Human T-lymphotropic virus types 1 and 2 are rare among intravenous drug users in Eastern Europe

In Europe, human T-lymphotropic virus (HTLV) type 2 mainly occurs among intravenous drug users (IDUs) with prevalence up to 15% and HTLV-1 among general population with prevalence

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Veröffentlicht in:Infection, genetics and evolution genetics and evolution, 2016-09, Vol.43, p.83-85
Hauptverfasser: Jõgeda, Ene-Ly, Avi, Radko, Pauskar, Merit, Kallas, Eveli, Karki, Tõnis, Des Jarlais, Don, Uusküla, Anneli, Lutsar, Irja, Huik, Kristi
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container_end_page 85
container_issue
container_start_page 83
container_title Infection, genetics and evolution
container_volume 43
creator Jõgeda, Ene-Ly
Avi, Radko
Pauskar, Merit
Kallas, Eveli
Karki, Tõnis
Des Jarlais, Don
Uusküla, Anneli
Lutsar, Irja
Huik, Kristi
description In Europe, human T-lymphotropic virus (HTLV) type 2 mainly occurs among intravenous drug users (IDUs) with prevalence up to 15% and HTLV-1 among general population with prevalence
doi_str_mv 10.1016/j.meegid.2016.05.022
format Article
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However, there is no data regarding the prevalence of HTLV-1 or HTLV-2 in Eastern European IDUs population where HIV prevalence is relatively high. We aimed to determine the prevalence and genotypes of HTLV-1/HTLV-2 among IDUs and healthy volunteers in Estonia. The study included 345 IDUs and 138 healthy volunteers. The presence of HTLV-1/HTLV-2 was determined by nested PCR; positive and negative controls were used in every PCR run. The analysed IDUs resembled the IDUs of HIV epidemic in Estonia: mainly male (79%) with median age of 30years (interquartile range [IQR] 25–34), and prolonged duration of intravenous drug usage (11years; IQR 7–14). The prevalence exposure to blood-borne viral infections was high — 50% were HIV positive, 88% hepatitis C positive, 67% hepatitis B positive. Of IDUs, 64% reported receptive needle sharing in the past and 18% at least once a month during last six months. None of the IDUs carried HTLV-1 but there was a case of HTLV-2 (prevalence 0.3%; 95% CI 0.1–1.6). All healthy volunteers were HTLV-1 and HTLV-2 PCR negative. This is the first study investigating the prevalence of HTLV-1/HTLV-2 among high risk population and healthy volunteers in Eastern European region. Our results suggest that despite other widely spread blood-borne infections (e.g. HIV, HBV, HCV) HTLV-1 and HTLV-2 are rare among IDUs in Estonia. •We examined 345 PWID and 138 healthy volunteers for HTLV-1 and HTLV-2 infection.•We found all of the PWID and healthy volunteers to be negative for HTLV-1.•We found one PWID to be HTLV-2 positive; all healthy volunteers were negative.•All the figures were obtained by nested-PCR alone.</description><identifier>ISSN: 1567-1348</identifier><identifier>EISSN: 1567-7257</identifier><identifier>DOI: 10.1016/j.meegid.2016.05.022</identifier><identifier>PMID: 27223634</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; at-risk population ; Blood-borne infection ; Co-infection ; Coinfection - epidemiology ; drugs ; Eastern European region ; Estonia ; Europe, Eastern ; Female ; genotype ; hepatitis B ; Hepatitis B - epidemiology ; hepatitis C ; Hepatitis C - epidemiology ; HIV ; HIV Infections - epidemiology ; HTLV-1/2 ; HTLV-I Infections - epidemiology ; HTLV-I Infections - virology ; HTLV-II Infections - epidemiology ; HTLV-II Infections - virology ; Human immunodeficiency virus ; Human T-lymphotropic virus 1 - genetics ; Human T-lymphotropic virus 1 - isolation &amp; purification ; Human T-lymphotropic virus 2 - genetics ; Human T-lymphotropic virus 2 - isolation &amp; purification ; Humans ; intravenous injection ; Male ; males ; Middle Aged ; Needle Sharing - statistics &amp; numerical data ; polymerase chain reaction ; Prevalence ; Primate T-lymphotropic virus 1 ; Primate T-lymphotropic virus 2 ; Substance Abuse, Intravenous - virology ; viruses ; volunteers</subject><ispartof>Infection, genetics and evolution, 2016-09, Vol.43, p.83-85</ispartof><rights>2016 Elsevier B.V.</rights><rights>Copyright © 2016 Elsevier B.V. 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However, there is no data regarding the prevalence of HTLV-1 or HTLV-2 in Eastern European IDUs population where HIV prevalence is relatively high. We aimed to determine the prevalence and genotypes of HTLV-1/HTLV-2 among IDUs and healthy volunteers in Estonia. The study included 345 IDUs and 138 healthy volunteers. The presence of HTLV-1/HTLV-2 was determined by nested PCR; positive and negative controls were used in every PCR run. The analysed IDUs resembled the IDUs of HIV epidemic in Estonia: mainly male (79%) with median age of 30years (interquartile range [IQR] 25–34), and prolonged duration of intravenous drug usage (11years; IQR 7–14). The prevalence exposure to blood-borne viral infections was high — 50% were HIV positive, 88% hepatitis C positive, 67% hepatitis B positive. Of IDUs, 64% reported receptive needle sharing in the past and 18% at least once a month during last six months. 