Prestileo Tullio, Dalla Nogare Ernesto, Di Lorenzo Francesco, Sanfilippo Adriana, Ficalora Antonio, Barbaccia Pietro, Colomba Angelo
Dipartimento Malattie Infettive, Centro Intermedio Territoriale, Ospedale Pisani ASL 6, Palermo.
Recenti Prog Med. 2005 Apr;96(4):180-2.
The Authors have studied the prevalence of Infectious and Sexually Transmitted Diseases (STD) in a cohort of 109 Nigerian prostitutes and 37 extra communitarian drug addicts, with the aim to quantify the circulation of infectious and diffusive diseases in these groups of people.
HIV infection was diagnosed in 2 prostitutes (1.8%) and in 4 drug addicts (10.8%). In the female population it has not been evidence of STD, neither tuberculosis neither active infection from hepatitis virus B and C. In the drug addicts, in a single case it has been evidence active infection from HBV. The search of antibodies anti-HCV has turned out positive in 20 of 37 subject heads (54%). Neither case of tuberculosis nor of syphilis infection was diagnosed in the all population. The analysis of the collected data supplies elements for some considerations: HIV infection in young Nigerian prostitutes with short history is bounded (1.8%) and it correlates with the absence of sexually transmitted diseases (thanks to the use of condom). More in a generalized manner, they are young healthy women probably "selected" at the origin by people interested to protect them from diseases that would compromise their rendering. As far as the population of the drug addicts, the prevalence of HIV infection is meaningfully higher regarding that one of the Italian drug addicts observed in our Division and that their style of life hinders the access to the necessary therapeutic approaches.
作者对109名尼日利亚妓女和37名社区外吸毒者组成的队列中的传染病和性传播疾病(STD)患病率进行了研究,目的是量化这些人群中传染病的传播情况。
2名妓女(1.8%)和4名吸毒者(10.8%)被诊断出感染艾滋病毒。在女性人群中,未发现性传播疾病、结核病以及乙型和丙型肝炎病毒的活动性感染证据。在吸毒者中,仅1例发现乙型肝炎病毒活动性感染。在37名受试者中的20名(54%)抗丙型肝炎病毒抗体检测呈阳性。在所有人群中均未诊断出结核病和梅毒感染病例。对收集数据的分析提供了一些思考因素:病史较短的年轻尼日利亚妓女中艾滋病毒感染率较低(1.8%),且与无性传播疾病相关(由于使用了避孕套)。更普遍的情况是,她们是年轻健康的女性,可能在最初就被那些有意保护她们免受可能影响其工作的疾病侵害的人“筛选”出来。就吸毒者人群而言,艾滋病毒感染率明显高于我们科室观察到的意大利吸毒者,而且他们的生活方式阻碍了获得必要的治疗方法。