Sexually transmitted infections in HIV-infected people in Switzerland: cross-sectional study.

Sprenger, Katharina; Evison, John Marc; Zwahlen, Marcel; Vogt, Cedric M; Elzi, Maria Verena; Hauser, Christoph; Furrer, Hansjakob; Low, Nicola (2014). Sexually transmitted infections in HIV-infected people in Switzerland: cross-sectional study. PeerJ, 2, e537. PeerJ 10.7717/peerj.537

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Sexually transmitted infections (STI) in HIV-infected people are of increasing concern. We estimated STI prevalence and sexual healthcare seeking behaviour in 224 sexually active HIV-infected people, including men who have sex with men (MSM, n = 112), heterosexual men (n = 65) and women (n = 47). Laboratory-diagnosed bacterial STI were more common in MSM (Chlamydia trachomatis 10.7%; 95% CI 6.2, 18.0%, lymphogranuloma venereum 0.9%; 95% CI 0.1, 6.2%, Neisseria gonorrhoeae 2.7%; 95% CI 0.9, 8.0%, syphilis seroconversion 5.4%; 95% CI 2.0, 11.3%) than heterosexual men (gonorrhoea 1.5%; 95% CI 0.2, 10.3%) or women (no acute infections). Combined rates of laboratory-diagnosed and self-reported bacterial STI in the year before the study were: MSM (27.7%; 95% CI 21.1, 36.7%); heterosexual men (1.5%; 95% CI 0.2, 10.3%); and women (6.4%; 95% CI 2.1, 21.0%). Antibodies to hepatitis C virus were least common in MSM. Antibodies to herpes simplex type 2 virus were least common in heterosexual men. Most MSM, but not heterosexual men or women, agreed that STI testing should be offered every year. In this study, combined rates of bacterial STI in MSM were high; a regular assessment of sexual health would allow those at risk of STI to be offered testing, treatment and partner management.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine
04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Infectiology
04 Faculty of Medicine > Service Sector > Institute for Infectious Diseases

UniBE Contributor:

Sprenger, Katharina; Evison, John Marc; Zwahlen, Marcel; Elzi, Maria Verena; Hauser, Christoph; Furrer, Hansjakob and Low, Nicola

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services
500 Science > 570 Life sciences; biology

ISSN:

2167-8359

Publisher:

PeerJ

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

10 Nov 2014 10:30

Last Modified:

19 Mar 2015 15:40

Publisher DOI:

10.7717/peerj.537

PubMed ID:

25237598

Uncontrolled Keywords:

Chlamydia trachomatis, HIV infection, Hepatitis B, Hepatitis C, Herpes simplex type 2, Neisseria gonorrhoeae, Sexual health, Sexually transmitted diseases, Sexually transmitted infections, Syphilis

BORIS DOI:

10.7892/boris.59944

URI:

https://boris.unibe.ch/id/eprint/59944

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