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M9620415.TXT
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1996-02-26
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Document 0415
DOCN M9620415
TI Seroprevalence of human immunodeficiency virus, hepatitis B virus,
hepatitis C virus, and rapid plasma reagin in a trauma population.
DT 9602
AU Caplan ES; Preas MA; Kerns T; Soderstrom C; Bosse M; Bansal J;
Constantine NT; Hendrix E; Caplan M; Department of Infectious Diseases,
R Adams Cowley Shock Trauma; Center, School of Medicine, University of
Maryland Medical; Center, Baltimore 21201-1595, USA.
SO J Trauma. 1995 Sep;39(3):533-7; discussion 537-8. Unique Identifier :
AIDSLINE MED/96022090
AB We evaluated the presence of human immunodeficiency virus (HIV),
hepatitis B virus (HBV), hepatitis C virus (HCV), and rapid plasma
reagin (RPR) among patients admitted to our trauma unit from April 15 to
June 30, 1993. Of 984 patients tested, we found 255 (26%) had evidence
of exposure to one or more of these agents: HIV, 4%; HBV, 20%; HCV, 14%;
and RPR, 1%. Thirty-eight percent of patients had more than one positive
serology, 75% of the HIV patients, 49% of the HBV patients, and 66% of
the HCV patients. There was no difference between penetrating and
nonpenetrating trauma with respect to any of the viruses. The risk
factors for HIV-positive patients were non-White race, positive drug
screen, positive alcohol screen, and city resident. Risk factors for HBV
patients were non-White race, positive drug screen, and city resident.
Risk factors for HBC patients were male sex, non-White race, positive
alcohol screen, positive drug screen, and city resident. The risk of
blood-borne infections in this group of patients is substantial.
DE Cross-Sectional Studies Female Hepatitis B Virus/IMMUNOLOGY Hepatitis
C Viruses/IMMUNOLOGY Hepatitis, Viral, Human/*IMMUNOLOGY
Hepatovirus/IMMUNOLOGY Human HIV Seropositivity/*IMMUNOLOGY *HIV
Seroprevalence Male Reagins/BLOOD Risk Factors Seroepidemiologic
Methods Syphilis/*IMMUNOLOGY Wounds and Injuries/*VIROLOGY JOURNAL
ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).