title: Correlates of Bacterial Ulcers and Acute HSV-2 Infection among Men with Genital Ulcer Disease in South Africa: Age, Recent Sexual Behaviors, and HIV.
abstract: Data from baseline surveys and STI/HIV laboratory tests (n=615 men) were used to examine correlates of bacterial ulcers (Treponema pallidum,Haemophilus ducreyi, orChlamydia trachomatisL1-L3 detected in ulcer) and acute HSV-2 ulcers (HSV-2 positive ulcer specimen, HSV-2 sero-negative, and negative for bacterial pathogens) vs. recurrent HSV-2 ulcers (sero-positive), separately. Compared to men with recurrent HSV-2 ulcers, men with bacterial ulcers had larger ulcers but were less likely to be HIV-positive whereas men with acute HSV-2 ulcers were younger with fewer partners. Acute HIV was higher among men with bacterial and acute HSV-2 ulcers; the difference was not statistically significant.
authors.affiliation: Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Jami S
authors.initials: JS
authors.lastname: Leichliter
authors.affiliation: Centre for HIV and STIs, National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, South Africa; Department of Internal Medicine, Faculty of Health Sciences, University of the Witswatersrand, Johannesburg, South Africa; Western Sydney Sexual Health Centre, Parramatta, Australia; Centre for Infectious Diseases and Microbiology & Marie Bashir Institute for Infectious Diseases and Biosecurity, Westmead Clinical School, University of Sydney, Sydney, Australia.
authors.forename: David A
authors.initials: DA
authors.lastname: Lewis
authors.affiliation: Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Paz-Bailey
keywords: acute HIV; acute HSV-2; bacterial ulcers; genital ulcer disease; sexual behavior