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Volume 353:631-633 August 11, 2005 Number 6
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Detection of Acute HIV Infections

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 by Pilcher, C. D.
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To the Editor: The recent article by Pilcher et al. (May 5 issue)1 described successful public health methods to control HIV transmission, but the authors' findings may not be generalizable to states that do not have confidential HIV-reporting systems, such as California. In the fall of 2003, we initiated a program of RNA screening, routine patient interviewing, and HIV genotypic-resistance testing at the San Francisco municipal sexually transmitted disease (STD) clinic.

During 2004, we identified 136 of 3789 persons (3.6 percent) as having an HIV infection, among them 11 (0.3 percent) who had an acute infection. HIV RNA screening increased . . . [Full Text of this Article]


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