Recent HIV infection rates among HIV positive patients seeking voluntary counseling and testing centers in the metropolitan region of Recife – PE, Brazil

The BED capture enzyme immunoassay test makes it possible to determine whether individuals were recently infected with HIV. Objective: In this study, the overall HIV and recent infections prevalences were determined at five Voluntary Counseling and Testing (VCT) centers, in the Metropolitan Region o...

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Main Authors: Ana Maria Salustiano Cavalcanti, Ana Maria de Brito, Daniela Medeiros Salustiano, Kledoaldo Oliveira de Lima, Sirleide Pereira da Silva, Heloisa Ramos Lacerda
Format: Article
Language:English
Published: Elsevier 2012-03-01
Series:Brazilian Journal of Infectious Diseases
Online Access:http://www.sciencedirect.com/science/article/pii/S1413867012702982
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author Ana Maria Salustiano Cavalcanti
Ana Maria de Brito
Daniela Medeiros Salustiano
Kledoaldo Oliveira de Lima
Sirleide Pereira da Silva
Heloisa Ramos Lacerda
author_facet Ana Maria Salustiano Cavalcanti
Ana Maria de Brito
Daniela Medeiros Salustiano
Kledoaldo Oliveira de Lima
Sirleide Pereira da Silva
Heloisa Ramos Lacerda
author_sort Ana Maria Salustiano Cavalcanti
collection DOAJ
description The BED capture enzyme immunoassay test makes it possible to determine whether individuals were recently infected with HIV. Objective: In this study, the overall HIV and recent infections prevalences were determined at five Voluntary Counseling and Testing (VCT) centers, in the Metropolitan Region of Recife, Northeastern of Brazil. Material and methods: A cross-sectional study was conducted among users of five VCTs in the metropolitan region of Recife between July 2007 and April 2009. Out of the individuals who tested positive for HIV, 169 were analyzed to assess the prevalence of recent infection by means of the BED-CEIA (BED-Calypte®). Results: Out of 46,696 individuals tested 916 (1.96%) turned out positive for HIV infection The highest prevalence was in Recife (3.9%). The prevalence was higher among males (3.93%), and men who have sex with men (MSM) (12.4%). The frequency of recent infections among the 169 subjects evaluated was 23.7%. Recent infections were more common among individuals under 25 years of age. There was slight predominance of men and higher frequency of heterosexuals in both groups, but still a significant portion of MSM (33%). Subtype B predominated, followed by a high proportion of subtype F. Conclusions: Recent infection occurs mainly among young individuals and heterosexuals, despite a significant proportion of recent infection among MSM. These results suggest that preventive actions aimed at the MSM community remains a challenge and efforts focusing this group should continue to be a priority. Keywords: HIV, HIV seroprevalence, Seroepidemiologic studies, HIV infections
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spelling doaj.art-1e29212515e74750b17b77a371e454b02022-12-22T00:56:33ZengElsevierBrazilian Journal of Infectious Diseases1413-86702012-03-01162157163Recent HIV infection rates among HIV positive patients seeking voluntary counseling and testing centers in the metropolitan region of Recife – PE, BrazilAna Maria Salustiano Cavalcanti0Ana Maria de Brito1Daniela Medeiros Salustiano2Kledoaldo Oliveira de Lima3Sirleide Pereira da Silva4Heloisa Ramos Lacerda5Virology Division, Laboratório Central de Saúde Pública de Pernambuco (LACEN-PE), Recife, PE, Brazil; Postgraduate Program in Tropical Medicine, Universidade Federal de Pernambuco, Recife, PE, Brazil; Corresponding author at: Rua Deolinda Francisca de Souza, 217, Janga, 53439-290, Paulista, PE, Brazil.Centro de Pesquisas Aggeu Magalhães (CPqAM-FIOCRUZ), Recife, PE, BrazilPostgraduate Program in Tropical Medicine, Universidade Federal de Pernambuco, Recife, PE, Brazil; Centro de Testagem e Aconselhamento DST/Aids Herbert de Souza, Cabo de Santo Agostinho, PE, BrazilPostgraduate Program in Tropical Medicine, Universidade Federal de Pernambuco, Recife, PE, BrazilVirology Division, Laboratório Central de Saúde Pública de Pernambuco (LACEN-PE), Recife, PE, BrazilPostgraduate Program in Tropical Medicine, Universidade Federal de Pernambuco, Recife, PE, BrazilThe BED capture enzyme immunoassay test makes it possible to determine whether individuals were recently infected with HIV. Objective: In this study, the overall HIV and recent infections prevalences were determined at five Voluntary Counseling and Testing (VCT) centers, in the Metropolitan Region of Recife, Northeastern of Brazil. Material and methods: A cross-sectional study was conducted among users of five VCTs in the metropolitan region of Recife between July 2007 and April 2009. Out of the individuals who tested positive for HIV, 169 were analyzed to assess the prevalence of recent infection by means of the BED-CEIA (BED-Calypte®). Results: Out of 46,696 individuals tested 916 (1.96%) turned out positive for HIV infection The highest prevalence was in Recife (3.9%). The prevalence was higher among males (3.93%), and men who have sex with men (MSM) (12.4%). The frequency of recent infections among the 169 subjects evaluated was 23.7%. Recent infections were more common among individuals under 25 years of age. There was slight predominance of men and higher frequency of heterosexuals in both groups, but still a significant portion of MSM (33%). Subtype B predominated, followed by a high proportion of subtype F. Conclusions: Recent infection occurs mainly among young individuals and heterosexuals, despite a significant proportion of recent infection among MSM. These results suggest that preventive actions aimed at the MSM community remains a challenge and efforts focusing this group should continue to be a priority. Keywords: HIV, HIV seroprevalence, Seroepidemiologic studies, HIV infectionshttp://www.sciencedirect.com/science/article/pii/S1413867012702982
spellingShingle Ana Maria Salustiano Cavalcanti
Ana Maria de Brito
Daniela Medeiros Salustiano
Kledoaldo Oliveira de Lima
Sirleide Pereira da Silva
Heloisa Ramos Lacerda
Recent HIV infection rates among HIV positive patients seeking voluntary counseling and testing centers in the metropolitan region of Recife – PE, Brazil
Brazilian Journal of Infectious Diseases
title Recent HIV infection rates among HIV positive patients seeking voluntary counseling and testing centers in the metropolitan region of Recife – PE, Brazil
title_full Recent HIV infection rates among HIV positive patients seeking voluntary counseling and testing centers in the metropolitan region of Recife – PE, Brazil
title_fullStr Recent HIV infection rates among HIV positive patients seeking voluntary counseling and testing centers in the metropolitan region of Recife – PE, Brazil
title_full_unstemmed Recent HIV infection rates among HIV positive patients seeking voluntary counseling and testing centers in the metropolitan region of Recife – PE, Brazil
title_short Recent HIV infection rates among HIV positive patients seeking voluntary counseling and testing centers in the metropolitan region of Recife – PE, Brazil
title_sort recent hiv infection rates among hiv positive patients seeking voluntary counseling and testing centers in the metropolitan region of recife pe brazil
url http://www.sciencedirect.com/science/article/pii/S1413867012702982
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