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High prevalence of sexually transmitted infections in HIV-infected men during routine outpatient visits in the Netherlands.
- Source :
-
Sexually transmitted diseases [Sex Transm Dis] 2012 Jan; Vol. 39 (1), pp. 8-15. - Publication Year :
- 2012
-
Abstract
- Background: In the Netherlands, no guidelines exist for routine sexually transmitted infection (STI) screening of human immunodeficiency virus (HIV)-infected men having sex with men (MSM). We assessed prevalence and factors associated with asymptomatic STI.<br />Methods: MSM visiting HIV outpatient clinics of academic hospitals were tested for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), syphilis, and hepatitis B and C infection. Prevalence and risk factors were studied using logistic regression.<br />Results: In total, 659 MSM were included between 2007 and 2008. STI were found in 16.0% of patients, mostly anal CT and syphilis. One new hepatitis B and 3 new hepatitis C infections were identified. In multivariate analyses, any STI (syphilis, CT, or NG) was associated with patient's age below 40 years (odds ratio [OR]: 2.5, 95% confidence interval [CI]: 1.3-5.0), having had sex with 2 or more sexual partners (OR 2.1, 95% CI: 1.2-3.5), the use of the same sexual toys with a sexual partner (OR 2.2, 95% CI: 1.0-4.9), and enema use before sex (OR: 2.3, 95% 1.2-4.2). Syphilis was independently associated with fisting with gloves versus no fisting (OR: 4.9, 95% CI: 1.7-13.7) and with rimming (OR: 5.0, 95% CI: 1.7-15.0). CT or NG were associated with age below 45 years (age 40-44 years: OR: 2.4, 95% CI: 1.1-5.3; age <40 years: OR: 2.4, 95% CI: 1.1-5.4), enema use before sex (OR: 2.4, 95% CI: 1.3-4.4) and drug use during sex (OR: 2.4, 95% CI: 1.4-4.0).<br />Conclusions: High-risk sexual behavior was very common, and 16% of HIV-infected MSM in HIV care had an asymptomatic STI, mostly anal CT and syphilis. Development of STI screening guidelines is recommended.
- Subjects :
- Adult
Asymptomatic Diseases
Chlamydia Infections complications
Chlamydia Infections diagnosis
HIV Infections epidemiology
Hepatitis B complications
Hepatitis B diagnosis
Hepatitis B epidemiology
Hepatitis C complications
Hepatitis C diagnosis
Hepatitis C epidemiology
Homosexuality, Male
Humans
Incidence
Logistic Models
Male
Middle Aged
Netherlands epidemiology
Outpatients
Prevalence
Risk Factors
Sexual Behavior
Sexually Transmitted Diseases complications
Sexually Transmitted Diseases diagnosis
Syphilis complications
Syphilis diagnosis
Treponema pallidum isolation & purification
Chlamydia Infections epidemiology
Chlamydia trachomatis isolation & purification
HIV Infections complications
Sexually Transmitted Diseases epidemiology
Syphilis epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1537-4521
- Volume :
- 39
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Sexually transmitted diseases
- Publication Type :
- Academic Journal
- Accession number :
- 22183837
- Full Text :
- https://doi.org/10.1097/OLQ.0b013e3182354e81