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Our results suggest that despite other widely spread blood-borne infections (e.g. HIV, HBV, HCV) HTLV-1 and HTLV-2 are rare among IDUs in Estonia. •We examined 345 PWID and 138 healthy volunteers for HTLV-1 and HTLV-2 infection.•We found all of the PWID and healthy volunteers to be negative for HTLV-1.•We found one PWID to be HTLV-2 positive; all healthy volunteers were negative.•All the figures were obtained by nested-PCR alone.</description><subject>Adult</subject><subject>at-risk population</subject><subject>Blood-borne infection</subject><subject>Co-infection</subject><subject>Coinfection - epidemiology</subject><subject>drugs</subject><subject>Eastern European region</subject><subject>Estonia</subject><subject>Europe, Eastern</subject><subject>Female</subject><subject>genotype</subject><subject>hepatitis B</subject><subject>Hepatitis B - epidemiology</subject><subject>hepatitis C</subject><subject>Hepatitis C - epidemiology</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HTLV-1/2</subject><subject>HTLV-I Infections - epidemiology</subject><subject>HTLV-I Infections - virology</subject><subject>HTLV-II Infections - epidemiology</subject><subject>HTLV-II Infections - virology</subject><subject>Human immunodeficiency virus</subject><subject>Human T-lymphotropic virus 1 - genetics</subject><subject>Human T-lymphotropic virus 1 - isolation &amp; 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However, there is no data regarding the prevalence of HTLV-1 or HTLV-2 in Eastern European IDUs population where HIV prevalence is relatively high. We aimed to determine the prevalence and genotypes of HTLV-1/HTLV-2 among IDUs and healthy volunteers in Estonia. The study included 345 IDUs and 138 healthy volunteers. The presence of HTLV-1/HTLV-2 was determined by nested PCR; positive and negative controls were used in every PCR run. The analysed IDUs resembled the IDUs of HIV epidemic in Estonia: mainly male (79%) with median age of 30years (interquartile range [IQR] 25–34), and prolonged duration of intravenous drug usage (11years; IQR 7–14). The prevalence exposure to blood-borne viral infections was high — 50% were HIV positive, 88% hepatitis C positive, 67% hepatitis B positive. Of IDUs, 64% reported receptive needle sharing in the past and 18% at least once a month during last six months. None of the IDUs carried HTLV-1 but there was a case of HTLV-2 (prevalence 0.3%; 95% CI 0.1–1.6). All healthy volunteers were HTLV-1 and HTLV-2 PCR negative. This is the first study investigating the prevalence of HTLV-1/HTLV-2 among high risk population and healthy volunteers in Eastern European region. Our results suggest that despite other widely spread blood-borne infections (e.g. HIV, HBV, HCV) HTLV-1 and HTLV-2 are rare among IDUs in Estonia. •We examined 345 PWID and 138 healthy volunteers for HTLV-1 and HTLV-2 infection.•We found all of the PWID and healthy volunteers to be negative for HTLV-1.•We found one PWID to be HTLV-2 positive; all healthy volunteers were negative.•All the figures were obtained by nested-PCR alone.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>27223634</pmid><doi>10.1016/j.meegid.2016.05.022</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
at-risk population
Blood-borne infection
Co-infection
Coinfection - epidemiology
drugs
Eastern European region
Estonia
Europe, Eastern
Female
genotype
hepatitis B
Hepatitis B - epidemiology
hepatitis C
Hepatitis C - epidemiology
HIV
HIV Infections - epidemiology
HTLV-1/2
HTLV-I Infections - epidemiology
HTLV-I Infections - virology
HTLV-II Infections - epidemiology
HTLV-II Infections - virology
Human immunodeficiency virus
Human T-lymphotropic virus 1 - genetics
Human T-lymphotropic virus 1 - isolation & purification
Human T-lymphotropic virus 2 - genetics
Human T-lymphotropic virus 2 - isolation & purification
Humans
intravenous injection
Male
males
Middle Aged
Needle Sharing - statistics & numerical data
polymerase chain reaction
Prevalence
Primate T-lymphotropic virus 1
Primate T-lymphotropic virus 2
Substance Abuse, Intravenous - virology
viruses
volunteers
title Human T-lymphotropic virus types 1 and 2 are rare among intravenous drug users in Eastern Europe
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