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HIV-1 heterosexual transmission and association with STIs in the era of treatment as prevention

International Journal of Infectious Diseases Aug 15, 2019

de Melo MG, Sprinz E, Gorbach PM, et al. - Researchers examined 200 HIV-1 heterosexual serodifferent couples in a stable relationship (> 3 months) for the risk of sexual HIV-1 transmission and other sexually transmitted infections (STIs) while the index partner was on antiretroviral treatment. Seventy percent of the index partners were female. They noted five seroconversions; HIV infection incidence was 2.5%. HIV transmitters vs non-transmitters showed higher mean plasma virus load results. Couples who seroconverted had a significantly higher presence of STIs. In their setting, the main factor associated with non-transmissibility of HIV was undetectable viremia.

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