Vora Rita, Anjaneyan Gopikrishnan, Doctor Chirag, Gupta Rajat
Department of Dermatology, Pramukhswami Medical college, Karamsad, Gujarat, India.
Indian J Sex Transm Dis AIDS. 2011 Jul;32(2):86-9. doi: 10.4103/0253-7184.85410.
Sexually transmitted infections (STIs) promote Human immunodeficiency virus (HIV) transmission by augmenting HIV infectiousness and susceptibility. In our society, especially in rural areas, males are common visitors to STI clinic than females who are generally traced as a contact. This difference may be due to the asymptomatic nature of infections in females, lower awareness among women of need for availing medical facilities, or their frequent consultation in gynecological clinics instead of STI clinics.
To determine the prevalence, clinical profile, and the pattern of STIs in males and the prevalence of HIV infection in them at a rural-based tertiary care center.
A retrospective study of male cases attending STI clinic between January 2008 and December 2009 was carried out. Diseases were diagnosed on the basis of clinical morphology of the lesion, and HIV and Venereal disease research laboratory (VDRL) testing was done in all cases.
Of 23 433 male patients presenting at the Skin/VD department, 201 were diagnosed to have STI. Most common age group affected was 25 to 44 years (59.7%). Incidence of STI was high among married individuals (77.2%). Herpes genitalis was most common STI in 49 (24.37%) cases. Viral infections (herpes genitalis, genital warts, and molluscum contagiosum) accounted for 62.2% of cases. Prevalence of HIV in STI was 2.48%.
The persistent and recurrent nature of viral infections is responsible for their increasing trend in the current STI scenario. HIV and STIs are perfect examples of epidemiologic synergy as they are core transmitters of each other. STI being higher in married individuals further underlines the importance of contact tracing, counseling, and prompt management of the partners.
性传播感染（STIs）通过增强人类免疫缺陷病毒（HIV）的传染性和易感性来促进HIV传播。在我们的社会中，尤其是在农村地区，男性比女性更常去性传播感染诊所就诊，女性通常是作为接触者被追踪到的。这种差异可能是由于女性感染的无症状性质、女性对利用医疗设施需求的认识较低，或者她们经常在妇科诊所而非性传播感染诊所就诊。
在一家农村三级医疗中心确定男性性传播感染的患病率、临床特征和模式以及他们中HIV感染的患病率。
对2008年1月至2009年12月期间到性传播感染诊所就诊的男性病例进行回顾性研究。根据病变的临床形态进行疾病诊断，并对所有病例进行HIV和性病研究实验室（VDRL）检测。
在皮肤科/性病科就诊的23433名男性患者中，201人被诊断为患有性传播感染。受影响最常见的年龄组为25至44岁（59.7%）。已婚个体中性传播感染的发生率较高（77.2%）。生殖器疱疹是49例（24.37%）中最常见的性传播感染。病毒感染（生殖器疱疹、尖锐湿疣和传染性软疣）占病例的62.2%。性传播感染中HIV的患病率为2.48%。
病毒感染的持续性和复发性是其在当前性传播感染情况下呈上升趋势的原因。HIV和性传播感染是流行病学协同作用的完美例子，因为它们是彼此的核心传播者。已婚个体中性传播感染率较高进一步凸显了接触者追踪、咨询和对性伴侣及时管理的重要性。
