Skip to main content
Erschienen in: AIDS and Behavior 5/2008

01.09.2008 | Original Paper

Probability of HIV Transmission During Acute Infection in Rakai, Uganda

verfasst von: Steven D. Pinkerton

Erschienen in: AIDS and Behavior | Ausgabe 5/2008

Einloggen, um Zugang zu erhalten

Abstract

Accurate estimates of the probability of HIV transmission during various stages of infection are needed to inform epidemiological models. Very limited information is available about the probability of transmission during acute HIV infection. We conducted a secondary analysis of published data from the Rakai, Uganda seroconversion study. Mathematical and computer-based models were used to quantify the per-act and per-partnership transmission probabilities during acute and chronic HIV infection, and to estimate how many of the transmission events reported in the Rakai study were due to acute-phase HIV transmission. The average per-act transmission probability during acute infection equaled 0.03604 vs. 0.00084 for chronic HIV infection. Overall, HIV was transmitted during acute infection in 46.5% of 23 “incident index partner couples.” Acute-phase transmission accounted for 89.1% of all transmission events in the first 20 months of follow-up. These results highlight the substantial risk of transmission during acute HIV infection.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
Zurück zum Zitat Association of State and Territorial Health Officials (2006). Acute HIV infection—an opportunity to enhance primary prevention. ASTHO Bulletin, March, 1–16. Association of State and Territorial Health Officials (2006). Acute HIV infection—an opportunity to enhance primary prevention. ASTHO Bulletin, March, 1–16.
Zurück zum Zitat Brookmeyer, R., & Gail, M. H. (1994). AIDS epidemiology: A quantitative approach. New York: Oxford University Press. Brookmeyer, R., & Gail, M. H. (1994). AIDS epidemiology: A quantitative approach. New York: Oxford University Press.
Zurück zum Zitat Busch, M. P., & Satten, G. A. (1997). Time course of viremia and antibody seroconversion following human immunodeficiency virus exposure. American Journal of Medicine, 102, 117–126.PubMedCrossRef Busch, M. P., & Satten, G. A. (1997). Time course of viremia and antibody seroconversion following human immunodeficiency virus exposure. American Journal of Medicine, 102, 117–126.PubMedCrossRef
Zurück zum Zitat Cohen, M. S., & Pilcher, C. D. (2005). Amplified HIV transmission and new approaches to HIV prevention. Journal of Infectious Diseases, 191, 1391–1393.PubMedCrossRef Cohen, M. S., & Pilcher, C. D. (2005). Amplified HIV transmission and new approaches to HIV prevention. Journal of Infectious Diseases, 191, 1391–1393.PubMedCrossRef
Zurück zum Zitat Gray, R. H., Li, X., Kigozi, G., Serwadda, D., Nalugoda, F., Watya, S., Reynolds, S. J., & Wawer, M. (2007). The impact of male circumcision on HIV incidence and cost per infection prevented: A stochastic simulation model from Rakai, Uganda. AIDS, 21, 845–850.PubMedCrossRef Gray, R. H., Li, X., Kigozi, G., Serwadda, D., Nalugoda, F., Watya, S., Reynolds, S. J., & Wawer, M. (2007). The impact of male circumcision on HIV incidence and cost per infection prevented: A stochastic simulation model from Rakai, Uganda. AIDS, 21, 845–850.PubMedCrossRef
Zurück zum Zitat Hayes, R. J., & White, R. G. (2006). Amplified HIV transmission during early-stage infection. Journal of Infectious Diseases, 193, 604–605.PubMedCrossRef Hayes, R. J., & White, R. G. (2006). Amplified HIV transmission during early-stage infection. Journal of Infectious Diseases, 193, 604–605.PubMedCrossRef
