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M9480523.TXT
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1994-08-20
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Document 0523
DOCN M9480523
TI Environmental risk factors for acquisition of Mycobacterium avium
complex in persons with human immunodeficiency virus infection.
DT 9410
AU Horsburgh CR Jr; Chin DP; Yajko DM; Hopewell PC; Nassos PS; Elkin EP;
Hadley WK; Stone EN; Simon EM; Gonzalez P; et al; Division of HIV/AIDS,
Centers for Disease Control and Prevention,; Atlanta, Georgia 30333.
SO J Infect Dis. 1994 Aug;170(2):362-7. Unique Identifier : AIDSLINE
MED/94308603
AB A case-control study was done to determine risk factors for
Mycobacterium avium complex (MAC) disease in persons infected with human
immunodeficiency virus (HIV) with < 50 CD4+ cells/mm3. In univariate
analysis, cases (n = 83) had lower CD4+ cell counts than controls (n =
177) (median, 10 vs. 17/mm3; P < .001) and were more likely to have
consumed hard cheese (odds ratio [OR], 5.44; 95% confidence interval
[CI], 1.61-18.4) but were less likely to have taken daily showers (OR,
0.55; 95% CI, 0.33-0.94). In multivariate analysis, CD4+ cell count <
25/mm3 (OR, 3.58; 95% CI, 1.71-7.49) and consumption of hard cheese (OR,
5.63; 95% CI, 1.58-20.1) remained associated with disease, while daily
showering (OR, 0.58; 95% CI, 0.28-0.88) remained protective. Increased
risk for MAC disease in persons with HIV infection and low CD4+ cell
counts is not associated with exposure to water or a variety of other
environmental sources but may be associated with consumption of hard
cheese.
DE Adult AIDS-Related Opportunistic Infections/EPIDEMIOLOGY/*ETIOLOGY
Bacteremia/EPIDEMIOLOGY/ETIOLOGY Baths Case-Control Studies Cheese
Feces/MICROBIOLOGY Female Food Microbiology Human Leukocyte Count
Male Mycobacterium avium Complex/ISOLATION & PURIF Mycobacterium
avium-intracellulare Infection/EPIDEMIOLOGY/ *ETIOLOGY Risk Factors
Sputum/MICROBIOLOGY Support, Non-U.S. Gov't Support, U.S. Gov't,
P.H.S. T4 Lymphocytes Water Microbiology JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).