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Does cerumen have a risk for transmission of HIV?

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Abstract

Human immunodeficiency virus (HIV) is mainly transmitted via sexual activity, mother-to-child transmission, and contact with body fluids, such as saliva and semen. Cerumen, however, has not been investigated for its capability to transmit HIV. The purpose of this study was to evaluate the potential of cerumen for transmission of HIV infection. This study was conducted among 42 treatment-naive HIV-infected patients with positive HIV RNA and 27 HIV-infected patients with negative HIV RNA receiving antiviral treatment. Simultaneous blood samples were studied as positive controls. Sixty-nine prospectively collected cerumen specimens were analyzed for the presence of HIV RNA by real-time polymerase chain reaction (PCR). None of the 69 cerumen specimens were positive for HIV RNA. These results conclude that cerumen in HIV-positive patients with or without antiretroviral therapy (ART) carry only an insignificant risk of transmission. However, standard infection control precautions should be applied carefully in all examinations and surgical operations of the ears.

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References

  1. Maartens G, Celum C, Lewin SR (2014) HIV infection: epidemiology, pathogenesis, treatment, and prevention. Lancet 384:258–271

    Article  PubMed  Google Scholar 

  2. Barral MF, de Oliveira GR, Lobato RC, Mendoza-Sassi RA, Martínez AM, Gonçalves CV (2014) Risk factors of HIV-1 vertical transmission (VT) and the influence of antiretroviral therapy (ART) in pregnancy outcome. Rev Inst Med Trop Sao Paulo 56:133–138

    Article  PubMed Central  PubMed  Google Scholar 

  3. Sooy CD, Gerberding JL, Kaplan MJ (1987) The risk for otolaryngologists who treat patients with AIDS and AIDS virus infection: report of an in-process study. Laryngoscope 97:430–434

    Article  CAS  PubMed  Google Scholar 

  4. Kalcioglu MT, Durmaz R, Ozturan O, Bayindir Y, Direkel S (2004) Does cerumen have a risk for transmission of hepatitis B? Laryngoscope 114(3):577–580

    Article  PubMed  Google Scholar 

  5. Bayindir Y, Kalcioglu MT, Durmaz R, Ozturan O (2005) Detection of HCV-RNA in cerumen of chronically HCV-infected patients. Laryngoscope 115:508–511

    Article  PubMed  Google Scholar 

  6. Sekaly RP (2008) The failed HIV Merck vaccine study: a step back or a launching point for future vaccine development? J Exp Med 205:7–12

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  7. Nunnari G, Sullivan J, Xu Y et al (2005) HIV type 1 cervicovaginal reservoirs in the era of HAART. AIDS Res Hum Retroviruses 21:714–718

    Article  PubMed  Google Scholar 

  8. Kantor R, Bettendorf D, Bosch RJ et al (2014) HIV-1 RNA levels and antiretroviral drug resistance in blood and non-blood compartments from HIV-1-infected men and women enrolled in AIDS clinical trials group study A5077. PLoS One 9:e93537

    Article  PubMed Central  PubMed  Google Scholar 

  9. Debiaggi M, Zara F, Spinillo A et al (2001) Viral excretion in cervicovaginal secretions of HIV-1-infected women receiving antiretroviral therapy. Eur J Clin Microbiol Infect Dis 20:91–96

    CAS  PubMed  Google Scholar 

  10. Cotten M, Oude Munnink B, Canuti M et al (2014) Full genome virus detection in fecal samples using sensitive nucleic acid preparation, deep sequencing, and a novel iterative sequence classification algorithm. PLoS One 9:e93269

    Article  PubMed Central  PubMed  Google Scholar 

  11. Liuzzi G, Chirianni A, Clementi M et al (1996) Analysis of HIV-1 load in blood, semen and saliva: evidence for different viral compartments in a cross-sectional and longitudinal study. AIDS 10:F51–F56

    Article  CAS  PubMed  Google Scholar 

  12. Mohlala BK, Tucker TJ, Besser MJ et al (2005) Investigation of HIV in amniotic fluid from HIV-infected pregnant women at full term. J Infect Dis 192:488–491

    Article  PubMed  Google Scholar 

  13. Balamane M, Winters MA, Dalai SC et al (2010) Detection of HIV-1 in saliva: implications for case-identification, clinical monitoring and surveillance for drug resistance. Open Virol J 4:88–93

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  14. Lourenço AG, Komesu MC, Machado AA, Bourlet T, Pozzetto B, Delézay O (2014) Potential contribution of saliva to the sexual transmission of HIV through the secretion of CCL20 by genital epithelial cells. J Med Virol 86:58–63

    Article  PubMed  Google Scholar 

  15. Robinson EK, Evans BG (1999) Oral sex and HIV transmission. AIDS 13:737–738

    Article  CAS  PubMed  Google Scholar 

  16. Page-Shafer K, Shiboski CH, Osmond DH et al (2002) Risk of HIV infection attributable to oral sex among men who have sex with men and in the population of men who have sex with men. AIDS 16:2350–2352

    Article  PubMed  Google Scholar 

  17. Spitzer PG, Weiner NJ (1989) Transmission of HIV infection from a woman to a man by oral sex. N Engl J Med 320:251

    CAS  PubMed  Google Scholar 

  18. Han Y, Wu N, Zhu W et al (2011) Detection of HIV-1 viruses in tears of patients even under long-term HAART. AIDS 25:1925–1927

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This research was supported by the Research Fund of Istanbul Medeniyet University, Istanbul, Turkey.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Correspondence to M. T. Kalcioglu.

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Hanege, F.M., Kalcioglu, M.T., Sargin, F. et al. Does cerumen have a risk for transmission of HIV?. Eur J Clin Microbiol Infect Dis 34, 789–793 (2015). https://doi.org/10.1007/s10096-014-2292-7

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  • DOI: https://doi.org/10.1007/s10096-014-2292-7

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