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Correspondence
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Volume 354:771-772 February 16, 2006 Number 7
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Newly Diagnosed HIV Infection

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 by Hammer, S. M.
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To the Editor: In his article on the management of newly diagnosed human immunodeficiency virus (HIV) infection (Oct. 20 issue),1 Hammer did not specifically recommend screening for gonorrhea and chlamydia. These often asymptomatic infections can cause disease, increase the transmissibility of HIV,2 and result in elevated plasma levels of HIV type 1 (HIV-1) RNA and decreased CD4 cell counts.3,4

In a study of early HIV infection, we screened all patients with newly diagnosed HIV for pharyngeal, urethral, and rectal gonorrhea and chlamydia with the use of nucleic acid amplification (BD ProbeTec ET, BD Diagnostic Systems; APTIMA Combo 2 assay, Gen-Probe). . . . [Full Text of this Article]


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