Tarin-Vicente E J, Sendagorta Cudos E, Servera Negre G, Falces Romero I, Ballesteros Martin J, Martin-Gorgojo A, Comunion Artieda A, Salas Marquez C, Herranz Pinto P
Servicio de Dermatología Medicoquirúrgica y Venereología, Hospital Universitario La Paz, Madrid, España.
Servicio de Dermatología Medicoquirúrgica y Venereología, Hospital Universitario La Paz, Madrid, España.
Actas Dermosifiliogr. 2022 Feb;113(2):115-122. doi: 10.1016/j.ad.2021.08.003. Epub 2021 Sep 13.
To describe changes in sexually transmitted infection (STI) diagnoses during the first wave of the COVID-19 pandemic in Spain.
We collected demographic, chronological, and clinical data for all patients seen for a possible STI at Hospital La Paz, Centro Sanitario Sandoval, and Centro de Diagnóstico Médico in Madrid and Hospital Costa del Sol in Malaga between March 14, 2020 and June 30, 2020.
We identified 674 STI diagnoses. The median age of the patients was 33 years. Most cases were observed among people aged 30 to 40 years and among men who have sex with men. The most common diagnoses were proctitis (36.5%), syphilis (16%), nongonococcal (13.3%) and gonococcal (11.3%) urethritis, genital herpes (8.8%), vulvovaginitis/cervicitis (8.3%), and genital warts (4.2%). A microbiologically confirmed diagnosis was on record for 77% of cases. The main microorganisms identified were (35.7%), (31.4%) and (17.2%). The number of STI diagnoses increased after the easing of lockdown restrictions, which resulted in greater freedom of movement and more consultations. On comparing the 2019 and 2020 STI registries from Centro Sanitario Sandoval and Hospital La Paz for the period March to June, we observed reductions (of up to 81%) in all STI diagnoses.
Physical distancing and movement restrictions appear to have resulted in a reduction in the incidence of STIs, although these measures did not completely eliminate sexual risk behaviors.
描述西班牙新冠疫情第一波期间性传播感染（STI）诊断的变化情况。
我们收集了2020年3月14日至2020年6月30日期间，在马德里的拉巴斯医院、桑多瓦尔卫生中心、医学诊断中心以及马拉加的太阳海岸医院，所有因可能感染性传播感染而就诊患者的人口统计学、时间顺序和临床数据。
我们共确定了674例性传播感染诊断病例。患者的中位年龄为33岁。大多数病例出现在30至40岁人群以及男男性行为者中。最常见的诊断为直肠炎（36.5%）、梅毒（16%）、非淋菌性（13.3%）和淋菌性（11.3%）尿道炎、生殖器疱疹（8.8%）、外阴阴道炎/宫颈炎（8.3%）以及尖锐湿疣（4.2%）。77%的病例有微生物学确诊记录。鉴定出的主要微生物为（35.7%）、（31.4%）和（17.2%）。封锁限制放宽后，性传播感染诊断数量增加，这导致行动自由度加大，咨询量增多。比较桑多瓦尔卫生中心和拉巴斯医院2019年和2020年3月至6月期间的性传播感染登记数据，我们发现所有性传播感染诊断病例数均有所减少（降幅高达81%）。
物理距离和行动限制似乎导致了性传播感染发病率的降低，尽管这些措施并未完全消除性风险行为。
