Oportunidades perdidas en la detección temprana de la infección por VIH en pacientes con infecciones de transmisión sexual: un estudio de vida real

IF 2.6 4区医学 Q3 INFECTIOUS DISEASES

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-03-01 DOI:10.1016/j.eimc.2023.08.003

José Ma. García de Lomas-Guerrero , Nicolás Jiménez-García , Fernando Fernández-Sánchez , Alfonso del Arco-Jiménez , José Luis Prada-Pardal , Javier de la Torre-Lima

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Abstract

Introduction

Sexually transmitted diseases such as cervicitis, proctitis and urethritis are associated with high rates of HIV infection. When these pathologies are suspected, HIV serology should be requested.

Material and methods

A Retrospective study was performed during 2018 at the Hospital Costa del Sol (Marbella, Málaga, Spain). HIV serologies requested in patients who were asked for PCR for Chlamydia trachomatis and Neisseria gonorrhoeae were reviewed.

Results

A total of 1818 patients were evaluated, in which HIV serology was performed in 44.7%, of which 14 (1.7%) were positive. The remaining 55.3% were missed diagnostic opportunities.

Conclusions

C. trachomatis and N. gonorrhoeae infections are associated with a high rate of occult HIV infection. The degree of suspicion of HIV in this population remains low and it is essential that it be reinforced in the presence of the possibility of infection by these pathologies.

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性传播感染患者在早期发现艾滋病毒感染时错失良机：一项现实生活研究

导言宫颈炎、直肠炎和尿道炎等性传播疾病与较高的 HIV 感染率有关。材料与方法 2018 年，西班牙太阳海岸医院（马拉加马贝拉）开展了一项回顾性研究。结果共对 1818 名患者进行了评估，其中 44.7% 的患者进行了 HIV 血清学检测，其中 14 例（1.7%）呈阳性。结论沙眼衣原体和淋球菌感染与较高的隐性 HIV 感染率有关。在这一人群中，对艾滋病病毒的怀疑程度仍然很低，因此，在有可能感染这些病原体的情况下，必须加强对艾滋病病毒的怀疑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermedades infecciosas y microbiologia clinica 医学-传染病学

CiteScore

2.10

自引率

8.00%

发文量

194

审稿时长

29 days

期刊介绍： Hoy está universalmente reconocida la renovada y creciente importancia de la patología infecciosa: aparición de nuevos agentes patógenos, de cepas resistentes, de procesos con expresión clínica hasta ahora desconocida, de cuadros de una gran complejidad. Paralelamente, la Microbiología y la Infectología Clínicas han experimentado un gran desarrollo como respuesta al reto planteado por la actual patología infecciosa. Enfermedades Infecciosas y Microbiología Clínica es la Publicación Oficial de la Sociedad Española SEIMC. Cumple con la garantía científica de esta Sociedad, la doble función de difundir trabajos de investigación, tanto clínicos como microbiológicos, referidos a la patología infecciosa, y contribuye a la formación continuada de los interesados en aquella patología mediante artículos orientados a ese fin y elaborados por autores de la mayor calificación invitados por la revista.