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    Limited cross-border infections in patients newly diagnosed with HIV in Europe

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    Authors
    Frentz, Dineke
    Wensing, Annemarie M J
    Albert, Jan
    Paraskevis, Dimitrios
    Abecasis, Ana B
    Hamouda, Osamah
    Jørgensen, Louise B
    Kücherer, Claudia
    Struck, Daniel
    Schmit, Jean-Claude
    Åsjö, Birgitta
    Balotta, Claudia
    Beshkov, Danail
    Camacho, Ricardo J
    Clotet, Bonaventura
    Coughlan, Suzie
    De Wit, Stéphane
    Griskevicius, Algirdas
    Grossman, Zehava
    Horban, Andrzej
    Kolupajeva, Tatjana
    Korn, Klaus
    Kostrikis, Leondios G
    Liitsola, Kirsi
    Linka, Marek
    Nielsen, Claus
    Otelea, Dan
    Paredes, Roger
    Poljak, Mario
    Puchhammer-Stöckl, Elisabeth
    Sönnerborg, Anders
    Stanekova, Danica
    Stanojevic, Maja
    Vandamme, Anne-Mieke
    Boucher, Charles A B
    Van de Vijver, David A M C
    SPREAD Programme
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    Issue Date
    2013-04-03
    Keywords
    HIV INFECTION
    INFECTION CONTROL
    
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    Citation
    Retrovirology. 2013 Apr 03;10(1):36
    URI
    http://dx.doi.org/10.1186/1742-4690-10-36
    http://hdl.handle.net/10147/281354
    Abstract
    Abstract Background International travel plays a role in the spread of HIV-1 across Europe. It is, however, not known whether international travel is more important for spread of the epidemic as compared to endogenous infections within single countries. In this study, phylogenetic associations among HIV of newly diagnosed patients were determined across Europe. Results Data came from the SPREAD programme which collects samples of newly diagnosed patients that are representative for national HIV epidemics. 4260 pol sequences from 25 European countries and Israel collected in 2002–2007 were included.We identified 457 clusters including 1330 persons (31.2% of all patients). The cluster size ranged between 2 and 28. A number of 987 patients (74.2%) were part of a cluster that consisted only of patients originating from the same country. In addition, 135 patients (10.2%) were in a cluster including only individuals from neighboring countries. Finally, 208 patients (15.6%) clustered with individuals from countries without a common border. Clustering with patients from the same country was less prevalent in patients being infected with B subtype (P-value <0.0001), in men who have sex with men (P-value <0.0001), and in recently infected patients (P-value =0.045). Conclusions Our findings indicate that the transmission of HIV-1 in Europe is predominantly occurring between patients from the same country. This could have implications for HIV-1 transmission prevention programmes. Because infections through travelling between countries is not frequently observed it is important to have good surveillance of the national HIV-1 epidemics.
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