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Int J Infect Dis. 2015 Nov;40:142-4. doi: 10.1016/j.ijid.2015.10.001.

Sexually transmitted infections and viral hepatitides in patients presenting for non-occupational HIV post-exposure prophylaxis: results of a prospective cohort study.

Author information

1
Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
2
Immunodeficiency Clinic, Toronto General Hospital, Toronto, Ontario, Canada.
3
Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Immunodeficiency Clinic, Toronto General Hospital, Toronto, Ontario, Canada; Divisions of Internal Medicine and Infectious Diseases, University Health Network, Toronto General Hospital, 14EN-209, 200 Elizabeth Street, Toronto, ON, Canada M5G 2C4. Electronic address: isaac.bogoch@uhn.ca.

Abstract

Data evaluating the screening practices for viral hepatitides and sexually transmitted infections (STIs) in patients presenting for non-occupational HIV post-exposure prophylaxis (nPEP) care are limited. Screening practices and prevalences of viral hepatitides and STIs were evaluated in 126 patients presenting to a dedicated HIV prevention clinic for HIV nPEP. Three patients (2.4%) were diagnosed with chronic hepatitis C infection, 28 (22.2%) did not have surface antibodies in sufficient quantity to confer immunity to hepatitis B, and six (4.8%) were diagnosed with an STI. A multivariate regression model did not predict any demographic or clinical features predictive of HBV non-immunity. Beyond screening for HIV infection, evaluation for viral hepatitides and STIs is an important feature in the care of patients presenting for HIV nPEP.

KEYWORDS:

HIV; Hepatitis B; Hepatitis C; PEP; Post-exposure prophylaxis; Sexually transmitted infections

PMID:
26616402
DOI:
10.1016/j.ijid.2015.10.001
[Indexed for MEDLINE]
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