Document Detail

Human T-lymphotropic virus (HTLV I-II) infection among patients in an inner-city emergency department.
MedLine Citation:
PMID:  2382919     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the seroprevalence and epidemiologic features of human T-lymphotropic virus (HTLV I-II) among an emergency department patient population with a high rate of human immunodeficiency virus (HIV-1) infection. DESIGN: Prospective survey using identity-unlinked consecutive sampling during a 6-week period in 1988. SETTING: Inner-city teaching hospital. PATIENTS: Sequential sample of 2544 adult patients with sufficient excess sera for analysis. MEASUREMENTS AND MAIN RESULTS: Twenty-eight (1.1%) (95% CI, 0.7% to 1.5%) serum samples were seropositive for HTLV I-II whereas 152 (6.0%) (CI, 5.1% to 6.9%) were seropositive for HIV-1. The age distribution of HTLV I-II was similar to the study population while HIV-1 was concentrated among younger (25 to 44 years) age groups (P less than 0.05). Only 16 (57.1%) HTLV I-II infected patients had identified risk factors; 11 were intravenous drug users, 4 received transfusions, and 1 had heterosexual exposure to a high-risk partner. None of 39 identified homosexual men had HTLV I-II antibodies although 29 (74.3%) were HIV-1 seropositive. CONCLUSION: HTLV I-II infection may be more prevalent among certain segments of the U.S. population than previously realized and appears to have a different demographic distribution than HIV-1 infection. Although HTLV I-II may represent a nosocomial risk to health care providers, the risk of occupational transmission is probably less than for hepatitis B virus and even HIV-1. Adherence to universal precautions should minimize the risk.
G D Kelen; T A DiGiovanna; L Lofy; E Junkins; A Stein; K T Sivertson; M Lairmore; T C Quinn
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annals of internal medicine     Volume:  113     ISSN:  0003-4819     ISO Abbreviation:  Ann. Intern. Med.     Publication Date:  1990 Sep 
Date Detail:
Created Date:  1990-09-11     Completed Date:  1990-09-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372351     Medline TA:  Ann Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  368-72     Citation Subset:  AIM; IM; X    
Johns Hopkins University School of Medicine, Baltimore, Maryland.
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MeSH Terms
Acquired Immunodeficiency Syndrome / complications
Aged, 80 and over
Emergency Service, Hospital
HIV Infections / complications,  epidemiology,  transmission
HIV Seroprevalence
HTLV-I Antibodies / analysis*
HTLV-I Infections / complications,  epidemiology*,  transmission
HTLV-II Antibodies / analysis*
HTLV-II Infections / complications,  epidemiology*,  transmission
Middle Aged
Prospective Studies
Risk Factors
United States
Urban Population
Reg. No./Substance:
0/HTLV-I Antibodies; 0/HTLV-II Antibodies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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