       Document 0415
 DOCN  M9620415
 TI    Seroprevalence of human immunodeficiency virus, hepatitis B virus,
       hepatitis C virus, and rapid plasma reagin in a trauma population.
 DT    9602
 AU    Caplan ES; Preas MA; Kerns T; Soderstrom C; Bosse M; Bansal J;
       Constantine NT; Hendrix E; Caplan M; Department of Infectious Diseases,
       R Adams Cowley Shock Trauma; Center, School of Medicine, University of
       Maryland Medical; Center, Baltimore 21201-1595, USA.
 SO    J Trauma. 1995 Sep;39(3):533-7; discussion 537-8. Unique Identifier :
       AIDSLINE MED/96022090
 AB    We evaluated the presence of human immunodeficiency virus (HIV),
       hepatitis B virus (HBV), hepatitis C virus (HCV), and rapid plasma
       reagin (RPR) among patients admitted to our trauma unit from April 15 to
       June 30, 1993. Of 984 patients tested, we found 255 (26%) had evidence
       of exposure to one or more of these agents: HIV, 4%; HBV, 20%; HCV, 14%;
       and RPR, 1%. Thirty-eight percent of patients had more than one positive
       serology, 75% of the HIV patients, 49% of the HBV patients, and 66% of
       the HCV patients. There was no difference between penetrating and
       nonpenetrating trauma with respect to any of the viruses. The risk
       factors for HIV-positive patients were non-White race, positive drug
       screen, positive alcohol screen, and city resident. Risk factors for HBV
       patients were non-White race, positive drug screen, and city resident.
       Risk factors for HBC patients were male sex, non-White race, positive
       alcohol screen, positive drug screen, and city resident. The risk of
       blood-borne infections in this group of patients is substantial.
 DE    Cross-Sectional Studies  Female  Hepatitis B Virus/IMMUNOLOGY  Hepatitis
       C Viruses/IMMUNOLOGY  Hepatitis, Viral, Human/*IMMUNOLOGY
       Hepatovirus/IMMUNOLOGY  Human  HIV Seropositivity/*IMMUNOLOGY  *HIV
       Seroprevalence  Male  Reagins/BLOOD  Risk Factors  Seroepidemiologic
       Methods  Syphilis/*IMMUNOLOGY  Wounds and Injuries/*VIROLOGY  JOURNAL
       ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

