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  • Title: Human immunodeficiency virus in plasma and cervicovaginal secretions in Filipino women.
    Author: Natividad-Villanueva GU, Santiago E, Manalastas RM, Brown HW, Ingersoll J, Caliendo AM, Mayer KH, Cu-Uvin S.
    Journal: Int J STD AIDS; 2003 Dec; 14(12):826-9. PubMed ID: 14678591.
    Abstract:
    This study examined 30 HIV-infected women in Manila to assess the relationship between cervicovaginal and plasma HIV-1 viral load. An interview and gynaecologic examination was conducted and cervicovaginal lavage (CVL) and venous blood specimens were collected. HIV-1 RNA was detected in plasma samples of 24 patients (80%) and in CVL samples of 18 women (60%); 16 patients (53%) had detectable levels in both. CVL HIV-1 RNA was detectable in 75% of women (6/8) with plasma viral loads between 10,000 and 100,000 copies/mL and in 77% of women (10/13) with plasma viral loads higher than 100,000 copies/mL (P =0.0086). Among women with CD4 cell counts of less than 200, 200-500, and greater than 500/mm(3), CVL HIV-1 RNA was detected in 73%, 69%, and 17% of women, respectively (P =0.1428). HIV-1 RNA shedding in the genital tract was significantly associated with plasma viral load.
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