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Obstet Gynecol. 1993 Jun;81(6):1012-5.

Human immunodeficiency virus infection among patients in a gynecology emergency department.

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  • 1Department of Gynecology and Obstetrics, Emory University, Atlanta, Georgia.



To determine the extent of human immunodeficiency virus (HIV) infection risk factors and the relationship to the clinical diagnosis in women seen in a busy inner-city gynecology emergency department.


We performed a cross-sectional survey by offering routine voluntary HIV-1 antibody screening and obtaining HIV risk behavior profiles in 1033 (35%) of 2952 women seeking care in our gynecology emergency department during a 5-week period.


The HIV seroprevalence was 2%. Six (35%) of the infected women reported a history of intravenous drug use, five (29%) reported a history of crack cocaine use, and five (29%) reported no risk factors for infection. Seropositive women were more likely than were seronegative women to have clinical symptoms consistent with pelvic inflammatory disease (18 versus 3%; P < .01).


These data suggest that women attending the gynecology emergency room in our hospital are at substantial risk for HIV infection.

[PubMed - indexed for MEDLINE]
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