High Incidence of Sexually Transmitted Infections in Patients with HIV-Infection

  • Telma Azevedo Serviço de Doenças Infecciosas e Medicina Tropical/Department of Infectious Diseases and Tropical Medicine, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal
  • Ana Brasileiro Serviço de Dermatologia/Department of Dermatology, Hospital dos Capuchos, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Fernando Borges Serviço de Doenças Infecciosas e Medicina Tropical/Department of Infectious Diseases and Tropical Medicine, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal
  • Kamal Mansinho Serviço de Doenças Infecciosas e Medicina Tropical/Department of Infectious Diseases and Tropical Medicine, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal
  • Irene Santo Centro de Doenças Sexualmente Transmissíveis/STD Center, Centro de Saúde da Lapa, Lisboa, Portugal
  • Jacinta Azevedo Centro de Doenças Sexualmente Transmissíveis/STD Center, Centro de Saúde da Lapa, Lisboa, Portugal
Keywords: HIV Infections, Sexual Behavior, Sexually Transmitted Diseases

Abstract

Introduction: Sexual transmitted infections (STI) are an important health problem and increase the risk for acquisition and transmission of HIV. We aimed to identify STIs diagnosed in patients with known human immunodeficiency virus (HIV) infection and in newly diagnosed ones.

Methods: Retrospective analysis of medical charts of individuals attending a specialized STI Clinic from 2009 to 2013.

Results: A total of 680 patients were included, accounting for 8% of the patients observed during the study period. The majority (638, 92%) were male and men who have sex with men (MSM) (489, 72%). Almost half (304, 45%) were migrants. Overall, 270 (40%) patients were diagnosed with at least one STI, syphilis was the most common (123, 18%), followed by Chlamydia trachomatis (46, 7%), Neisseria gonorrhoeae infection (42, 6%) and genital warts (32, 5%). Concerning HIV status, 329 (48%) patients had known infection and 351 (52%) were newly diagnosed during the study period. The newly diagnosed patients were significantly younger (37.3±9.7 vs 32.4± 9.5 years) and more frequently sought attention for screening. Past history of STIs, partner referral, symptoms and being diagnosed with at least one concomitant STI were significantly more common in previously known HIV patients.

Conclusion: At least one new STI (other than HIV) was diagnosed in 40% of the patients. This represents an important problem not only because concomitant STIs increase the risk of HIV acquisition (for the new diagnosed cases) but also because patient with known HIV infection maintain a high-risk behaviour pattern.

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Published
2017-04-17
How to Cite
Azevedo, T., Brasileiro, A., Borges, F., Mansinho, K., Santo, I., & Azevedo, J. (2017). High Incidence of Sexually Transmitted Infections in Patients with HIV-Infection. Journal of the Portuguese Society of Dermatology and Venereology, 75(1), 59-63. https://doi.org/10.29021/spdv.75.1.719
Section
Grupo para o Estudo e Investigação das Doenças Sexualmente Transmissíveis (GEIDS