1. Sexually Transmitted Infections: Experience in a Multidisciplinary Clinic in a Tertiary Hospital (2010-2013)
- Author
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P. García-de Olalla, T. Estrach-Panella, M. Alsina-Gibert, J. Bosch-Mestres, J.L. Blanco-Arévalo, A. González-Cordón, I. Fuertes-de Vega, and N. Moreno-Ribera
- Subjects
medicine.medical_specialty ,Pediatrics ,Histology ,business.industry ,Lymphogranuloma venereum ,virus diseases ,Dermatology ,urologic and male genital diseases ,medicine.disease ,medicine.disease_cause ,female genital diseases and pregnancy complications ,Pathology and Forensic Medicine ,Men who have sex with men ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Epidemiology ,medicine ,Urethritis ,Sex organ ,Syphilis ,030212 general & internal medicine ,business ,Chlamydia trachomatis ,Proctitis - Abstract
Background The number of consultations for sexually transmitted infections (STIs) is increasing in Spain. The aim of this study was to describe and analyze the epidemiological, behavioral, clinical, and microbiological characteristics of patients registered at the STI unit of a tertiary hospital. Methods This was a retrospective, single-center descriptive study carried out between 2010 and 2013 in a multidisciplinary unit specialized in STIs, situated in a tertiary hospital. Epidemiological, clinical, and behavioral data were gathered using a face-to-face interview and a standardized questionnaire. Samples were collected for microbiology analysis. Results The study included 546 patients: 96% were men, 41% had human immunodeficiency virus (HIV) infection, and 56% were men who have sex with men. The reasons for consultation were the following: urethritis; genital, anal, or perianal ulcers; proctitis; oral ulcers; sexual contact with a person with a known STI; and high-risk sexual contact. The most common microbiological diagnoses were Neisseria gonorrhoeae in urethritis, Treponema pallidum in genital and anal or perianal ulcers, and Chlamydia trachomatis lymphogranuloma venereum serovars in proctitis. The highest prevalences of the main STIs studied occurred in homosexual men with HIV infection. Conclusion This study confirms the increase in the incidence of STIs in recent years and the epidemiological characteristics of the HIV/STI epidemic in Spain.
- Published
- 2016