Hepatitis A outbreak in HIV-infected patients in Southeastern France: questions and responses?
During the 2017 European hepatitis A (HA) outbreak we assessed HA incidence in our cohort of 2300 HIV-infected patients, implemented preventive measures and evaluated practices and knowledge on sexually transmitted diseases (STD). HA incidence was assessed between 1 January 2017 and 31 December 2017...
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description | During the 2017 European hepatitis A (HA) outbreak we assessed HA incidence in our cohort of 2300 HIV-infected patients, implemented preventive measures and evaluated practices and knowledge on sexually transmitted diseases (STD). HA incidence was assessed between 1 January 2017 and 31 December 2017 and included all symptomatic patients with virologically confirmed HA. Preventive measures consisted in identifying at risk and not immunised patients to propose them a free HAV vaccination, and an anonymous survey related to transmission routes of STD and to sexual behaviours. Twenty HA were diagnosed. All were homosexual men recently diagnosed with HIV and another STD. None were vaccinated against hepatitis A virus (HAV). Hospitalisation was required for 52%. We identified 250 patients at risk to acquire HAV and invited them to a free immunisation program. A total of 110 (44%) were vaccinated, of whom 74 responded to our survey. A majority of them (84%) reported recent active anal and oral sexuality with multiple (52%) male partners (81%), and ChemSex consumption (14%). Internet was the meeting link for 58%. Another STD history was found in 69%. One third of these individuals had no idea about STD transmission modes. This HA outbreak pointed the insufficient vaccine coverage against HAV and knowledge on STD, which may be improved by Internet. |
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HA incidence was assessed between 1 January 2017 and 31 December 2017 and included all symptomatic patients with virologically confirmed HA. Preventive measures consisted in identifying at risk and not immunised patients to propose them a free HAV vaccination, and an anonymous survey related to transmission routes of STD and to sexual behaviours. Twenty HA were diagnosed. All were homosexual men recently diagnosed with HIV and another STD. None were vaccinated against hepatitis A virus (HAV). Hospitalisation was required for 52%. We identified 250 patients at risk to acquire HAV and invited them to a free immunisation program. A total of 110 (44%) were vaccinated, of whom 74 responded to our survey. A majority of them (84%) reported recent active anal and oral sexuality with multiple (52%) male partners (81%), and ChemSex consumption (14%). Internet was the meeting link for 58%. Another STD history was found in 69%. One third of these individuals had no idea about STD transmission modes. This HA outbreak pointed the insufficient vaccine coverage against HAV and knowledge on STD, which may be improved by Internet.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><identifier>DOI: 10.1017/S0950268820000345</identifier><identifier>PMID: 32299522</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Antiretroviral drugs ; Bacteriology ; Cardiology and cardiovascular system ; Condoms ; Disease prevention ; Disease transmission ; Drug therapy ; Emerging diseases ; Epidemics ; Food contamination & poisoning ; Gays & lesbians ; Hepatitis ; Hepatitis A ; HIV ; Human health and pathology ; Human immunodeficiency virus ; Immunization ; Infections ; Infectious diseases ; Life Sciences ; Mens health ; Microbiology and Parasitology ; Outbreaks ; Parasitology ; Polls & surveys ; Questionnaires ; Sexual behavior ; Sexuality ; Sexually transmitted diseases ; Short Paper ; STD ; Syphilis ; Vaccination ; Vaccines ; Virology ; Viruses</subject><ispartof>Epidemiology and infection, 2020-01, Vol.148, p.e79-e79, Article e79</ispartof><rights>2020 This article is published under (https://creativecommons.org/licenses/by/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><rights>IHU Méditerranée Infection 2020 2020 IHU Méditerranée Infection</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c461t-d0ea019509c06555698543bfb0a1833d91d7f672fb651839051413f01bd772c53</citedby><cites>FETCH-LOGICAL-c461t-d0ea019509c06555698543bfb0a1833d91d7f672fb651839051413f01bd772c53</cites><orcidid>0000-0001-6859-1976</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189213/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189213/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32299522$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://amu.hal.science/hal-02547906$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Martin, A</creatorcontrib><creatorcontrib>Meddeb, L</creatorcontrib><creatorcontrib>Lagier, J C</creatorcontrib><creatorcontrib>Colson, P</creatorcontrib><creatorcontrib>Menard, A</creatorcontrib><title>Hepatitis A outbreak in HIV-infected patients in Southeastern France: questions and responses?