Dowe, Gwendolyn ; Smikle, Monica ; Williams Elaine E. ; Hylton-Kong, T. ; Shorposner, G.
Author Affiliation, Ana.
Department of Microbiology
Non-ulcerative Sexually Transmitted Disease and Human Immunodeficiency Virus Infection in Patients Attending a Sexually Transmitted Disease Clinic in Jamaica
West Indian Medical Journal
Date of Publication
To assess the impact of repeat non-ulcerative STD on HIV seropositivity, 954 consecutive patients (479 first time attendees and 475 repeat clients) who presented at the Comprehensive Health Centre, Kingston, Jamaica between 1997 and 1999 for STD treatment were studied. Ethical approval was obtained and the participants agreed to a one year follow-up visit for HIV testing. The appropriate clinical algorithm for management was applied on examination by a Clinician to confirm STD signs. The participants were interviewed and a standardised questionnaire pertaining to demographic factors, STD history, sexual behaviours, other risk behaviours including narcotic drug use and current STD signs and symptoms was administered. Blood samples collected from each participant were screened for syphilitic infection using the veneral disease research laboratory (VDRL) test and reactive results confirmed by fluorescent treponemal antibody absorption (FTA-ABS) test. Enzyme immunoassays (EIA) were performed for hepatitis B surface antigen (HbsAg) and antibodies to HIV-1 with the reactive HIV results being confirmed by Western immunoblot (Abbott Diagnostics, Abbott Park, ILL).....