We report a statistical analysis of HIV (
human immunodeficiency virus) screening tests conducted with the use of ELISA (Enzyme-Linked Immunosorbent Assay) at the Department of Dermatology, Tokyo Medical University Hospital, between May of 2004 and March of 2009. Among the 3,764 tests reviewed, 3,415 were performed as screening tests for surgery, biopsy, or hospitalization, and 349 were performed to test for cooccurrence of HIV infection with skin diseases. Out of 29 positive results obtained by ELISA, HIV infection was confirmed in 23 cases using Western blot (positive rate 0.61%). Four cases were false positives, and two cases could not be confirmed because the patients failed to report for further testing. Among the 23 cases of confirmed HIV infection, 3 cases were detected by screening, and the 20 others were detected while testing for the co-occurrence of HIV infection with other diseases. The rate of positive results from HIV screening tests in the Tokyo metropolitan area was unexpectedly high. The HIV test is vital not only as a means of detecting HIV infection in HIV-related skin diseases, but also as an addition to screening for various other infectious diseases in the context of surgery and hospitalization.
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