Prevalence and Risk Factors of Cytomegalovirus Among Men Having Sex With Men Enrolled in a Pre-Exposure Prophylaxis Study

Author:

Chawki Sylvain12ORCID,Leturque Nicolas3,Minier Marine4,Gabassi Audrey4,Foubert Valérie3,Charreau Isabelle3,Cua Eric5,Pialoux Gilles6,Meyer Laurence3,Molina Jean-Michel12,Delaugerre Constance24ORCID

Affiliation:

1. Département de Maladies Infectieuses, Hôpitaux Saint Louis et Lariboisière, AP-HP , F-75010 Paris , , France

2. Université Paris Cité, Biology of Emerging Viruses Team , INSERM U-944, F-75010 Paris , France

3. INSERM SC10-US19 , Université Paris Saclay, Villejuif , France

4. Department of Virology, Hôpital Saint-Louis, Assistance Publique-Hôpitaux de Paris , Paris , France

5. Department of Internal Medicine, Hôpital de Nice , Nice , France

6. Department of Infectious Diseases, Hôpital Tenon, Assistance Publique Hôpitaux de Paris , Paris , France

Abstract

Abstract   Risk factors for cytomegalovirus (CMV) acquisition in men having sex with men remain unclear. Seroprevalence, incidence, risk factors and shedding of CMV were analyzed among participants enrolled in the HIV pre-exposure prophylaxis IPERGAY-ANRS trial. Among the 417 participants tested, 382 were seropositive at baseline (prevalence of 91.6%; 95%CI[88.5–94.1]) and 10/35 seroconverted during the study (incidence of 17.1 per 100 person-years; 95%CI[8.2–31.3]). A high number of sexual partners was independently associated with CMV seroprevalence. Shedding among CMV-seroconverters was reported for 6/9 and 2/9 at the oral and anal levels, respectively. Our data supports transmission of CMV during sexual contacts. Study part of the ANRS-IPERGAY Clinical trial ClinicalTrials.gov number, NCT01473472.

Publisher

Oxford University Press (OUP)

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