DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20184724

Sexually transmitted infections among HIV positive patients: a five year retrospective study

N. Saravanan, Murugan Swamiappan, Rajkumar Kannan, G. Arul Raja

Abstract


Background: Sexually transmitted infections (STIs) are the most well established risk factors for the spread of HIV infection. STIs act as cofactors and facilitators for HIV transmission. The effects of HIV infection on immunity can increase susceptibility to other STIs. The aims and objectives of the study were to determine the prevalence of co-infection of sexually transmitted infections among people living with HIV and AIDS.

Methods: A retrospective chart review of the data collected from the clinical records of all HIV patients who had attended the STI clinic of Chengalpattu Medical College, Chengalpattu, Tamil Nadu during the five years period, from January 2013 to December 2017, was carried out. Demographic data, clinical manifestations, co-infection of STIs among HIV patients, laboratory investigations and treatment were collected. The data collected were computed and analyzed statistically.

Results: During the study period of 5 years from 2013 to 2017 the total number of patients attended the STI clinic were 10825, among that males were 4534 (41.88%) and females were 6291 (58.12%). STIs/RTIs were seen in 2560 (23.65%) cases among the total number of patients attended. HIV was found to be positive in 294 cases, in that 168 (57.15%) were males and 126 (42.85%) were females. In male HIV patients, 51 (30.36%) had co-infection with other STIs/RTIs. In female HIV patients, 57 (45.24) % had co-infection with other STIs/RTIs. Viral STIs was the common co-infection seen in males and vaginal cervical discharge was common in females.

Conclusions: STI/RTI co-infection, both symptomatic and asymptomatic are common among PLHIV. Hence they should be regularly counselled regarding the significance of periodic screening for STI/RTIs avoidance of high risk sexual behaviour.


Keywords


Sexually transmitted infections, HIV, Cofactor, Asymptomatic

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References


World Health Organization. Global Health Sector Strategy On Sexually Transmitted Infections 2016–2021. Towards Ending STIs: Geneva, 2016.

UNAIDS. Global AIDS update, 2016. http://www.unaids.org/sites/default/files/media_asset/global-AIDS-update-2016_en.pdf. Accessed on 8 April 2018.

India HIV estimations 2015, technical report. National AIDS control organisation & national institute of medical statistics, ICMR, ministry of health and family welfare. New Delhi: Government of India. 2015: 2-3.

Wasserheit J. Epidemiological synergy. Interrelationships between human immunodeficiency virus infection and other sexually transmitted diseases. Sex Transm Dis. 1992: 61-77.

Fleming DT, Wasserheit JN. From epidemiological synergy to public health policy and practice: The contribution of other sexually transmitted diseases to sexual transmission of HIV infection. Sex Transm Infect. 1999;75:3-17.

Galvin SR, Cohen MS. The role of sexually transmitted diseases in HIV transmission. Nat Rev Microbiol. 2004;2:33–42.

Ward H, Ronn M. Contribution of STIs to the sexual transmission of HIV. CurrOpin HIV AIDS. 2010;5(4):305–10.

Sardana K, Sehgal VN. Genital ulcer disease and human immunodeficiency virus: a focus. Int J Dermatol. 2005;44(5):391-405.

Kalichman SC, Pellowski J, Turner C. Prevalence of sexually transmitted co-infections in people living with HIV/AIDS: systematic review with implications for using HIV treatments for prevention. Sex Transm Infect. 2011;87(3):183–90.

Collis TK, Celum CL. The clinical manifestations and treatment of sexually transmitted diseases in human immunodeficiency virus-positive men. Clin Infect Dis. 2001;32(4):611-22.

Vibhu M, Ravindra K, Bhawna H. Profile of Sexually transmitted Infections in HIV positive patients – a Retrospective study. Indian J Sex Transm Dis. 2004;25:18.

WHO. Essential Prevention and Care Interventions for Adults and Adolescents Living With HIV in Resource-Limited Settings. 2008. Available at: http://www.who.int/entity/hiv/pub/prev_care/OMS_EPP_AFF_en.pdf. Accessed on 22 July 2018.

Annual report 2016 17. Department of AIDS Control. National AIDS Control Organization. Ministry of Health & Family Welfare. Government of India. Available at: http://www.naco.gov.in/ sites/default/files/NACO%20ANNUAL%20REPORT%202016 17.pdf. Accessed on 22 July 2018.

Marfatia YS, Shah RJ, Baxi RR, Surani A. Epidemiological, clinical, and immunological profile of cases at thetime of HIV testing (a clinic-based observational cross-sectional study). Indian J Sex Transm Dis. 2018;39:7-12.

Thappa DM, Singh S, Singh A. HIV infection and sexually transmitted diseases in a referral STD Centre in South India. Sex Transm Infect. 1999;75:191.

Chopra D, Sandhu I, Bahl RK, Bhatia R, Goyal A. Prevalence of sexually transmitted infections in HIV positive and HIV negative females, in a tertiary care hospital - An observational study. Indian J Sex Transm Dis. 2015;36:59-63.

Sharma A, Marfatia YS, Modi M. Reproductive tract infections in HIV positive women: A case control study. Indian J Sex Transm Dis. 2009;30:16-8.