Bhattar Sonali, Bhalla Preena, Rawat Deepti, Tripathi Reva, Kaur Ravinder, Sardana Kabir
Senior Resident, Department of Microbiology, Maulana Azad Medical College , Delhi University, New Delhi, India .
Director Professor, Department of Microbiology, Maulana Azad Medical College , Delhi University, New Delhi, India .
J Clin Diagn Res. 2014 Oct;8(10):DC12-4. doi: 10.7860/JCDR/2014/10266.5049. Epub 2014 Oct 20.
Sexually transmitted infections (STIs) plays a major role in the spread of Human immunodeficiency virus (HIV) due to common route of transmission. These infections display an epidemiological synergy with HIV.
The aim of this study was to analyse the correlation of CD4 T lymphocyte cell count, HIV-1 plasma viral load with Reproductive tract infections/Sexually transmitted infections (RTIs/STIs) in HIV infected females.
The study included 60 HIV infected females. An informed consent was taken from all the study subjects. Relevant specimens (genital specimen and blood) were collected for laboratory diagnosis of various RTIs/STIs, CD4 cell count and plasma viral load estimation.
Mean CD4 count of females with bacterial vaginosis, vaginal candidiasis, trichomoniasis, syphilis and herpes simplex infection were lower as compared to other HIV infected cases and mean plasma viral load of bacterial vaginosis, vaginal candidiasis, trichomoniasis and syphilis were higher as compared to other HIV infected cases but this difference was not statistically significant.
This study highlights the importance of routine screening for STIs/RTIs of all the HIV infected females for RTIs/STIs irrespective of CD4 cell count and plasma viral load.
由于传播途径相同,性传播感染(STIs)在人类免疫缺陷病毒(HIV)传播中起主要作用。这些感染与HIV存在流行病学协同作用。
本研究旨在分析HIV感染女性中CD4 T淋巴细胞计数、HIV-1血浆病毒载量与生殖道感染/性传播感染(RTIs/STIs)之间的相关性。
该研究纳入60名HIV感染女性。所有研究对象均签署知情同意书。采集相关标本(生殖器标本和血液)用于各种RTIs/STIs的实验室诊断、CD4细胞计数及血浆病毒载量评估。
与其他HIV感染病例相比,患有细菌性阴道病、阴道念珠菌病、滴虫病、梅毒和单纯疱疹感染的女性的平均CD4计数较低,且患有细菌性阴道病、阴道念珠菌病、滴虫病和梅毒的女性的平均血浆病毒载量较高,但这种差异无统计学意义。
本研究强调了对所有HIV感染女性进行STIs/RTIs常规筛查的重要性,无论其CD4细胞计数和血浆病毒载量如何。