Ontology highlight
ABSTRACT: Objectives
Herpes simplex virus type 2 (HSV-2) is a common sexually transmitted disease, but there is limited data on its epidemiology among urban populations. The urban Emergency Department (ED) is a potential venue for surveillance as it predominantly serves an inner city minority population. We evaluate the seroprevalence and factors associated with HSV-2 infection among patients attending the Johns Hopkins Hospital Adult Emergency Department (JHH ED).Methods
An identity unlinked-serosurvey was conducted between 6/2007 and 9/2007 in the JHH ED; sera were tested by the Focus HerpeSelect ELISA. Prevalence risk ratios (PRR) were used to determine factors associated with HSV-2 infection.Results
Of 3,408 serum samples, 1,853 (54.4%) were seropositive for HSV-2. Females (adjPRR ?=?1.47, 95% CI 1.38-1.56), non-Hispanic blacks (adjPRR ?=?2.03, 95% CI 1.82-2.27), single (adjPRR ?=?1.15, 95% CI 1.07-1.25), divorced (adjPRR ?=?1.28, 95% CI 1.15-1.41), and unemployed patients (adjPRR ?=?1.13, 95% CI 1.05-1.21) had significantly higher rates of HSV-2 infection. Though certain zip codes had significantly higher seroprevalence of HSV-2, this effect was completely attenuated when controlling for age and gender.Conclusions
Seroprevalence of HSV-2 in the JHH ED was higher than U.S. national estimates; however, factors associated with HSV-2 infection were similar. The high seroprevalence of HSV-2 in this urban ED highlights the need for targeted testing and treatment. Cross-sectional serosurveys in the urban ED may help to examine the epidemiology of HSV-2.
SUBMITTER: Patel EU
PROVIDER: S-EPMC4103852 | biostudies-literature | 2014
REPOSITORIES: biostudies-literature
Patel Eshan U EU Frank Melanie A MA Hsieh Yu-Hsiang YH Rothman Richard E RE Baker Amy E O AE Kraus Chadd K CK Shahan Judy J Gaydos Charlotte A CA Kelen Gabor D GD Quinn Thomas C TC Laeyendecker Oliver O
PloS one 20140718 7
<h4>Objectives</h4>Herpes simplex virus type 2 (HSV-2) is a common sexually transmitted disease, but there is limited data on its epidemiology among urban populations. The urban Emergency Department (ED) is a potential venue for surveillance as it predominantly serves an inner city minority population. We evaluate the seroprevalence and factors associated with HSV-2 infection among patients attending the Johns Hopkins Hospital Adult Emergency Department (JHH ED).<h4>Methods</h4>An identity unlin ...[more]