Document 3105 DOCN M94A3105 TI HIV seroprevalence survey in a Guatemalan AIDS clinic. DT 9412 AU Arathoon EG; Estrada Y; Martin RM; Oroxom A SO Int Conf AIDS. 1994 Aug 7-12;10(1):152 (abstract no. PB0033). Unique Identifier : AIDSLINE ICA10/94369470 AB INTRODUCTION: The clinic run by the AGPCS offers testing, treatment and counseling for people with HIV/AIDS and is a model clinic in Guatemala for its innovative and integral follow up programs. RESULTS: From January to December 1993, at the AGPCS clinic, 107 new HIV (+) cases were identified with two consecutive ELISA tests and confirmed with WB. 79% were males and 21% females, (Ratio 3.2:1); The mean age was 26.4 years (25% were younger than 20 years). Risk factors: 55 (52.4%) of the HIV positive persons had had an STD; 33% gonorrhea, 17% papillomatosis, 12% genital herpes and 9% did not know wich one. 59% were heterosexual, 34% were homo/bisexual and 7% used IV drugs. 80% had multiple sexual partners (MSP), 60% never wore condoms, 17% almost never wore condoms and 13% did not know. 15% had had sexual relations with drug abusers and 18% with an infected partner. Opportunistic infections (OI) found in the group with AIDS (56/107) were: 34% Mycobacteriosis, 22% PCP, 18% esophageal candidiasis, 11% cryptosporidiosis, 11% chronic or recurrent herpes simplex infection. 52% of the patients had one OI, 24% two OI's, 4% three OI's. 60% of the men and 84% of the women became infected in Guatemala. CONCLUSION: 1. The number of new HIV+ cases per year has duplicated since 1991. 2. A marked epidemiological change toward heterosexual transmission is observed. 3. The proportion of AIDS patients infected with mycobacteriosis has increased dramatically. 4. The principal risk factor for HIV infection in women is sex with an infected partner especially if the partner worked for the army or police force. DE Acquired Immunodeficiency Syndrome/DIAGNOSIS/*EPIDEMIOLOGY/ TRANSMISSION Adult AIDS-Related Opportunistic Infections/*EPIDEMIOLOGY Female Guatemala/EPIDEMIOLOGY Human HIV Seropositivity/DIAGNOSIS/*EPIDEMIOLOGY *HIV Seroprevalence Male Risk Factors Risk-Taking Sex Behavior Substance Abuse, Intravenous MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).