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HIV Transmission in a Dialysis Center— Colombia, 1991-1993

JAMA. 1995;274(5):372-373. doi:10.1001/jama.1995.03530050018007.
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MMWR. 1995;44:404, 411-412

ALTHOUGH never reported in the United States, previous reports of possible patient-to-patient transmission of human immunodeficiency virus (HIV) associated with hemodialysis1,2 indicate the potential for this problem and the importance of infection-control measures in dialysis centers. In May 1994, CDC received a report of a cluster of HIV seroconversions among patients under-going treatment at a dialysis center in Colombia. This report summarizes the findings of the epidemiologic and laboratory investigations of this cluster by the National Institute of Health in Colombia and CDC,3 which underscore the need for strict adherence to infection-control practices during dialysis.4,5

In May 1993, blood specimens from three patients of the dialysis center in Colombia were HIV-antibody-positive. This finding prompted the subsequent testing of blood specimens from all dialysis center patients that had been stored during January 1988-December 1993 (study period) as part of an affiliated kidney transplant program. An


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