Factors Associated with Oropharyngeal Human Immunodeficiency Virus Shedding
Author(s) -
Richard A. Zuckerman,
William L. H. Whittington,
Connie Celum,
Tarquin Collis,
Aldo Lucchetti,
Jorge L. Sánchez,
James P. Hughes,
José L. Sánchez,
Robert W. Coombs
Publication year - 2003
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/375741
Subject(s) - saliva , viral shedding , medicine , human immunodeficiency virus (hiv) , virology , multivariate analysis , sida , transmission (telecommunications) , lentivirus , viral disease , virus , immunology , electrical engineering , engineering
Orogenital transmission of human immunodeficiency virus (HIV) is considered to be inefficient, and infectious HIV is rarely detected in saliva. To evaluate the posterior oropharynx as a source of HIV shedding, we studied 64 HIV-infected men who have sex with men in Seattle, Washington, and Lima, Peru. In multivariate analysis, receipt of antiretroviral therapy, higher CD4 cell count, and history of tonsillectomy were predictors of lower pharyngeal HIV RNA levels.
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