Zurück zum Zitat Hollingsworth, T. D., Anderson, R. M., & Fraser, C. (2006). Has the role of primary HIV been overstated? Presented at 13th Conference on Retroviruses and Opportunistic Infections [Abstract 913], Feb. 5–8, 2006. Denver CO. Hollingsworth, T. D., Anderson, R. M., & Fraser, C. (2006). Has the role of primary HIV been overstated? Presented at 13th Conference on Retroviruses and Opportunistic Infections [Abstract 913], Feb. 5–8, 2006. Denver CO.
Zurück zum Zitat Jacquez, J. A., Koopman, J. S., Simon, C. P., & Longini, I. M. (1994). Role of the primary infection in epidemic of HIV infection in gay cohorts. Journal of Acquired Immune Deficiency Syndromes, 7, 1169–1184.PubMed Jacquez, J. A., Koopman, J. S., Simon, C. P., & Longini, I. M. (1994). Role of the primary infection in epidemic of HIV infection in gay cohorts. Journal of Acquired Immune Deficiency Syndromes, 7, 1169–1184.PubMed
Zurück zum Zitat Jewell, N. P., & Shiboski, S. C. (1990). Statistical analysis of HIV infectivity based on partner studies. Biometrics, 46, 1133–1150.PubMedCrossRef Jewell, N. P., & Shiboski, S. C. (1990). Statistical analysis of HIV infectivity based on partner studies. Biometrics, 46, 1133–1150.PubMedCrossRef
Zurück zum Zitat Kahn, J. O., & Walker, B. D. (1998). Acute human immunodeficiency virus type 1 infection. New England Journal of Medicine, 339, 33–39.PubMedCrossRef Kahn, J. O., & Walker, B. D. (1998). Acute human immunodeficiency virus type 1 infection. New England Journal of Medicine, 339, 33–39.PubMedCrossRef
Zurück zum Zitat Koopman, J. S., Jacquez, J. A., Welch, G. W., Simon, C. P., Foxman, B., Pollock, S. M., Barth-Jones, D., Adams, A. L., & Lange, K. (1997). The role of early HIV infection in the spread of HIV through populations. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 14, 249–258.PubMed Koopman, J. S., Jacquez, J. A., Welch, G. W., Simon, C. P., Foxman, B., Pollock, S. M., Barth-Jones, D., Adams, A. L., & Lange, K. (1997). The role of early HIV infection in the spread of HIV through populations. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 14, 249–258.PubMed
Zurück zum Zitat Leynaert, B., Downs, A. M., & de Vincenzi, I. (1998). Heterosexual transmission of human immunodeficiency virus. American Journal of Epidemiology, 148, 88–96.PubMed Leynaert, B., Downs, A. M., & de Vincenzi, I. (1998). Heterosexual transmission of human immunodeficiency virus. American Journal of Epidemiology, 148, 88–96.PubMed
Zurück zum Zitat Lindbäck, S., Karlsson, A. C., Mittler, J., Blaxhult, A., Carlsson, M., Briheim, G., Sönnerborg, A., & Gaines, H. (2000). Viral dynamics in primary HIV-1 infection. AIDS, 14, 2283–2291.PubMedCrossRef Lindbäck, S., Karlsson, A. C., Mittler, J., Blaxhult, A., Carlsson, M., Briheim, G., Sönnerborg, A., & Gaines, H. (2000). Viral dynamics in primary HIV-1 infection. AIDS, 14, 2283–2291.PubMedCrossRef
Zurück zum Zitat Orroth, K. K., White, R. G., Korenromp, E. L., Bakker, R., Changalucha, J., Habbema, D. F., & Hayes, R. J. (2006). Empirical observations underestimate the proportion of human immunodeficiency virus infections attributed to sexually transmitted diseases in the Mwanza and Rakai sexually transmitted disease treatment trials: Simulation results. Sexually Transmitted Diseases, 33, 536–544.PubMedCrossRef Orroth, K. K., White, R. G., Korenromp, E. L., Bakker, R., Changalucha, J., Habbema, D. F., & Hayes, R. J. (2006). Empirical observations underestimate the proportion of human immunodeficiency virus infections attributed to sexually transmitted diseases in the Mwanza and Rakai sexually transmitted disease treatment trials: Simulation results. Sexually Transmitted Diseases, 33, 536–544.PubMedCrossRef
