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Evaluation of an empiric risk screening score to identify acute and early HIV-1 infection among MSM in Coastal Kenya

Abstract:
We evaluated the University of North Carolina-Malawi Risk Screening Score (UMRSS) for detection of acute and early HIV-1 infection (AEHI) in a cohort of Kenyan MSM with approximately 8% annual HIV-1 incidence. Three components of the UMRSS (fever, diarrhea, and discordant rapid HIV tests) were also independent predictors of AEHI in our cohort. The predictive ability (area under the receiver operating characteristic curve, AUC) of the UMRSS was 0.79. A cohort-derived risk score consisting of six characteristics (fever, diarrhea, discordant rapid HIV tests, fatigue, age <30 years, and symptomatic sexually transmitted disease) had a higher AUC of 0.85. Screening for AEHI will have substantial transmission prevention benefits.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1097/QAD.0b013e3283629095

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Institution:
University of Oxford
Division:
MSD
Department:
NDM
Sub department:
Tropical Medicine
Role:
Author



Publisher:
Lippincott, Williams and Wilkins
Journal:
AIDS More from this journal
Volume:
27
Issue:
13
Pages:
1-4
Publication date:
2013-08-01
Acceptance date:
2013-04-24
DOI:
EISSN:
1473-5571
ISSN:
1473-5571


Language:
English
Keywords:
Pubs id:
pubs:411106
UUID:
uuid:4d1961bd-2953-4338-8770-e741125ff297
Local pid:
pubs:411106
Source identifiers:
411106
Deposit date:
2013-11-17
ARK identifier:

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