Incidence, recurrence, and prevalence of bacterial vaginosis from acute to chronic HIV infection in a prospective cohort of women in South Africa
Purpose - We investigated the incidence, recurrence, prevalence, and risk factors for bacterial vaginosis (BV) diagnosis starting from acute HIV infection among South African women. - Methods - The Centre for the AIDS Programme of Research in South Africa 002 study tested and treated women for BV (N...
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| Hauptverfasser: | , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
June 2023
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| In: |
Annals of epidemiology
Year: 2023, Jahrgang: 82, Pages: 33-39 |
| ISSN: | 1873-2585 |
| DOI: | 10.1016/j.annepidem.2023.04.004 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.annepidem.2023.04.004 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1047279723000613 
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| Verfasserangaben: | Kwabena Asare, Sinaye Ngcapu, Farzana Osman, Alain Vandormael, Adrian Mindel, Nivashnee Naicker, Mlungisi Khanyile, Salim S. Abdool Karim, Andrew Tomita, Nigel Garrett |
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| 245 | 1 | 0 | |a Incidence, recurrence, and prevalence of bacterial vaginosis from acute to chronic HIV infection in a prospective cohort of women in South Africa |c Kwabena Asare, Sinaye Ngcapu, Farzana Osman, Alain Vandormael, Adrian Mindel, Nivashnee Naicker, Mlungisi Khanyile, Salim S. Abdool Karim, Andrew Tomita, Nigel Garrett |
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| 520 | |a Purpose - We investigated the incidence, recurrence, prevalence, and risk factors for bacterial vaginosis (BV) diagnosis starting from acute HIV infection among South African women. - Methods - The Centre for the AIDS Programme of Research in South Africa 002 study tested and treated women for BV (Nugent score 7-10) once/twice annually from acute to chronic HIV infection (2004-2020). We estimated BV incidence as the number of new cases and recurrence as the number of subsequent diagnoses per 100 person-years (PYs). We fitted Anderson-Gil Cox-proportional-hazard regression models to determine factors associated with BV incidence or recurrence. - Results - Of 235 participants, the median age at enrollment was 25 years (Inter Quartile Range [IQR] 22-29). BV prevalence at enrollment was 50.6%. BV incidence was 23.9 cases per 100 PYs, and recurrence was 51.3 cases per 100 PYs. BV incidence/recurrence was associated with younger age (<25 years: adjusted hazard ratio [aHR] 1.70, 95% confidence interval [CI] 1.27-2.27), detectable HIV viral load (aHR 1.54, 95% CI 1.27-1.87) and lower CD4 count (<350 cells/μL: aHR 1.33, 95% CI 1.01-1.76). - Conclusions - Our findings underscore the need for early antiretroviral treatment initiation with diagnostic BV and sexually transmitted infection care, especially among younger women. | ||
| 650 | 4 | |a Acute HIV infection | |
| 650 | 4 | |a Bacterial vaginosis | |
| 650 | 4 | |a Human immunodeficiency virus | |
| 650 | 4 | |a Women living with HIV | |
| 700 | 1 | |a Ngcapu, Sinaye |e VerfasserIn |4 aut | |
| 700 | 1 | |a Osman, Farzana |e VerfasserIn |4 aut | |
| 700 | 1 | |a Vandormael, Alain |e VerfasserIn |0 (DE-588)136635385 |0 (DE-627)584919492 |0 (DE-576)30112132X |4 aut | |
| 700 | 1 | |a Mindel, Adrian |e VerfasserIn |4 aut | |
| 700 | 1 | |a Naicker, Nivashnee |e VerfasserIn |4 aut | |
| 700 | 1 | |a Khanyile, Mlungisi |e VerfasserIn |4 aut | |
| 700 | 1 | |a S. Abdool Karim, Salim |e VerfasserIn |4 aut | |
| 700 | 1 | |a Tomita, Andrew |e VerfasserIn |4 aut | |
| 700 | 1 | |a Garrett, Nigel |e VerfasserIn |4 aut | |
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