Lindsay M K, Grant J, Peterson H B, Risby J, Williams H, Klein L
Department of Gynecology and Obstetrics, Emory University, Atlanta, Georgia.
Obstet Gynecol. 1993 Jun;81(6):1012-5.
To determine the extent of human immunodeficiency virus (HIV) infection risk factors and the relationship to the clinical diagnosis in women seen in a busy inner-city gynecology emergency department.
We performed a cross-sectional survey by offering routine voluntary HIV-1 antibody screening and obtaining HIV risk behavior profiles in 1033 (35%) of 2952 women seeking care in our gynecology emergency department during a 5-week period.
The HIV seroprevalence was 2%. Six (35%) of the infected women reported a history of intravenous drug use, five (29%) reported a history of crack cocaine use, and five (29%) reported no risk factors for infection. Seropositive women were more likely than were seronegative women to have clinical symptoms consistent with pelvic inflammatory disease (18 versus 3%; P < .01).
These data suggest that women attending the gynecology emergency room in our hospital are at substantial risk for HIV infection.
确定在繁忙的市中心妇科急诊科就诊的女性中，人类免疫缺陷病毒（HIV）感染风险因素的程度及其与临床诊断的关系。
我们进行了一项横断面调查，在5周内为2952名到我们妇科急诊科就诊的女性中的1033名（35%）提供常规自愿HIV-1抗体筛查，并获取HIV风险行为概况。
HIV血清阳性率为2%。6名（35%）感染女性报告有静脉吸毒史，5名（29%）报告有使用快克可卡因史，5名（29%）报告无感染风险因素。血清阳性女性比血清阴性女性更有可能出现与盆腔炎一致的临床症状（18%对3%；P<.01）。
这些数据表明，在我院妇科急诊室就诊的女性有感染HIV的重大风险。
