Bairy M Shreesha
Department of Dermatology, Venereology and Leprosy, JJM Medical College, Davanagere, Karnataka, India.
Indian J Sex Transm Dis AIDS. 2025 Jan-Jun;46(1):43-47. doi: 10.4103/ijstd.ijstd_11_25. Epub 2025 Jun 9.
Sexually transmitted infections (STIs) are a major public health problem worldwide, particularly in resource-limited countries. In India, while women are generally more vulnerable to STIs, male attendance in STI clinics is higher. The pattern of STIs varies regionally based on many factors. Being updated with the current trends helps in better policymaking.
To understand the clinical profile of STIs in males attending a tertiary care center in Karnataka over a period of 5 years.
A retrospective study was conducted by analyzing the clinical records of males attending the STI clinics of Chigateri General Hospital and Bapuji Hospital, affiliated with JJM Medical College in Davangere, Karnataka, from 2018 to 2023.
Among a total of 394 STI cases majority (68.8%) were males, with a male-to-female ratio of 2.2:1. Among them, the most common age group was 21-40 years (68.6%), majority (74.2%) were semi-skilled or unskilled workers, and mainly hailing from rural areas (63.5%). 58.7% of patients were married, 52% gave a history of extra-or premarital sex and about 10% of patients were men who have sex with men (MSM). Ulcerative STIs were more common (56.5%) with herpes genitalis (39.5%) the most common STI, followed by condyloma acuminata (21.77%). Co-infections with other STIs were seen in 2.2% of cases among which 1.85% were also HIV positive. The prevalence of HIV among all STI cases was 6.3%, while that among the MSM was 18.5%.
STIs still remain a significant public health problem. This study underscores the need for targeted STI management strategies, especially for high-risk groups, to improve public health outcomes. Data on clinical pattern of STIs, and HIV prevalence rates can help in appropriate allocation of public health resources and better management of STIs.
性传播感染（STIs）是全球主要的公共卫生问题，在资源有限的国家尤为突出。在印度，虽然女性通常更容易感染性传播感染，但男性到性传播感染诊所就诊的比例更高。性传播感染的模式因多种因素在不同地区有所差异。了解当前趋势有助于更好地制定政策。
了解卡纳塔克邦一家三级医疗中心5年来男性性传播感染的临床特征。
通过分析2018年至2023年期间在卡纳塔克邦达万杰雷市JJM医学院附属的奇加泰里综合医院和巴普吉医院性传播感染诊所就诊的男性临床记录，进行了一项回顾性研究。
在总共394例性传播感染病例中，大多数（68.8%）为男性，男女比例为2.2:1。其中，最常见的年龄组为21 - 40岁（68.6%），大多数（74.2%）为半熟练或非熟练工人，主要来自农村地区（63.5%）。58.7%的患者已婚，52%有婚外或婚前性行为史，约10%的患者为男男性行为者（MSM）。溃疡性性传播感染更为常见（56.5%），生殖器疱疹（39.5%）是最常见的性传播感染，其次是尖锐湿疣（21.77%）。2.2%的病例存在其他性传播感染合并感染，其中1.85%也为HIV阳性。所有性传播感染病例中HIV的患病率为6.3%，而在男男性行为者中为18.5%。
性传播感染仍然是一个重大的公共卫生问题。本研究强调需要针对性传播感染的管理策略，特别是针对高危人群，以改善公共卫生结果。性传播感染的临床模式数据以及HIV患病率可有助于合理分配公共卫生资源并更好地管理性传播感染。
