PMID- 15980695 OWN - NLM STAT- MEDLINE DCOM- 20050913 LR - 20200930 IS - 1525-4135 (Print) IS - 1525-4135 (Linking) VI - 39 IP - 3 DP - 2005 Jul 1 TI - The impact of incident and prevalent herpes simplex virus-2 infection on the incidence of HIV-1 infection among commercial sex workers in South Africa. PG - 333-9 AB - This study investigated the impact of prevalent and incident HSV-2 infection on the incidence of HIV-1 infection in a cohort of female commercial sex workers in KwaZulu-Natal, South Africa. Prior to a vaginal microbicide trial, 416 women were screened for antibodies to HIV-1 and herpes simplex virus-2 (HSV-2) infections and a questionnaire was used to establish behavioral, social, and demographic characteristics. A total of 187 HIV-1-seronegative women were followed up at monthly intervals when blood was drawn and used to detect HIV-1 and HSV-2 antibodies. The median duration of follow-up was 2.2 years. At screening 50% of the women were HIV-1 seropositive and 84% were HSV-2 seropositive. The hazards of HIV-1 among women who were HSV-2 seropositive or seronegative throughout, or among those who seroconverted during the study, were not significantly different. When HSV-2 seroconversion was analyzed as a time-dependent covariate, the hazard ratio for HIV-1 seroconversion was 6.0 (95% CI: 2.6-14.0) times greater among women with incident than among women with prevalent HSV-2 infections. Drawing on other recent studies these data suggest that incident HSV-2 infection increases the risk of HIV-1 infection; the effect wanes with time since infection; and the effect is significantly greater for men than it is for women. FAU - Ramjee, Gita AU - Ramjee G AD - HIV-1 Prevention Research Unit, Medical Research Council, Durban, South Africa. FAU - Williams, Brian AU - Williams B FAU - Gouws, Eleanor AU - Gouws E FAU - Van Dyck, Eddy AU - Van Dyck E FAU - De Deken, Benedicte AU - De Deken B FAU - Karim, Salim Abdool AU - Karim SA LA - eng PT - Clinical Trial PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - United States TA - J Acquir Immune Defic Syndr JT - Journal of acquired immune deficiency syndromes (1999) JID - 100892005 RN - 0 (Anti-Infective Agents) RN - 0 (Vaginal Creams, Foams, and Jellies) RN - 26027-38-3 (Nonoxynol) SB - IM MH - Adolescent MH - Adult MH - Anti-Infective Agents/administration & dosage MH - Female MH - HIV Infections/*complications/*epidemiology/prevention & control/transmission MH - HIV Seropositivity MH - *HIV-1 MH - Herpes Genitalis/*complications/epidemiology/prevention & control MH - *Herpesvirus 2, Human MH - Humans MH - Middle Aged MH - Nonoxynol/administration & dosage MH - Proportional Hazards Models MH - Risk Factors MH - *Sex Work MH - South Africa/epidemiology MH - Time Factors MH - Vaginal Creams, Foams, and Jellies EDAT- 2005/06/28 09:00 MHDA- 2005/09/15 09:00 CRDT- 2005/06/28 09:00 PHST- 2005/06/28 09:00 [pubmed] PHST- 2005/09/15 09:00 [medline] PHST- 2005/06/28 09:00 [entrez] AID - 00126334-200507010-00012 [pii] AID - 10.1097/01.qai.0000144445.44518.ea [doi] PST - ppublish SO - J Acquir Immune Defic Syndr. 2005 Jul 1;39(3):333-9. doi: 10.1097/01.qai.0000144445.44518.ea.