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Cervical shedding of cytomegalovirus in human immunodeficiency virus type 1-infected women

✍ Scribed by Mostad, Sara B.; Kreiss, Joan K.; Ryncarz, Alexander J.; Overbaugh, Julie; Mandaliya, Kishorchandra; Chohan, Bhavna; Ndinya-Achola, Jeckoniah; Bwayo, Job J.; Corey, Lawrence

Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
72 KB
Volume
59
Category
Article
ISSN
0146-6615

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✦ Synopsis

Cervical shedding of cytomegalovirus (CMV) is important in transmission of CMV to exposed sexual partners and neonates. We evaluated prevalence and correlates of CMV DNA shedding in cervical secretions from a large cohort of HIV-1-seropositive women. Using polymerase chain reaction (PCR) assays, CMV DNA was detected in 183 (59%) cervical swab samples from 311 women. Cervical shedding of CMV DNA was significantly associated with shedding of HIV-1 DNA (odds ratio 1.8; 95% confidence interval 1.1-2.8). CMV shedding was also more frequent in women with Neisseria gonorrhoeae and Trichomonas vaginalis infections, but these associations were not statistically significant. Cervical shedding of CMV in HIV-1-infected women is very frequent and may reflect higher risk of transmission to sexual partners and neonates than previously appreciated.

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