Invasive Haemophilus influenzae infections in men with HIV infection

Article Abstract:

Men suffering from HIV infection or AIDS may have a higher risk of developing an invasive infection caused by the bacterium Haemophilus influenzae than healthy individuals. An invasive infection is an infection that has spread to the blood or other parts of the body that are normally not infected. Among 17 men between 20 and 46 years old with an invasive Haemophilus influenzae infection, six (35%) were infected with HIV and seven (41%) were suffering from AIDS. Of the 12 patients for whom samples were available for serotyping, four (33%) were suffering from an infection caused by Haemophilus influenzae type b, one (8%) from an infection caused by Haemophilus influenzae type a and seven (58%) from an nontypable infection. Individuals with an HIV infection or AIDS should consider being vaccinated against Haemophilus influenzae type b. Vaccination will not prevent an infection caused by an Haemophilus influenzae organism of unknown type nor Haemophilus influenzae type a.

HIV infection, HIV infections, Hemophilus infections, AIDS (Disease), Hemophilus influenzae, Haemophilus influenzae

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Management of pelvic inflammatory disease by primary care physicians: a comparison with Centers for Disease Control and Prevention guidelines

Article Abstract:

Primary care doctors may see many cases of pelvic inflammatory disease (PID) but not all may be aware of recommended guidelines for treatment. Researchers surveyed 553 primary care doctors in California to determine their familiarity with Centers for Disease Control and Prevention (CDC) guidelines for the management of PID. A total of 302 doctors (55%) said they had treated at least one patient with PID in the last year. Of these doctors, 157 (52%) admitted they did not know or did not follow CDC guidelines for PID. Only 14% of the primary care doctors served in public health settings. Additional medical training about PID may help primary care doctors, as PID may not have clear symptoms and treatment guidelines may differ. Medical schools in particular may need to emphasize management guidelines of STDs.

Care and treatment, Standards, Practice, Physicians, Medical professions, Pelvic inflammatory disease, United States. Centers for Disease Control and Prevention

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Hepatitis C virus infection among patients attending a clinic for sexually transmitted diseases

Article Abstract:

Sexual transmission of hepatitis C virus (HCV) appears to be infrequent, but injection drug use is strongly associated with HCV infection. There are approximately 150,000 cases of HCV infection every year in the US but little is known about the means of HCV transmission. Of 1,292 patients seen at a clinic for sexually transmitted diseases, 99 (7.7%) tested positive for HCV. Of the 99 who were HCV-positive, 45% admitted to using intravenous drugs. Patients who tested positive for hepatitis B virus, had undergone a blood transfusion, were black or had reported using crack cocaine were also more likely to be HCV-positive. Having many sexual partners in the previous three months, having receptive anal intercourse and being homosexual or bisexual were not linked with being HCV-positive.

Hepatitis C, Intravenous drug abuse, Hepatitis C virus

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