INTERMITTENT SHEDDING OF HUMAN-IMMUNODEFICIENCY-VIRUS IN SEMEN - IMPLICATIONS FOR SEXUAL TRANSMISSION

被引:65
作者
KRIEGER, JN
COOMBS, RW
COLLIER, AC
HO, DD
ROSS, SO
ZEH, JE
COREY, L
机构
[1] UNIV WASHINGTON,DEPT MED & STAT,SEATTLE,WA 98195
[2] NYU,SCH MED,AARON DIAMOND AIDS RES CTR,NEW YORK,NY
关键词
HIV; HIV SEROPOSITIVITY; SEXUALLY TRANSMITTED DISEASES; VIRAL; VIRUS SHEDDING; POLYMERASE CHAIN REACTION;
D O I
10.1016/S0022-5347(01)66969-6
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: We attempt to increase our understanding of human immunodeficiency virus (HIV) shedding in semen. Materials and Methods: We followed 16 seropositive men for up to 27 months by HIV cocultivation, with a subset evaluated using the polymerase chain reaction. Results: The proportion with at least 1 HIV positive semen culture increased from 3 of 16 subjects (19%) at visit 1 to 10 (63%) by visit 5. Overall, HIV was cultured from 25 of 114 specimens (22%). Shedding was intermittent for each of the 10 men with at least 1 positive culture and seminal shedding patterns were highly variable. Conclusions: By culture and polymerase chain reaction, HIV is shed intermittently in the semen. If cultures are performed often enough most seropositive men shed HIV in the semen.
引用
收藏
页码:1035 / 1040
页数:6
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