Resumen
Objectives: To describe the socio-demographic profile of patients diagnosed with HIV infection during 2012. To analyse the incidence of concomitant and previous sexually transmitted diseases (STDs) in patients diagnosed with HIV infection. Methods: Descriptive cross sectional, observational study. All the patients diagnosed with HIV infection during 2012 in a STI clinic in Madrid were included (277). An epidemiologic structured questionnaire was used in order to know the risk sexual behaviours and previous STDs. A screening for other STDs was made according to those behaviours. The diagnostic test used for Chlamydia trachomatis was a real time PCR and Gram staining and culture in Thayer Martin at 37º in a CO2 atmosphere for Neisseria gonorrheae. Syphilis was routinely evaluated by a reaginic test (RPR) and a treponemic one: IgG+IgM ELISA or Treponema pallidum passive particle agglutination assay (TP-PA) or fluorescent treponema antibody absorption test (FTA-abs). Regarding diagnosis for HIV infection, MEIA and Western blot were used.
Results: Among the 277 patients included in the study, 96% were men, 3% women and 1% transexual. Attending to transmission categories, 87% were men who had sex with men (MSM), 7% male sex workers, 4% heterosexual, 1% female sex workers and 1% IV drug users. The median of age was 32 years, 48% from 25 to 34 years. Regarding origin, 62% were Spaniards and 28% Latin Americans. A 67% had been diagnosed with other STDs previously: 41% syphillis, 35% gonorrhea, 25% anogenital warts and 16% C. trachomatis infection. Concomitant STDs to HIV diagnosis were diagnosed in 43%: 48% syphillis, 36% C. trachomatis, 20% gonorrhea and 14% anogenital warts.
Conclusions: A high incidence of STDs was found in patients diagnosed with HIV infection. When a STD is diagnosed we should make a screening of other STDs, including HIV. The diagnosis and treatment of STDs must be considered as an early intervention for the HIV prevention. It is very important asking patients about their sexual behaviour in order to evaluate their risk and to give an adapted preventive advice
Autoría:
CHAMÓN PARRA, M.;
PÉREZ MARTÍNEZ, Raquel;
VERA GARCIA, Mar;
RÍO SÁNCHEZ, Isabel;
PAREDES GÓMEZ, Vanessa;
CALZAS DEL PINO, Isabel;
GRAU PÉREZ, Mercè;
VILLA ESCAMILLA, María;
RODRÍGUEZ MARTÍN, Carmen;
ROMERO GUERRERO, Jorge del
Autoría institucional:
Centro Sanitario Sandoval (España)