Sex Transm Infect July 2013 Vol 89 (Suppl 1):A1–A428 A215 Poster presentations p = 0.02, respectively); however, among MSM, age was no longer sta- tistically significant (62.8% vs. 70.8%, p = 0.25, respectively). Conclusions A substantial proportion of persons newly diagnosed with HIV were also recently infected with syphilis, with young age strongly associated with ES among non-MSM. In addition to MSM, women and MSW under 30 years old may be appropriate foci for targeted control. SEROPREVALENCE OF HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION AMONG TUBERCULOSIS PATIENTS ATTENDING TB/DOTS CENTRE IN NNEWI doi:10.1136/sextrans-2013-051184.0670 1 S O Kalu, 2 P U Ele, 3 R O Okonkwo, 3 C N Ogbuagu, 3 B O Oluboyo. 1 of Human Virology Dept., Nnamdi Azikiwe University Teaching Hospital Nnewi, Nnewi, Nigeria; 2 Institute of Human Virology Dept., Nnamdi Azikiwe University Teaching Hospital Nnewi, Nnewi, Nigeria; 3 Medical Microbiology/Parasitology Dept., Nnamdi Azikiwe University Teaching Hospital Nnewi, Nnewi, Nigeria Background TB and HIV co-epidemic is a major public health problem in many parts of the world, particularly in developing counties. This study was a prospective cohort design to determine the seroprevalence of HIV infection among tuberculosis patients attending TB/Directly Observed Treatment Short-course (DOTS) centre in a tertiary hospital in Nnewi, Nigeria Methods TB diagnosis was based on combined evaluations of clin- ical, radiological and laboratory features of the patients with the protocol established by the National Tuberculosis Control Program (NTBCP). Laboratory diagnosis of HIV infection was based on rapid HIV test kits according to the national HIV testing algorithm. Results Of the 1356 tuberculosis patients tested, 404/1356 (29.9%) were positive to the HIV antibodies. The prevalence was higher in females (15.6%) compared to males (14.2%). The prevalence of HIV in 49 years of age or less population was 15.6 times (28.0%) higher compared to 50 years and older (1.8%). 823 out of 1356 (60.6%) were Smear Positive TB (SPTB). Extra-Pulmonary Tuberculosis (EPTB) 89/404 (22%) and Smear Negative TB (SNTB) 326/404 (58.7%) were frequently associated with HIV/TB co-infection. Conclusion Our results indicate that the prevalence of HIV/TB co-infection in Nnewi, Nigeria deserves special attention, screening of HIV among TB populations should be performed as this would assist in the treatment of both diseases. HIV PREVALENCE TREND IN THE CONFLICT TO POST- CONFLICT TRANSITION PERIOD IN GULU DISTRICT, NORTHERN UGANDA doi:10.1136/sextrans-2013-051184.0671 1 E Ochola, 1 P Bayo, 1 M D Ogwang, 2 A Opio, 3 M Fabiani. 1 St. Mary’s Hospital Lacor, Gulu, Uganda; 2 Uganda Ministry of Health, Kampala, Uganda; 3 Italian National Institute for health, Epidemiology and Communicable Disease Unit, Rome, Italy Background Since 1986, North Uganda has been affected by civil strife and most of its population have been displaced in protected camps. However, since 2007, the increased security conditions have allowed many people to leave the camps and return to their villages. This study aims at estimating the HIV prevalence trend among pregnant women in Gulu district in the conflict (2005–2006) to post-conflict (2007–2010) transition period. Methods In 2005–2006 and 2007–2010, a total of 2318 and 25,924 ANC attendees of the St. Mary’s Hospital Lacor, respectively, were anonymously tested for HIV within the national sentinel surveil- lance system. Differences in HIV prevalence by testing period and displacement status were evaluated using the chi-square test. Results The overall HIV prevalence in 2005–2006 was 11.0% com- pared with 9.9% in 2007–2010 (P = 0.074). In both periods, as previously found, prevalence among internally displaced women P3.213 P3.214 (IDW) was lower than prevalence among women living outside camps. However, the difference in prevalence between these two groups decreased in the transition period. In fact, while the preva- lence remained quite stable among IDW (9.2% in 2005–2006 com- pared with 8.3% in 2009–2010; P = 0.370), it significantly decreased among women living outside camps (12.6% in 2005–2006 compared with 10.4% in 2009–2010; P = 0.020), mostly reflecting the popula- tion movements occurred since 2007 (IDW were 45.0% of the ANC attendees in 2005–2006 compared with 27.5% in 2009–2010; P < 0.001). Conclusions The HIV prevalence in Gulu district is still high com- pared with the rest of Uganda. It remained quite stable, thus sug- gesting that no HIV-related behavioural changes in the post-conflict period have occurred or that their effects are not yet observable. However, the reduced difference in HIV prevalence between IDW and women living outside of protected camps suggests that the HIV epidemiological profile in this district is changing, mainly as a result of the post-conflict population movements HIV/AIDS COINFECTION WITH THE HEPATITIS B AND C VIRUSES IN BRAZIL doi:10.1136/sextrans-2013-051184.0672 1 S B Oliveira, 2 E M Hamann, 3 L A F Amorim. 1 Departamento de DST, AIDS E Hepatites Virais, Brasilia, Brazil; 2 Universidade de Brasilia, Brasilia, Brazil; 3 Universidade Federal da Bahia, Brasilia, Brazil Background Hepatitis B and C viruses and the HIV virus share the most important forms of transmission. Infections by these viruses present a dynamic interaction, amplifying each other and leading to greater morbidity and mortality. The objective of this study is to estimate the prevalence and to describe the epidemio- logical profile of individuals coinfected with HIV/HBV and HIV/ HCV in Brazil. Methods AIDS cases were obtained from the “Sistema de Informa- ção de Agravos de Notificação” (Sinan) and the “Sistema de Con- trole de Exames Laboratoriais” (Siscel). Coinfection was identified through probabilistic record linkage of the AIDS cases with hepati- tis viral (B and C) from Sinan’s notifications. The probabilistic records linkages were performed using the RecLink III software. Results Between 1999 and 2010, 370,672 AIDS cases were reported, of which 3,724 (1.0%) were identified as HIV/HBV coinfections and 5,932 (1.6%) as HIV/HCV coinfections. The chance of coinfection increases with age, it is 3 times higher in aged 45 and older individu- als coinfected with HBV than patients aged 24 and younger; the chance is 12 times higher among those coinfected with HCV. The chance for coinfections increases 2- to 6-fold for HBV and HCV, respectively, for the “injecting drugs users” (IDU) category com- pared to sexual exposure. Conclusions The IDU category is one of the main forms of HCV and HIV transmissions, which may explain the higher chance of coinfection in this category. This study permitted an important evaluation of HBV/HIV and HCV/HIV coinfections in Brazil by the use of reported cases, without the need to conduct seroprevalence research. HIV AND VIRAL HEPATITIS (B,D,C) CO-INFECTION, GENOTYPING, EPIDEMIOLOGICAL PROFILE IN WEST OF TEHRAN doi:10.1136/sextrans-2013-051184.0673 1 S Sali, 1 M Nikbin, 1 D Yadegarinia, 2 M Hesseinifar, 2 M Shahmuradi. 1 Infectious Diseases and Tropical Medicine Research Center, Faculty of Medicine Shahid Beheshti University of Medical Sciences, Tehran, Iran; 2 West Health Center, Tehran, Iran Background/Aims In HIV infected patients, HBV, HDV and HCV co-infections have important implications for their clinical course P3.215 P3.216 on May 29, 2020 by guest. 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