dc.contributor.author | Cohen, CR | |
dc.contributor.author | Sinei, S | |
dc.contributor.author | Reilly, M | |
dc.contributor.author | Bukusi, EA | |
dc.contributor.author | Eschenbach, D | |
dc.contributor.author | Holmes, KK | |
dc.contributor.author | Ndinya-Achola Jeckoniah O. | |
dc.contributor.author | Bwayo, JJ | |
dc.contributor.author | Grieco, V | |
dc.contributor.author | Stamm, W | |
dc.contributor.author | Karanja, J | |
dc.contributor.author | Kreiss, J | |
dc.date.accessioned | 2013-04-25T12:29:34Z | |
dc.date.available | 2013-04-25T12:29:34Z | |
dc.date.issued | 1998 | |
dc.identifier.citation | J Infect Dis.1998 Nov;178(5):1352-8 | en |
dc.identifier.uri | www.ncbi.nlm.nih.gov/whalecom0/pubmed/9780255 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/16814 | |
dc.description.abstract | To determine the effect of human immunodeficiency virus type 1 (HIV-1) infection upon pelvic inflammatory disease (PID), a laparoscopic study of acute PID was conducted in Nairobi, Kenya. Subjects underwent diagnostic laparoscopy, HIV-1 serology, and testing for sexually transmitted diseases. Of the 133 women with laparoscopically verified salpingitis, 52 (39%) were HIV-1-seropositive. Tubo-ovarian abscesses (TOA) were found in 33% of HIV-1-infected and 15% of HIV-1-uninfected women (odds ratio [OR], 2.8; 95% confidence interval [CI], 1.2-6.5). Among seropositive women, TOA was found in 55% of those with CD4 cell percent <14% vs. 28% with CD4 cell percent>14% (OR 3.1, 95% CI 0.6-15.3). Neisseria gonorrhoeae was detected in 37 women (28%) and Chlamydia trachomatis in 12 (9%); neither was significantly related to HIV-1 seropositivity. Length of hospitalization was not affected by HIV-1 serostatus overall but was prolonged among HIV-1-infected women with CD4 cell percent <14%. Among patients with acute salpingitis, likelihood of TOA was related to HIV-1 infection and advanced immunosuppression. In general, HIV-1-seropositive women with acute salpingitis responded well to treatment. | en |
dc.language.iso | en | en |
dc.title | Effect of human immunodeficiency virus type 1 infection upon acute salpingitis: a laparoscopic study | en |
dc.type | Article | en |
local.publisher | Department of Obstetrics and Gynecology, University of Washington, Seattle, USA | en |
local.publisher | Department of Medical Microbiology, University of Nairobi | en |
local.publisher | Department Obstetrics and Gynaecology, University of Nairobi | en |