Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
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SHR Neuro Krebs Kardio Lipid Stoffw Microb
Lin, TC; Dijkstra, M; De Bree, GJ; Schim van der Loeff, MF; Hoenigl, M.
Brief Report: The Amsterdam Symptom and Risk-Based Score Predicts for Acute HIV Infection in Men Who Have Sex With Men in San Diego.
J Acquir Immune Defic Syndr. 2018; 79(2):e52-e55-e52-e55
Doi: 10.1097/QAI.0000000000001800
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- Co-Autor*innen der Med Uni Graz
- Hönigl Martin
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- Abstract:
- Dijkstra et al recently described a risk- and symptom-based score moderately predictive for HIV seroconversion in the preceding 6-12 months in men who have sex with men (MSM) in Amsterdam. Our objective was to determine whether this "Amsterdam Score" could also predict for acute HIV infection (AHI) in MSM. This study is a case-control analysis of a prospectively enrolled cohort of MSM who voluntarily presented for HIV testing in San Diego. The study sample was composed of MSM who screened HIV antibody-negative and then either tested positive with AHI [HIV nucleic acid test (NAT)-positive] or tested HIV NAT-negative. The Amsterdam Score was calculated for each participant in the study sample. Score performance was assessed using receiver operating characteristic curves and their area under the curve (AUC). An optimal cutoff was determined using the Youden index. Seven hundred fifty-seven MSM (110 AHI and 647 HIV NAT-negative) were included in the analysis. AHI and HIV-negative cases were similar in age [median 32 years (interquartile range 26-42) vs 33 (27-45), respectively, P = 0.082]. The Amsterdam Score yielded a receiver operating characteristic curve with an AUC of 0.88 (95% confidence interval: 0.84 to 0.91). An optimal cutoff of ≥1.6 was 78.2% sensitive and 81.0% specific. The risk- and symptom-based Amsterdam Score was highly predictive (AUC of 0.88) of AHI in MSM in San Diego. The Amsterdam Score could be used to target NAT utilization in resource-poor settings among MSM who test HIV antibody-negative, although the potential cost-savings must be balanced with the risk of missing AHI diagnoses.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Adult - epidemiology
- Case-Control Studies -
- European Continental Ancestry Group -
- HIV Infections - epidemiology
- Hispanic Americans -
- Homosexuality, Male -
- Humans -
- Male -
- Prospective Studies -
- Risk Factors -
- Find related publications in this database (Keywords)
- acute HIV infection
- seroconversion
- risk behaviors
- signs and symptoms
- acute retroviral syndrome