Infection with Trichomonas vaginalis increases the risk of HIV-1 acquisition

Infection with Trichomonas vaginalis increases the risk of HIV-1 acquisition
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DOI:
10.1086/511278
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发表时间:
2007-03-01
影响因子:
6.4
通讯作者:
Baeten, Jared M.
Baeten, Jared M.
中科院分区:
医学2区
文献类型:
--
作者:
McClelland, R. Scott;Sangare, Laura;Baeten, Jared M.

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我们在肯尼亚蒙巴萨的妇女中进行了一项前瞻性研究,以确定阴道毛滴虫感染是否与人类免疫缺陷病毒1型(HIV-1)感染风险增加有关。在每月的随访中,进行了HIV-1和生殖道感染的实验室筛查。在1335名HIV-1血清阴性的女性中,有806例阴道生殖道感染(23.6/100人年),265例血清转化为HIV-1(7.7/100人年)。在对潜在混杂因素进行校正后,滴虫病与HIV-1感染风险增加1.52倍(95%置信区间,1.04-2.24倍)相关。治疗和预防阴道生殖道感染可降低妇女感染HIV-1的风险。
We conducted a prospective study among women in Mombasa, Kenya, to determine whether Trichomonas vaginalis infection was associated with an increased risk of human immunodeficiency virus type 1 ( HIV-1) infection. At monthly follow-up visits, laboratory screening for HIV-1 and genital tract infections was conducted. Among 1335 HIV-1-seronegative women monitored for a median of 566 days, there were 806 incident T. vaginalis infections ( 23.6/100 person-years), and 265 women seroconverted to HIV-1 ( 7.7/100 person-years). Trichomoniasis was associated with a 1.52-fold ( 95% confidence interval, 1.04-2.24-fold) increased risk of HIV-1 acquisition after adjustment for potential confounding factors. Treatment and prevention of T. vaginalis infection could reduce HIV-1 risk in women.