Sexually transmitted infections and viral hepatitides in patients presenting for non-occupational HIV post-exposure prophylaxis: results of a prospective cohort study

被引:4
作者
Sivachandran, Nirojini [1 ]
Siemieniuk, Reed A. C. [1 ]
Murphy, Pauline [2 ]
Sharp, Andrea [2 ]
Walach, Christine [2 ]
Placido, Tania [2 ]
Bogoch, Isaac I. [1 ,2 ,3 ,4 ]
机构
[1] Univ Toronto, Dept Med, Toronto, ON, Canada
[2] Toronto Gen Hosp, Immunodeficiency Clin, Toronto, ON, Canada
[3] Toronto Gen Hosp, Div Internal Med, Univ Hlth Network, Toronto, ON M5G 2C4, Canada
[4] Toronto Gen Hosp, Div Infect Dis, Univ Hlth Network, Toronto, ON M5G 2C4, Canada
关键词
HIV; Post-exposure prophylaxis; PEP; Hepatitis C; Hepatitis B; Sexually transmitted infections; EMERGENCY-DEPARTMENT; EXPOSURE;
D O I
10.1016/j.ijid.2015.10.001
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Data evaluating the screening practices for viral hepatitides and sexually transmitted infections (STIs) in patients presenting for non-occupational HIV post-exposure prophylaxis (nPEP) care are limited. Screening practices and prevalences of viral hepatitides and STIs were evaluated in 126 patients presenting to a dedicated HIV prevention clinic for HIV nPEP. Three patients (2.4%) were diagnosed with chronic hepatitis C infection, 28 (22.2%) did not have surface antibodies in sufficient quantity to confer immunity to hepatitis B, and six (4.8%) were diagnosed with an STI. A multivariate regression model did not predict any demographic or clinical features predictive of HBV non-immunity. Beyond screening for HIV infection, evaluation for viral hepatitides and STIs is an important feature in the care of patients presenting for HIV nPEP. (C) 2015 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.
引用
收藏
页码:142 / 144
页数:3
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