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Human Immunodeficiency Virus Infection in Hemodialysis Patients

Richard J. Weiss, MD; Raymond S. Schreyer, MD, FACP; Bruce A. Eidelson, MD; David L. Blecker, MD
Arch Intern Med. 1988;148(10):2299. doi:10.1001/archinte.1988.00380100135032.
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To the Editor.  —In the March 1988 issue of the Archives, the Baltimore-Boston Collaborative Study Group reported their incidence of human immunodeficiency virus (HIV) seropositivity in patients undergoing chronic hemodialysis.1 In the spring of 1987, we also studied the incidence of HIV seropositivity in the 70 patients receiving chronic hemodialysis in our center. Patients were questioned for established risk factors (ie, travel history, sexual history, and intravenous drug use). Blood bank records were also reviewed to obtain accurate transfusion requirements.After obtaining consent and following strict confidentiality, all 70 patients were screened for HIV seropositivity via enzyme-linked immunosorbent assay. Positive samples were to be tested by Western blot analysis. Only one patient from this patient population tested positive for HIV This asymptomatic patient admitted using illicit intravenous drugs. She had received 18 U of packed red blood cells.In this long-term hemodialysis center only one patient of 70 (1.4%)


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