1. Sexually transmitted diseases of the anus and rectum: Causal agents, coinfections, HIV infection and high-risk sexual behaviour.
- Author
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Morgado-Carrasco D, Alsina Gibert M, Bosch Mestres J, Álvarez Martínez M, Blanco Arévalo JL, and Fuertes de Vega I
- Subjects
- Adult, Aged, Anus Diseases etiology, Anus Diseases virology, Bisexuality, Coinfection epidemiology, Comorbidity, Condoms statistics & numerical data, HIV Infections epidemiology, Homosexuality, Male, Humans, Illicit Drugs, Incidence, Lymphogranuloma Venereum epidemiology, Lymphogranuloma Venereum transmission, Lymphogranuloma Venereum virology, Male, Middle Aged, Proctitis epidemiology, Proctitis etiology, Rectal Diseases etiology, Rectal Diseases virology, Retrospective Studies, Sexually Transmitted Diseases etiology, Sexually Transmitted Diseases virology, Spain epidemiology, Substance-Related Disorders epidemiology, Syphilis epidemiology, Syphilis etiology, Syphilis transmission, Travel, Young Adult, Anus Diseases epidemiology, Rectal Diseases epidemiology, Sexually Transmitted Diseases epidemiology, Unsafe Sex
- Abstract
Introduction and Objective: Sexually transmitted infections of the rectum and anus (STI-RA) mainly affect men who have sex with men (MSM). The incidence of STI-RA among them has increased in recent years., Material and Methods: Retrospective study in patients with diagnoses of STI-RA in an STI unit during the years 2014 and 2015. Epidemiological, clinical and microbiological data were collected., Results: We included 95 patients, all of whom were MSM; 88.42% were HIV+; 67.17% did not use a condom during their most recent sexual intercourse; 17.91% had had sex with sex workers and 72.22% had used drugs during sexual intercourse during the previous year. A percentage of 32.92 reported symptoms that had lasted longer than 30 days. Lymphogranuloma venereum (LGV) was diagnosed in 54.73% of the patients. All patients who presented with proctitis and perianal ulcers were diagnosed with LGV infection. All those who presented perianal ulcers without proctitis were diagnosed with syphilis., Conclusions: All the patients affected by STI-RA were MSM, most of them HIV+, had engaged in high-risk sexual behaviour and had suffered prolonged symptomatology. Clinical and microbiological characteristics of STI-AR could help adjust the empiric therapy., (Copyright © 2018 Elsevier España, S.L.U. All rights reserved.)
- Published
- 2019
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