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    
Abstract/OtherAbstract:
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.
Authors:
G D Kelen; T A DiGiovanna; L Lofy; E Junkins; A Stein; K T Sivertson; M Lairmore; T C Quinn
Related Documents :
2136199 - Hiv-1 among childbearing women and newborns in wisconsin.
12585979 - Vaccine prevents genital herpes in subgroup of women.
20298619 - Diversity in anopheline larval habitats and adult composition during the dry and wet se...
8211259 - Women and malaria--special risks and appropriate control strategy.
7849119 - High cumulative incidence of genital herpes amongst hiv-1 seropositive heterosexuals in...
8064949 - Malaria chemoprophylaxis, infection of the placenta and birth weight in gambian primigr...
21190779 - Obesity in castile and leon, spain: epidemiology and association with other cardiovascu...
17636729 - Withdrawn: anticoagulant and aspirin prophylaxis for preventing thromboembolism after m...
19250779 - Safety of testosterone use in women.
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    
Affiliation:
Johns Hopkins University School of Medicine, Baltimore, Maryland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acquired Immunodeficiency Syndrome / complications
Adolescent
Adult
Aged
Aged, 80 and over
Emergency Service, Hospital
Female
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
Humans
Male
Middle Aged
Prospective Studies
Risk Factors
United States
Urban Population
Chemical
Reg. No./Substance:
0/HTLV-I Antibodies; 0/HTLV-II Antibodies

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


Previous Document:  Treatment of disseminated Mycobacterium avium complex infection in AIDS with amikacin, ethambutol, r...
Next Document:  Procedural skills of practicing nephrologists. A national survey of 700 members of the American Coll...