Comparison of sampling methods to measure HIV RNA viral load in female genital tract secretions

Autor: Donald R. Hoover, Shameem Z. Jaumdally, Jo-Ann S. Passmore, Landon Myer, Heidi E. Jones, Catherine S. Todd, Nontokozo Langwenya, Jean-Mari Kriek, Hoyam Gamieldien
Rok vydání: 2017
Předmět:
Zdroj: American Journal of Reproductive Immunology. 77
ISSN: 1600-0897
1046-7408
DOI: 10.1111/aji.12619
Popis: Problem How does menstrual cup (MC) compare to other genital sampling methods for HIV RNA recovery? Method of study We compared HIV RNA levels between MC, endocervical swab (ECS), and ECS-enriched cervicovaginal lavage (eCVL) specimens in 51 HIV-positive, antiretroviral therapy-naive women at enrollment, 3 and 6 months, with order rotated by visit. Paired comparisons were analyzed with McNemar's exact tests, signed-rank tests, and an extension of Somer's D for pooled analyses across visits. Results MC specimens had the highest proportion of quantifiable HIV VL at enrollment and month 3, but more MC specimens (n=12.8%) were insufficient for testing, compared with ECS (2%, P=0.006) and eCVL (0%, P
Databáze: OpenAIRE