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<publisher>HAL CCSD</publisher>
<title lang=en>Disseminated Histoplasmosis Seasonal Incidence Variations: A Supplementary Argument for Recent Infection?</title>
<creator>Hanf, Matthieu</creator>
<creator>Adenis, Antoine</creator>
<creator>Carme, Bernard</creator>
<creator>Couppié, Pierre</creator>
<creator>Nacher, Mathieu</creator>
<contributor>Centre d'investigation clinique Antilles-Guyane ; Institut National de la Santé et de la Recherche Médicale (INSERM) - CH Cayenne</contributor>
<contributor>EA 3593 Université des Antilles et de la Guyane ; Centre d'investigation clinique Antilles-Guyane ; Institut National de la Santé et de la Recherche Médicale (INSERM) - CH Cayenne - Institut National de la Santé et de la Recherche Médicale (INSERM) - CH Cayenne</contributor>
<contributor>Epidémiologie des parasitoses et mycoses tropicales ; Université des Antilles et de la Guyane (UAG) - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor>
<contributor>Service de Dermatologie et Vénérologie ; Centre Hospitalier de Cayenne Andrée Rosemon</contributor>
<contributor>EA 3593 Université des Antilles et de la Guyane ; Centre d'investigation clinique Antilles-Guyane ; Institut National de la Santé et de la Recherche Médicale (INSERM) - CH Cayenne - Institut National de la Santé et de la Recherche Médicale (INSERM) - CH Cayenne - Epidémiologie des parasitoses et mycoses tropicales ; Université des Antilles et de la Guyane (UAG) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Université des Antilles et de la Guyane (UAG) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Laboratoire Hospitalo-Universitaire de Parasitologie-Mycologie ; Centre Hospitalier de Cayenne Andrée Rosemon - Coordination Régionale de la lutte contre le Virus de L'Immunodéficience Humaine (COREVIH) - Centre Hospitalier de Cayenne Andrée Rosemon - Coordination Régionale de la lutte contre le Virus de L'Immunodéficience Humaine (COREVIH)</contributor>
<description>International audience</description>
<source>J AIDS Clinic Res</source>
<identifier>inserm-00915009</identifier>
<identifier>http://www.hal.inserm.fr/inserm-00915009</identifier>
<identifier>http://www.hal.inserm.fr/inserm-00915009/document</identifier>
<identifier>http://www.hal.inserm.fr/inserm-00915009/file/2012_Hanf_-_Disseminated_Histoplasmosis_seasonal_incidence_variations_a_supplementary_argument_for_recent_infection.pdf</identifier>
<source>http://www.hal.inserm.fr/inserm-00915009</source>
<source>J AIDS Clinic Res, 2012, 3 (8), pp.1000175. 〈10.4172/2155-6113.1000175〉</source>
<identifier>DOI : 10.4172/2155-6113.1000175</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.4172/2155-6113.1000175</relation>
<language>en</language>
<subject lang=en>Disseminated histoplasmosis</subject>
<subject lang=en>HIV</subject>
<subject lang=en>French Guiana</subject>
<subject lang=en>Environment</subject>
<subject lang=en>Climate</subject>
<subject lang=en>Seasonality</subject>
<subject>[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>Background: In French Guiana, a recent study has shown that a major part of the histoplasmosis incidence temporal fluctuations could be explained by climatic factors and thus postulated that disseminated histoplasmosis cases could be in a large proportion due to new infections. The description of the seasonal pattern of histoplasmosis could potentially help to test this new hypothesis. Patients and methods: A study using prospective data from the French Hospital Database for HIV was conducted in order to determine seasonal variations of the incidence of first cases of disseminated histoplasmosis in HIV persons in Cayenne, French Guiana. Single failure Cox proportional hazards models were used. Results: After adjusting for CD4 counts and antiretroviral treatment, the incidence of disseminated histoplasmosis was significantly higher during the Short Wet Season-Long Dry Season than during the Short Dry Season-Long Wet Season (Adjusted Hazard ratio 1.7 (1.1-2.5), P= 0.01). Conclusion: This result gives both valuable epidemiologic information to clinicians and a supplementary argument in favour of the hypothesis that an important proportion of cases were due to recent exposure. Therefore, the use of a primary prophylaxis must be discussed in French Guiana.</description>
<date>2012-10-15</date>
<rights>info:eu-repo/semantics/OpenAccess</rights>
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