5th International AIDS Conference


Montreal, Quebec, Canada — Jun 4-9, 1989

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Risk profile for HIV infection at a sexually transmitted disease clinic.

Int Conf AIDS 1989 Jun 4-9; 5:174 (abstract no. A.580)
Beidas S, LoConte J, Byrnes D; Saint Michael's Medical Center, Newark, N.J. USA

OBJECTIVE: To determine HIV risk profile of HIV infected individuals in an STD clinic population, and coexisting STD's at time of diagnosis.

METHOD: One hundred and forty patients were counselled and tested for HIV antibody, at an inner city STD clinic over a 7 month period. Thirteen (9 %) patients tested positive for HIV antibody by ELISA and Western Blot. Due to anonymous testing only 6 patients could be identified for post testing counselling and follow up.

RESULTS: All 6 patients were males, mean age 29.2 +/- 7.4(SD) years. Risk factors identified were : Intravenous Drug User, 5 (39 %) patients; Homosexuals, 4 (31 %) patients; Sex with prostitute, 2 (15 %) patients; Intravenous Drug User and Homosexual, 1 (7 %) patient; Unknown, 1 (7 %). Four homosexuals had syphilis with an RPR titer ranging between 1 : 8-4096, 1 patient had a rising RPR titer despite treatment with I.M Penicillin (total 7.2 million units). 3/6 patients had evidence of an ulcer or skin breakdown at the time of diagnosis.

CONCLUSION: The above data suggest that the majority of patients identified with HIV infection in an STD setting are still within a recognised high risk group. However sexual behaviour patterns need to be modified in order to limit heterosexual transmission. Patients with genital area skin breakdown appear to particularly be at increased risk for acquiring syphilis and HIV infection.

Keywords: AEGIS, HIV Infections, Sexually Transmitted Diseases, HIV Antibodies, Substance Abuse, Intravenous, Risk Factors, Homosexuality, Prostitution, Counseling, Ambulatory Care Facilities, Human, Male, ICA5KWDaegis,hivinfections,sexuallytransmitteddiseases,hivantibodies,substanceabuse,intravenous,riskfactors,homosexuality,prostitution,counseling,ambulatorycarefacilities,human,male,ica5

890604
A580

Copyright © 1989 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.