Gir E, Duarte G, Martinez R, Moriya T M, Figueiredo J F, da Costa J C, Machado A A
Departamento de Enfermagem Geral e Especializada da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo, Brasil.
Rev Saude Publica. 1994 Apr;28(2):93-9. doi: 10.1590/s0034-89101994000200001.
This study was carried out in order to estimate the frequency of other sexually transmitted diseases (STD) among AIDS patients and to identify their epidemiological association and possible relations to the groups most exposed to the virus. The data were collected from the medical case histories and the STD were identified on the basis of data provided by anamnesis, physical examination and laboratory examinations. Of the total of HIV/AIDS patients assisted at the hospital studied (S. Paulo State, Brazil), between January 1986 and January 1992, 207 were included as sample subjects for this survey. Of the patients studied, 88 (42.5%) had some other STD and 119 (57.5%) had no other STD, equivalent to a proportion of 0.7 STD patients-STD to each non-STD patient. The most prevalent STD identified were hepatitis B (33.3%), syphilis (30.3%) and gonorrhoea (12.9%). Concerning the means of transmission by which the patients had probably been infected with HIV, blood transmission was the most prevalent (44.9%); followed by sexual contact (21.3%); sexual/blood (17.9%); in 25.9% it was undetermined. In a particular comparison of sexual and blood transmission and the presence of other STD a statistical difference in those cases that were exposed to sexual transmission was observed.
开展本研究是为了估计艾滋病患者中其他性传播疾病（STD）的发生率，并确定其流行病学关联以及与最易感染该病毒群体的可能关系。数据收集自病历，STD根据问诊、体格检查和实验室检查提供的数据进行识别。在1986年1月至1992年1月期间在研究医院（巴西圣保罗州）接受治疗的所有艾滋病毒/艾滋病患者中，207名被纳入本次调查的样本对象。在研究的患者中，88名（42.5%）患有其他某种STD，119名（57.5%）没有其他STD，相当于每例非STD患者对应0.7例STD患者。已识别出的最常见STD为乙型肝炎（33.3%）、梅毒（30.3%）和淋病（12.9%）。关于患者可能感染艾滋病毒的传播途径，血液传播最为普遍（44.9%）；其次是性接触（21.3%）；性接触/血液传播（17.9%）；25.9%的传播途径未确定。在对性传播和血液传播以及其他STD的存在进行的一项特定比较中，观察到性传播病例存在统计学差异。
