Suresh Archana, Jose Reeshma, Sasidharanpillai Sarita, Chathoth Anuradha Thalian, Ajithkumar Kidangazhiathmana
Department of Dermatology and Venereology, Government Medical College, Kozhikode, Kerala, India.
Department of Health Services, Taluk Hospital, Thamarassery, Kozhikode, Kerala, India.
Indian J Dermatol Venereol Leprol. 2023 Jan-Frebuary;89(1):60-64. doi: 10.25259/IJDVL_1038_18.
Worldwide, a declining trend is observed in sexually transmitted infections of bacterial origin which is reflected as a rise in the proportion of viral sexually transmitted infections.
To find out the clinical referral patterns of sexually transmitted infections among patients who attended the sexually transmitted infection clinic attached to Dermatology and Venereology Department of Government Medical College, Kozhikode from 1.1.1998 to 31.12.2017 and to study the linear trends in the pattern of sexually transmitted infections over 20 years.
After clearance from the institutional ethics committee, a retrospective study was conducted among patients who attended the sexually transmitted infection clinic of Government Medical College, Kozhikode from 1.1.1998 to 31.12.2017 and were diagnosed to have sexually transmitted infections.
During the 20 year study period 5227 patients, attended the sexually transmitted infection clinic of our institution. Diagnosis of sexually transmitted infection was made in 2470 (47.3%) cases. Predominant sexually transmitted infections were herpes genitalis (964, 39%), condyloma acuminata (921, 37.9%) and syphilis (418, 17.2%). Viral sexually transmitted infections (1885, 76.3%) outnumbered bacterial sexually transmitted infections (575, 23.3%). A declining trend was noted for both bacterial and viral sexually transmitted infections over the 20 year period, which was more marked for the former. But the latter years of the study documented a rising trend in total sexually transmitted infections including bacterial sexually transmitted infections.
The study does not reflect the status of sexually transmitted infections in the general population since it was conducted in a tertiary referral center.
The disturbing ascending trend recorded in sexually transmitted infections including syphilis during the final years of the 20-year period needs to be watched closely, to plan future strategies.
在全球范围内，细菌性性传播感染呈下降趋势，这表现为病毒性性传播感染比例的上升。
了解1998年1月1日至2017年12月31日期间在科泽科德政府医学院皮肤病与性病科附属的性传播感染诊所就诊的患者中性传播感染的临床转诊模式，并研究20年来性传播感染模式的线性趋势。
经机构伦理委员会批准后，对1998年1月1日至2017年12月31日期间在科泽科德政府医学院性传播感染诊所就诊且被诊断为患有性传播感染的患者进行了一项回顾性研究。
在20年的研究期间，有5227名患者到我们机构的性传播感染诊所就诊。2470例（47.3%）被诊断为性传播感染。主要的性传播感染为生殖器疱疹（964例，39%）、尖锐湿疣（921例，37.9%）和梅毒（418例，17.2%）。病毒性性传播感染（1885例，76.3%）的数量超过细菌性性传播感染（575例，23.3%）。在20年期间，细菌性和病毒性性传播感染均呈下降趋势，前者更为明显。但研究的后几年记录了包括细菌性性传播感染在内的总性传播感染呈上升趋势。
该研究未反映普通人群中性传播感染的状况，因为它是在三级转诊中心进行的。
在20年期间的最后几年中，包括梅毒在内的性传播感染出现的令人不安的上升趋势需要密切关注，以便制定未来的策略。
