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. 2023 Mar;86(3):245-247.
doi: 10.1016/j.jinf.2023.01.033. Epub 2023 Feb 10.

HTLV seroprevalence in people using HIV pre-exposure prophylaxis in England

Daniel Bradshaw  1 , Arham Khawar  2 , Poorvi Patel  2 , Jennifer Tosswill  2 , Colin Brown  2 , Dana Ogaz  2 , Emily Mason  2 , Roeann Osman  2 , Holly Mitchell  2 , Olamide Dosekun  3 , Borja Mora Peris  3 , Graham Pickard  3 , Michael Rayment  4 , Rachael Jones  4 , Mark Hopkins  5 , Andy Williams  5 , Margaret Kingston  6 , Nicholas Machin  6 , Yusri Taha  7 , Sarah Duncan  7 , Neil Turner  4 , Noel Gill  2 , Nick Andrews  2 , Mohammad Raza  8 , Simon Tazzyman  8 , Achyuta Nori  9 , Emma Cunningham  9 , Graham P Taylor  10
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Free article

HTLV seroprevalence in people using HIV pre-exposure prophylaxis in England

Daniel Bradshaw et al. J Infect. 2023 Mar.
Free article

Abstract

Objectives: HTLV-1 is predominantly a sexually-transmitted infection but testing is not mentioned in HIV-PrEP guidelines. We ascertained HTLV-1/HTLV-2 seroprevalence amongst HIV-PrEP users in England.

Methods: An unlinked anonymous seroprevalence study.

Results: Amongst 2015 HIV-PrEP users, 95% were men, 76% of white ethnicity and 83% had been born in Europe. There were no HTLV-1/HTLV-2 seropositive cases (95% confidence interval 0% - 0.18%).

Conclusions: There were no HTLV positive cases, likely reflecting the demographic of mostly white and European-born individuals. Similar studies are needed worldwide to inform public health recommendations for HIV-PrEP using populations, particularly in HTLV-endemic settings.

Keywords: Bisexual and other men who have sex with men (GBMSM); Gay; HIV pre-exposure prophylaxis; Human T cell lymphotropic virus type 1 (HTLV-1).

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