Zurück zum Zitat Pearson, C. R., Kurth, A. E., Cassels, D. P., Martin, D. P., Simoni, J. M., Hoff, P., Matediana, E., & Gloyd, S. (2007). Modeling HIV transmission risk among Mozambicans prior to their initiating highly active antiretroviral therapy. AIDS Care, 19, 594–604.PubMedCrossRef Pearson, C. R., Kurth, A. E., Cassels, D. P., Martin, D. P., Simoni, J. M., Hoff, P., Matediana, E., & Gloyd, S. (2007). Modeling HIV transmission risk among Mozambicans prior to their initiating highly active antiretroviral therapy. AIDS Care, 19, 594–604.PubMedCrossRef
Zurück zum Zitat Pettifor, A. E., Hudgens, M. G., Levandowski, B. A., Rees, H. V., & Cohen, M. S. (2006). Response to letters from Jewkes, Parker and Colvin, and Potterat et al. AIDS, 20, 956–958.CrossRef Pettifor, A. E., Hudgens, M. G., Levandowski, B. A., Rees, H. V., & Cohen, M. S. (2006). Response to letters from Jewkes, Parker and Colvin, and Potterat et al. AIDS, 20, 956–958.CrossRef
Zurück zum Zitat Pilcher, C. D., Tien, H. C., Eron, J. J. Jr., Vernazza, P. L., Leu, S. Y., Stewart, P. W., Goh, L. E., & Cohen, M. S. (2004). Brief but efficient: Acute HIV infection and the sexual transmission of HIV. Journal of Infectious Diseases, 189, 1785–1792.PubMedCrossRef Pilcher, C. D., Tien, H. C., Eron, J. J. Jr., Vernazza, P. L., Leu, S. Y., Stewart, P. W., Goh, L. E., & Cohen, M. S. (2004). Brief but efficient: Acute HIV infection and the sexual transmission of HIV. Journal of Infectious Diseases, 189, 1785–1792.PubMedCrossRef
Zurück zum Zitat Pinkerton, S. D. (2007). How many sexually-acquired HIV infections in the US are due to acute-phase HIV transmission? AIDS, 21, 1625–1629.PubMedCrossRef Pinkerton, S. D. (2007). How many sexually-acquired HIV infections in the US are due to acute-phase HIV transmission? AIDS, 21, 1625–1629.PubMedCrossRef
Zurück zum Zitat Pinkerton, S. D., Chesson, H. W., Crosby, R. A., & Layde, P. M. (under review). Linearity and non-linearity in HIV/STI transmission dynamics: Implications for the evaluation of sexual risk reduction interventions. Pinkerton, S. D., Chesson, H. W., Crosby, R. A., & Layde, P. M. (under review). Linearity and non-linearity in HIV/STI transmission dynamics: Implications for the evaluation of sexual risk reduction interventions.
Zurück zum Zitat Pinkerton, S. D., Holtgrave, D. R., Leviton, L. C., Wagstaff, D. A., & Abramson, P. R. (1998). Model-based evaluation of HIV prevention interventions. Evaluation Review, 22, 155–174.PubMedCrossRef Pinkerton, S. D., Holtgrave, D. R., Leviton, L. C., Wagstaff, D. A., & Abramson, P. R. (1998). Model-based evaluation of HIV prevention interventions. Evaluation Review, 22, 155–174.PubMedCrossRef
Zurück zum Zitat Rapatski, B. L., Suppe, F., & Yorke, J. A. (2005). HIV epidemic driven by late disease stage transmission. Journal of Acquired Immune Deficiency Syndromes, 38, 241–253.PubMed Rapatski, B. L., Suppe, F., & Yorke, J. A. (2005). HIV epidemic driven by late disease stage transmission. Journal of Acquired Immune Deficiency Syndromes, 38, 241–253.PubMed
Zurück zum Zitat Robinson, N. J., Mulder, D., Auvert, B., Whitworth, J., & Hayes, R. (1999). Type of partnership and heterosexual spread of HIV infection in rural Uganda: Results from simulation modelling. International Journal of STD & AIDS, 10, 718–725.CrossRef Robinson, N. J., Mulder, D., Auvert, B., Whitworth, J., & Hayes, R. (1999). Type of partnership and heterosexual spread of HIV infection in rural Uganda: Results from simulation modelling. International Journal of STD & AIDS, 10, 718–725.CrossRef
