Sexual transmission of HIV: infectiousness and prevention.

@article{Vernazza1999SexualTO,
  title={Sexual transmission of HIV: infectiousness and prevention.},
  author={Pietro Vernazza and J. J. Eron and Susan A. Fiscus and M. S. Cohen},
  journal={AIDS},
  year={1999},
  volume={13 2},
  pages={
          155-66
        }
}
HIV can be transmitted through contaminated blood and blood products; from a mother to her offspring during pregnancy childbirth or breast feeding; or through sexual contact. Sexual transmission remains by far the predominant mode of transmission. Vertical and blood borne transmission of HIV are highly predictable and very efficient modes. The recipient of a unit of contaminated blood nearly always becomes infected whereas only about 0.3% of people pierced with large bore needles seroconvert… 
Biological Correlates of Sexual Transmission of HIV Practical Consequences and Potential Targets for Public Health
TLDR
Interventions that reduce the genital shedding of HIV by reducing systemic blood viral load and/or local inflammatory processes are likely to have a beneficial impact on HIV incidence and biological data about HIV transmission must be used to inform public health policies and optimize HIV prevention strategies.
Sexually Transmitted Infections and HIV Transmission: What Do We Know?
TLDR
An overview of sexually transmitted infections is given, and insight on their association with HIV infection, transmission risks and some control based interventions are given.
Sexually transmitted diseases and human immunodeficiency virus infection: cause, effect, or both?
  • M. Cohen, W. Miller
  • Medicine, Biology
    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
  • 1998
HIV sexual transmission and microbicides
TLDR
The current understanding of the mechanisms of sexual transmission and the biology of the transmitted HIV is reviewed, and a timely overview of candidate microbicides is presented, including past, ongoing and future clinical trials of HIV topical microbicide.
Acquired immunodefi ciency syndrome
In the 25 years since the fi rst reported cases of acquired immunodefi ciency syndrome (AIDS), more than 70 million people have been infected with the human immunodefi ciency virus (HIV). HIV is a
Recent observations on HIV type-1 infection in the genital tract of men and women.
TLDR
This review focuses on the genital and systemic factors that define the infectiousness of HIV and susceptibility to sexual transmission, including virological, microbiological and immunological parameters that affect HIV-1 pathogenesis and transmission.
Topical Microbicides for the Prevention of Sexually Transmitted Diseases and HIV
TLDR
There is an urgent need to develop innovative preventive measures that can reduce the transmission of these pathogens with minimal mucosa! irritation, and minimal effects on the vaginal flora and pH.
Genital Tract Infections and Perinatal Transmission of HIV
  • T. Taha, R. Gray
  • Medicine, Biology
    Annals of the New York Academy of Sciences
  • 2000
TLDR
It is conceivable that preventing ascending infection or reducing exposure of the infant to infectious material during birth could reduce MTCT, and antimicrobial therapy during pregnancy and intrapartum could reduce infectious causes of morbidity and mortality in infant and mother.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 173 REFERENCES
Fluctuations of HIV load in semen of HIV positive patients with newly acquired sexually transmitted diseases
TLDR
The HIV load in the semen and blood of HIV infected patients presenting with acute sexually transmitted diseases was measured to determine if viral load was high enough to ensure transmission.
Heterosexual Transmission of HIV in Haiti
TLDR
The incidence of HIV infection in discordant couples (couples in which one partner was HIV infected and the other was not) in Haiti was determined to determine to alleviate fears that HIV could be transmitted through casual contact.
A Longitudinal Study of Human Immunodeficiency Virus Transmission by Heterosexual Partners
TLDR
A prospective study of HIV-negative subjects whose only risk of HIV infection was a stable heterosexual relationship with an HIV-infected partner, finding that only 124 couples who continued to have sexual relations for more than three months after enrollment in the study, used condoms consistently for vaginal and anal intercourse.
Risk of human immunodeficiency virus transmission from heterosexual adults with transfusion-associated infections.
TLDR
Although most husbands and wives remained uninfected despite repeated sexual contact without protection, some acquired infection after only a few contacts, consistent with an as yet unexplained biologic variation in transmissibility or susceptibility.
[Transmission of the human immunodeficiency virus].
TLDR
The appearance of AIDS in disparate populations, connected only by probable routes of transmission, was among the initial pieces of evidence suggesting an infectious cause.
Non-ulcerative sexually transmitted diseases as risk factors for HIV-1 transmission in women: results from a cohort study.
TLDR
Non-ulcerative STD were risk factors for sexual transmission of HIV-1 in women, after controlling for sexual exposure, and offered an important additional strategy for the prevention of HIV/AIDS.
A cluster of HIV infection among heterosexual people without apparent risk factors.
TLDR
The case study of 1 HIV infected male and his 19 identified previous women sexual partners is reported, emphasizing the fact that middle class women with low risk sexual practices were infected with AIDS from as little as 1 sexual encounter with this infected individual.
HIV-1 Langerhans' Cell Tropism Associated with Heterosexual Transmission of HIV
TLDR
Results suggest that LC tropism is associated with the efficiency of heterosexual transmission of HIV, which is less important in the HIV-1 epidemics of the United States and Western Europe.
Intermittent shedding of human immunodeficiency virus in semen: implications for sexual transmission.
HIV-1 subtypes and male-to-female transmission in Thailand
...
1
2
3
4
5
...