Abstract
North Carolina locates acute HIV cases by pooled nucleic acid testing of HIV-antibody negative serum samples. Here, 224 pools of 80 HIV-negative samples (N = 17,920) were screened for viral RNA from HCV, GBV-C, and influenza A. No evidence of influenza A was found, but HCV and GBV-C were common (1.2% and 1.7% prevalence, respectively), demonstrating the utility of pooled testing in locating individuals that may remain undiagnosed otherwise. By sequencing positive pools, potential transmission clusters may be located as well.
Keywords:
GB virus C; acute HIV infection; emerging pathogens; hepatitis C virus; influenza A; public health.
© 2013 Wiley Periodicals, Inc.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Adult
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Cluster Analysis
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Flaviviridae Infections / diagnosis*
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Flaviviridae Infections / epidemiology
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Flaviviridae Infections / transmission
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Flaviviridae Infections / virology
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GB virus C / isolation & purification*
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Hepacivirus / isolation & purification*
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Hepatitis C / diagnosis*
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Hepatitis C / epidemiology
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Hepatitis C / transmission
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Hepatitis C / virology
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Hepatitis, Viral, Human / diagnosis*
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Hepatitis, Viral, Human / epidemiology
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Hepatitis, Viral, Human / transmission
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Hepatitis, Viral, Human / virology
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Humans
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Molecular Epidemiology / methods
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North Carolina / epidemiology
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Prevalence
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RNA, Viral / blood*
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RNA, Viral / genetics
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RNA, Viral / isolation & purification
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Sequence Analysis, DNA