Evaluation of risk factors in patients attending STI clinic in a tertiary care hospital in North India.
Evaluation of risk factors in patients attending STI clinic in a tertiary care hospital in North India.
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DOI：
10.4103/0253-7184.156715
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发表时间：
2015-01
影响因子：
0.4
通讯作者：
Sherwal BL
中科院分区：
文献类型：
--
作者：
Nayyar C;Chander R;Gupta P;Sherwal BL
在过去几年中，对性传播疾病及其管理的兴趣大大增加，因为它们在促进艾滋病毒感染方面的作用已得到证明，而艾滋病毒感染反过来又增加了感染性传播疾病的风险。性传播疾病（性病）是一个主要的健康问题，不仅在发展中国家，而且在发达国家，主要影响年轻人。(i)筛查性病门诊就诊的新患者是否存在性病的细菌病因（沙眼衣原体、淋病奈瑟菌、梅毒螺旋体和迷走加德纳菌），以及（ii）评估各种危险因素在性病患病率中的作用。本研究对200名性病门诊患者进行了研究。对他们进行了艾滋病毒和细菌性性传播感染（沙眼衣原体、淋病奈瑟菌、梅毒螺旋体和阴道加德纳菌）的流行率沿着风险因素（特别是包皮环切术）的作用进行了评估。艾滋病毒患病率为7%，其他性传播感染患病率为20%。病原体依次为衣原体8%、淋病7.5%、细菌性阴道病2.7%、梅毒2%。与性传播感染相关的因素有包皮环切术、HIV阳性、文化程度、宗教信仰、多性伴、接触性工作者、不避孕、长期远离家庭的职业和既往性传播感染史。目前的研究表明，包皮环切术是获得性传播感染的保护因素，但其他因素，如性行为，使用屏障避孕药，药物滥用等，也发挥作用。
In the past few years, the interest in STDs and their management has increased tremendously because of their proven role in facilitation of HIV infection, which, in turn, also increases the risk of acquiring STIs. Sexually transmitted diseases (STDs) are a major health problem affecting mostly young people, not only in developing, but also in developed countries Male circumcision is being considered as strategy to reduce the burden of HIV/AIDS. (i) To screen the new patients attending the STI clinic for bacterial causes of STIs (Chlamydia trachomatis, Neisseria gonorrhoeae, Treponema pallidum and Gardnerella vaginalis) and (ii) to evaluate the role of various risk factors in the prevalence of STIs. The present study was conducted on 200 patients attending the STI clinic. They were evaluated for the prevalence of HIV and bacterial STIs (Chlamydia trachomatis, Neisseria gonorrhoeae, Treponema pallidum and Gardnerella vaginalis) along with the role of risk factors particularly circumcision. The prevalence of HIV was 7% and prevalence of other STI was 20%. The causative agents were Chlamydia 8%, Gonorrhea 7.5%, Bacterial Vaginosis 2.7% and Syphilis 2%. The factors found to be significantly associated with the prevalence of STI were circumcision, positive HIV status, education, religion, multiple sexual partners, contact with Commercial sex workers (CSW), non use of contraception, profession involving long stay away from home, and past history of STI. The present study suggests that circumcision is a protective factor for acquisition of STIs but other factors like sexual behavior, use of barrier contraceptives, drug abuse etc., also play a role.