</title><title>Epidemiology and infection</title><addtitle>Epidemiol Infect</addtitle><description>During the 2017 European hepatitis A (HA) outbreak we assessed HA incidence in our cohort of 2300 HIV-infected patients, implemented preventive measures and evaluated practices and knowledge on sexually transmitted diseases (STD). HA incidence was assessed between 1 January 2017 and 31 December 2017 and included all symptomatic patients with virologically confirmed HA. Preventive measures consisted in identifying at risk and not immunised patients to propose them a free HAV vaccination, and an anonymous survey related to transmission routes of STD and to sexual behaviours. Twenty HA were diagnosed. All were homosexual men recently diagnosed with HIV and another STD. None were vaccinated against hepatitis A virus (HAV). Hospitalisation was required for 52%. We identified 250 patients at risk to acquire HAV and invited them to a free immunisation program. A total of 110 (44%) were vaccinated, of whom 74 responded to our survey. A majority of them (84%) reported recent active anal and oral sexuality with multiple (52%) male partners (81%), and ChemSex consumption (14%). Internet was the meeting link for 58%. Another STD history was found in 69%. One third of these individuals had no idea about STD transmission modes. 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Infect</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>148</volume><spage>e79</spage><epage>e79</epage><pages>e79-e79</pages><artnum>e79</artnum><issn>0950-2688</issn><eissn>1469-4409</eissn><abstract>During the 2017 European hepatitis A (HA) outbreak we assessed HA incidence in our cohort of 2300 HIV-infected patients, implemented preventive measures and evaluated practices and knowledge on sexually transmitted diseases (STD). HA incidence was assessed between 1 January 2017 and 31 December 2017 and included all symptomatic patients with virologically confirmed HA. Preventive measures consisted in identifying at risk and not immunised patients to propose them a free HAV vaccination, and an anonymous survey related to transmission routes of STD and to sexual behaviours. Twenty HA were diagnosed. All were homosexual men recently diagnosed with HIV and another STD. None were vaccinated against hepatitis A virus (HAV). Hospitalisation was required for 52%. We identified 250 patients at risk to acquire HAV and invited them to a free immunisation program. A total of 110 (44%) were vaccinated, of whom 74 responded to our survey. A majority of them (84%) reported recent active anal and oral sexuality with multiple (52%) male partners (81%), and ChemSex consumption (14%). Internet was the meeting link for 58%. Another STD history was found in 69%. One third of these individuals had no idea about STD transmission modes. This HA outbreak pointed the insufficient vaccine coverage against HAV and knowledge on STD, which may be improved by Internet.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>32299522</pmid><doi>10.1017/S0950268820000345</doi><orcidid>https://orcid.org/0000-0001-6859-1976</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Antiretroviral drugs Bacteriology Cardiology and cardiovascular system Condoms Disease prevention Disease transmission Drug therapy Emerging diseases Epidemics Food contamination & poisoning Gays & lesbians Hepatitis Hepatitis A HIV Human health and pathology Human immunodeficiency virus Immunization Infections Infectious diseases Life Sciences Mens health Microbiology and Parasitology Outbreaks Parasitology Polls & surveys Questionnaires Sexual behavior Sexuality Sexually transmitted diseases Short Paper STD Syphilis Vaccination Vaccines Virology Viruses |
title | Hepatitis A outbreak in HIV-infected patients in Southeastern France: questions and responses? |
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