scholarly journals Isolation ofMycobacterium aviumfrom Potable Water in Homes and Institutions of Patients with HIV Infection in Finland and the United States

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Matti Ristola ◽  
Robert D. Arbeit ◽  
C. Fordham von Reyn ◽  
C. Robert Horsburgh
Keyword(s):  
United States ◽  
Hiv Infection ◽  
Potable Water ◽  
Nontuberculous Mycobacteria ◽  
The United States ◽  
Common Species ◽  
Water Systems ◽  
Human Infection ◽  
Hot Water ◽  
Symptomatic Disease

Symptomatic disease by nontuberculous mycobacteria has been linked to potable water from institutional and domestic potable water systems. Potable water samples were collected from homes and institutions of patients with AIDS. Colonization of potable water with nontuberculous mycobacteria was demonstrated in 230 (15%) of 1489 samples collected from domestic and institutional water systems of patients with HIV infection in the United States and Finland.Mycobacterium aviumwas the most common species and colonization was favored at temperatures of 40–50°C in recirculating hot water systems. Such systems are a plausible source of human infection and disease.

Increased Frequency of Nontuberculous Mycobacteria Detection at Potable Water Taps within the United States

2015 ◽  
Vol 49 (10) ◽  
pp. 6127-6133 ◽  
Author(s):  
Maura J. Donohue ◽  
Jatin H. Mistry ◽  
Joyce M. Donohue ◽  
Katharine O’Connell ◽  
Dawn King ◽  
...  
Keyword(s):  
United States ◽  
Potable Water ◽  
Nontuberculous Mycobacteria ◽  
The United States

Increasing Impact of HIV Infection on Hospitalizations in the United States, 1983???1988

1992 ◽  
Vol 5 (5) ◽  
pp. 497???504 ◽  
Author(s):  
Lisa S. Rosenblum ◽  
James W. Buehler ◽  
Meade Morgan ◽  
Mary Moien
Keyword(s):  
United States ◽  
Hiv Infection ◽  
The United States

Douching Practices Among Women at High Risk of HIV Infection in the United States

2002 ◽  
Vol 29 (7) ◽  
pp. 406-410 ◽  
Author(s):  
BERYL A. KOBLIN ◽  
KENNETH MAYER ◽  
ANTHONY MWATHA ◽  
PAMELA BROWN-PETERSIDE ◽  
RENEE HOLT ◽  
...  
Keyword(s):  
United States ◽  
High Risk ◽  
Hiv Infection ◽  
The United States

Associations of Community Water Lead Concentrations with Hemoglobin Concentrations and Erythropoietin-Stimulating Agent Use among Patients with Advanced CKD

2021 ◽  
pp. ASN.2020091281
Author(s):  
John Danziger ◽  
Kenneth J. Mukamal ◽  
Eric Weinhandl
Keyword(s):  
United States ◽  
Drinking Water ◽  
Kidney Disease ◽  
The United States ◽  
Water Systems ◽  
Adverse Outcomes ◽  
Content Type ◽  
Community Water Systems ◽  
Community Water ◽  
Lead Levels

BackgroundAlthough patients with kidney disease may be particularly susceptible to the adverse health effects associated with lead exposure, whether levels of lead found commonly in drinking water are associated with adverse outcomes in patients with ESKD is not known.MethodsTo investigate associations of lead in community water systems with hemoglobin concentrations and erythropoietin stimulating agent (ESA) use among incident patients with ESKD, we merged data from the Environmental Protection Agency (EPA) Safe Drinking Water Information System (documenting average 90th percentile lead concentrations in community water systems during 5 years before dialysis initiation, according to city of residence) with patient-level data from the United States Renal Data System.ResultsAmong 597,968 patients initiating dialysis in the United States in 2005 through 2017, those in cities with detectable lead levels in community water had significantly lower pre-ESKD hemoglobin concentrations and more ESA use per 0.01 mg/L increase in 90th percentile water lead. Findings were similar for the 208,912 patients with data from the first month of ESKD therapy, with lower hemoglobin and higher ESA use per 0.01 mg/L higher lead concentration. These associations were observed at lead levels below the EPA threshold (0.015 mg/L) that mandates regulatory action. We also observed environmental inequities, finding significantly higher water lead levels and slower declines over time among Black versus White patients.ConclusionsThis first nationwide analysis linking EPA water supply records to patient data shows that even low levels of lead that are commonly encountered in community water systems throughout the United States are associated with lower hemoglobin levels and higher ESA use among patients with advanced kidney disease.

Intrathoracic Disease Associated With Mycobacterium avium-intracellulare Complex in Otherwise Healthy Children: Diagnostic and Therapeutic Considerations

PEDIATRICS ◽  
1994 ◽  
Vol 94 (5) ◽  
pp. 741-742
Author(s):  
Sandeep K. Gupta ◽  
Ben Z. Katz
Keyword(s):  
United States ◽  
Mycobacterium Avium ◽  
Nontuberculous Mycobacteria ◽  
The United States ◽  
Healthy Children ◽  
Human Pathogen ◽  
Cervical Lymphadenitis ◽  
Cervical Adenitis ◽  
Mycobacterium Avium Intracellulare ◽  
Therapeutic Considerations

Mycobacterium tuberculosis (MTB) is a well described human pathogen.1 Less commonly, atypical or nontuberculous mycobacteria (NTM) can cause disease in humans. Recent studies report that NTM account for one-third of all pathogenic mycobacterial isolates in the United States.2 Mycobacterium avium-intracellulare complex (MAI) is the most common NTM causing human disease.2 It is also the most common mycobacterial cause of cervical lymphadenitis in children in areas with low endemic rates of MTB infection.3 MAI/NTM infection other than cervical adenitis is unusual in children, except in those that are immunosuppressed.4 Rarely, MAI presents as mediastinal or endobronchial disease in otherwise healthy children.

The Under-Enrollment of HIV-infected Foster Children in Clinical Trials and Protocols and the Need for Corrective State Action

1994 ◽  
Vol 20 (3) ◽  
pp. 231-249
Author(s):  
Briar McNutt
Keyword(s):  
United States ◽  
New York ◽  
Hiv Infection ◽  
The United States ◽  
Hiv And Aids ◽  
Medical Community ◽  
State Action ◽  
Pediatric Aids ◽  
Control And Prevention ◽  
Year 2000

The incidence of HIV infection and AIDS in children has grown at an alarming rate. Approximately one million children worldwide have HIV infection. By the year 2000, an estimated ten million children will suffer from the disease. Currently, the United States has a population of an estimated 10,000 to 20,000 HIV-infected children. As of June 30, 1993, the Centers for Disease Control and Prevention (CDC) reported 4,710 known AIDS cases in children twelve years-old and younger. At that point, New York City reported 1,124 pediatric AIDS cases which represented twenty-four percent of all cases in the United States.With the rising number of HIV-infected children, the medical community in the United States has begun to search for HIV-and AIDS-related treatments particularized for children. In addition to establishing guidelines for HIV-infected children's frequent check-ups and timely immunizations, the medical community has initiated research studies involving HIV-infected children.

Declining Age at HIV Infection in the United States

1994 ◽  
Vol 330 (11) ◽  
pp. 789-790 ◽  
Author(s):  
Philip S. Rosenberg ◽  
Robert J. Biggar ◽  
James J. Goedert
Keyword(s):  
United States ◽  
Hiv Infection ◽  
The United States
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