W,Van de Perre P,Nziyumvira A,Nyiraminani J,Butera JB,Fox Edoi
10.1177/095646249300400406subject
Has Abstractpub_date
1993-07-01 00:00:00pages
211-3issue
4eissn
0956-4624issn
1758-1052journal_volume
4pub_type
杂志文章abstract：:The completeness of a 'first consultation' human immunodeficiency virus (HIV) clinical history before and after the introduction of an HIV proforma was audited by a retrospective case notes review. Twenty key variables considered essential to every history were assessed. There was a significant improvement in the docu...
journal_title：International journal of STD & AIDS
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abstract：:Despite successes in efforts to integrate HIV testing into routine care in emergency departments, challenges remain. Kiosk-facilitated, directed HIV self-testing offers one novel approach to address logistical challenges. Emergency department patients, 18-64 years, were recruited to evaluate use of tablet-based-kiosks...
journal_title：International journal of STD & AIDS
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abstract：:AIDS-associated Kaposi's sarcoma (KS) is much more frequent in patients acquiring HIV infection via the sexual route. Epidemiological studies have confirmed the likely involvement of a sexually acquired cofactor in the pathogenesis of this form of KS. We have formulated a set of postulates, epidemiological and experim...
journal_title：International journal of STD & AIDS
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journal_title：International journal of STD & AIDS
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journal_title：International journal of STD & AIDS
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journal_title：International journal of STD & AIDS
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1999-08-01 00:00:00
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