Suligoi Barbara, Quaglio Gianluca, Regine Vincenza, Ramadani Naser, Bertinato Luigi, Cami Arben, Dentico Pietro, Volpe Anna, Figliomeni Mario, Camoni Laura, Putoto Giovanni, Rezza Giovanni
Epidemiology Unit, Department of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Scand J Infect Dis. 2009;41(8):608-13. doi: 10.1080/00365540903036204.
The objective of this study was to evaluate the seroprevalence of infection with HIV, herpes simplex virus type 2 (HSV-2), and Treponema pallidum (TP) in a Kosovarian population. A cross-sectional study was performed in Peja, Kosovo, from January to March 2005, among 1285 persons recruited at the Peja Hospital. The seroprevalence of HIV, HSV-2, and TP was evaluated, and the viral correlates for each infection were analysed. No HIV-positive cases were found. The seroprevalence of HSV-2 was 20.2%. The factors significantly associated with HSV-2 infection at the multivariate analysis were: female gender (adjusted OR, 1.73; 95% CI 1.24-2.41) and being married (adjusted OR, 1.46; 95% CI 1.06-2.01). Three persons (0.2%) had a positive serology for TP. The only risk factor associated with TP infection was age = 50 y. Our results show a low seroprevalence of HIV infection and TP, and a high seroprevalence of HSV-2 in Kosovo. These findings suggest the need for appropriate surveillance systems, prevention programmes, and information aimed at controlling the spread of HIV and other sexually transmitted infections in this area. Moreover, the circulation of infections acquired through sexual contact may facilitate an increase in the sexually transmitted HIV epidemic in the near future.
本研究的目的是评估科索沃人群中感染人类免疫缺陷病毒（HIV）、2型单纯疱疹病毒（HSV-2）和梅毒螺旋体（TP）的血清流行率。2005年1月至3月在科索沃佩贾对佩贾医院招募的1285人进行了一项横断面研究。评估了HIV、HSV-2和TP的血清流行率，并分析了每种感染的病毒相关性。未发现HIV阳性病例。HSV-2的血清流行率为20.2%。多因素分析中与HSV-2感染显著相关的因素为：女性（调整后的比值比，1.73；95%可信区间1.24-2.41）和已婚（调整后的比值比，1.46；95%可信区间1.06-2.01）。3人（0.2%）梅毒血清学检测呈阳性。与TP感染相关的唯一危险因素是年龄≥50岁。我们的结果显示，科索沃的HIV感染和TP血清流行率较低，而HSV-2血清流行率较高。这些发现表明需要建立适当的监测系统、预防方案以及提供旨在控制该地区HIV和其他性传播感染传播的信息。此外，通过性接触获得的感染传播可能会在不久的将来促使性传播的HIV疫情增加。