Zurück zum Zitat Wawer, M. J., Gray, R. H., Sewankambo, N. K., Serwadda, D., Li, X., Laeyendecker, O., Kiwanuka, N., Kigozi, G., Kiddugavu, M., Lutalo, T., Nalugoda, F., Wabwire-Mangen, F., Meehan, M. P., & Quinn, T. C. (2005). Rates of HIV-1 transmission per coital act, by stage of HIV-1 infection, in Rakai, Uganda. Journal of Infectious Diseases, 191, 1403–1409.PubMedCrossRef Wawer, M. J., Gray, R. H., Sewankambo, N. K., Serwadda, D., Li, X., Laeyendecker, O., Kiwanuka, N., Kigozi, G., Kiddugavu, M., Lutalo, T., Nalugoda, F., Wabwire-Mangen, F., Meehan, M. P., & Quinn, T. C. (2005). Rates of HIV-1 transmission per coital act, by stage of HIV-1 infection, in Rakai, Uganda. Journal of Infectious Diseases, 191, 1403–1409.PubMedCrossRef
Zurück zum Zitat Wawer, M. J., Gray, R. H., Sewankambo, N. K., Serwadda, D., Paxton, L., Berkley, S., McNairn, D., Wabwire-Mangen, F., Li. C., Nalugoda, F., Kiwanuka, N., Lutalo, T., Brookmeyer, R., Kelly, R., & Quinn, T. C. (1998). A randomized, community trial of intensive sexually transmitted disease control for AIDS prevention, Rakai, Uganda. AIDS, 12, 1211–1225.PubMedCrossRef Wawer, M. J., Gray, R. H., Sewankambo, N. K., Serwadda, D., Paxton, L., Berkley, S., McNairn, D., Wabwire-Mangen, F., Li. C., Nalugoda, F., Kiwanuka, N., Lutalo, T., Brookmeyer, R., Kelly, R., & Quinn, T. C. (1998). A randomized, community trial of intensive sexually transmitted disease control for AIDS prevention, Rakai, Uganda. AIDS, 12, 1211–1225.PubMedCrossRef
Zurück zum Zitat Wawer, M. J., Serwadda, D., Quinn, T. C., Sewankambo, N., Kiwanuka, N., Li, X., & Gray, R. H. (2006). Reply to Gisselquist and Potterat. Journal of Infectious Diseases, 192, 1499–1500.CrossRef Wawer, M. J., Serwadda, D., Quinn, T. C., Sewankambo, N., Kiwanuka, N., Li, X., & Gray, R. H. (2006). Reply to Gisselquist and Potterat. Journal of Infectious Diseases, 192, 1499–1500.CrossRef
Zurück zum Zitat Wawer, M. J., Sewankambo, N. K., Serwadda, D., Quinn, T. C., Paxton, L. A., Kiwanuka, N., Wabwire-Manger, F., Li, C., Lutalo, C., Nalugoda, F., Gaydos, C. A., Moulton, L. H., Meehan, M. O., & Ahmed, S. (1999). Control of sexually transmitted diseases for AIDS prevention in Uganda: A randomised community trial. Lancet, 353, 525–535.PubMedCrossRef Wawer, M. J., Sewankambo, N. K., Serwadda, D., Quinn, T. C., Paxton, L. A., Kiwanuka, N., Wabwire-Manger, F., Li, C., Lutalo, C., Nalugoda, F., Gaydos, C. A., Moulton, L. H., Meehan, M. O., & Ahmed, S. (1999). Control of sexually transmitted diseases for AIDS prevention in Uganda: A randomised community trial. Lancet, 353, 525–535.PubMedCrossRef
Zurück zum Zitat Xiridou, M., Geskus, R., de Wit, J., Coutinho, R., & Kretzschmar, M. (2004). Primary HIV infection as source of HIV transmission within steady and casual partnerships among homosexual men. AIDS, 18, 1311–1320.PubMedCrossRef Xiridou, M., Geskus, R., de Wit, J., Coutinho, R., & Kretzschmar, M. (2004). Primary HIV infection as source of HIV transmission within steady and casual partnerships among homosexual men. AIDS, 18, 1311–1320.PubMedCrossRef
Metadaten
Titel
Probability of HIV Transmission During Acute Infection in Rakai, Uganda
verfasst von
Steven D. Pinkerton
Publikationsdatum
01.09.2008
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 5/2008
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-007-9329-1

Weitere Artikel der Ausgabe 5/2008

AIDS and Behavior 5/2008 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.