1
|
Chlamydia trachomatis re-infection in Spain: A STI clinic-based cohort study. Enferm Infecc Microbiol Clin 2016; 35:165-173. [PMID: 27743678 DOI: 10.1016/j.eimc.2016.08.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2016] [Revised: 08/22/2016] [Accepted: 08/23/2016] [Indexed: 11/21/2022]
Abstract
BACKGROUND Chlamydia trachomatis (C. trachomatis) is the most frequently reported sexually transmitted infection (STI) in developed countries, but there is a lack data on its incidence and population dynamics in Spain. The objectives of this study were to estimate the incidence of C. trachomatis in patients seeking medical attention in an STI clinic with a defined population catchment area, to identify factors associated with this infection, and to explore differences between factors associated with new infections and re-infections. METHODS A retrospective study was conducted on a cohort of patients from a STI clinic who underwent chlamydia testing at least twice between 2007 and 2015. RESULTS Of the 2633 patients who met study selection criteria, 795 (30.2%) tested positive for C. trachomatis at baseline (baseline Chlamydia). The overall incidence was 7.97/100 person-years (95% CI: 7.2-8.8): 5.9/100 person-years (95% CI: 5.2-6.7) among patients testing negative for C. trachomatis at baseline, and 18.3 person-years (95% CI: 15.6-21.5) among those testing positive at baseline. In multivariate analysis, the factors independently associated with overall incidence were a history of infection with C. trachomatis in the previous 6 months (hazard ratio=3.6; 95% CI: 2.3-5.4), younger age (HR <20 vs ≥35 years=5.5; 95% CI: 3.2-9.5), male sex, 2 or more sexual partners in the previous month and year, and inconsistent condom use. CONCLUSIONS Guidelines should be established for C. trachomatis in Spain, including recommendations on the need for follow-up and re-testing, independently of age. Though data concerning the optimal timing of re-testing are inconclusive, our findings support the establishment of a 3-6 month interval.
Collapse
|
2
|
Sexually Transmitted Infections: Experience in a Multidisciplinary Clinic in a Tertiary Hospital (2010-2013). ACTAS DERMO-SIFILIOGRAFICAS 2016. [DOI: 10.1016/j.adengl.2016.01.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
|
3
|
López-Corbeto E, González V, Bascunyana E, Humet V, Casabona J. [Trends and determinants factors of Chlamydia trachomatis genital infection in young people under 25 years. Catalonia 2007-2014]. Enferm Infecc Microbiol Clin 2015; 34:499-504. [PMID: 26706394 DOI: 10.1016/j.eimc.2015.11.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2015] [Revised: 11/06/2015] [Accepted: 11/09/2015] [Indexed: 10/22/2022]
Abstract
INTRODUCTION Chlamydia trachomatis (chlamydia) infection is the most common bacterial sexually transmitted diseases (STD). However, the prevalence among young people is unknown in our country. In 2007, the monitoring of the prevalence and behaviours related to acquiring it began in Catalonia in young people ≤25years. OBJECTIVES To determine and monitor the prevalence and determining factors of chlamydia among a young sexually active population ≤25years, treated in sexual and reproductive health care centras (CT/NG-ASSIR) and in prisons (CT/NG-Prisons). MATERIALS AND METHODS An analysis was performed on 6 cross-sectional data studies in two sentinel populations of young people from the period 2007-2014. Behavioural indicators were recorded and urine specimens were collected for analysis by PCR. The prevalence and trends are described, and the variables associated with infection were evaluated using multivariate logistic regression analysis. RESULTS The mean prevalence for CT/NG-ASSIR was 7.4%, with an upward trend (P=.174), and an increase of 46.5%. CT/NG-Prisons had a mean 8.0%, with an upward trend (P=.282), and an increase of 31.6%. Age and foreign origin are presented as risk factors in both populations. The concurrent sexual partners added to CT/NG-ASSIR and the time spent in prison to CT/NG-Prisons. DISCUSSION The results underscore the need for a more efficient approach to control activities related to chlamydia infection in Catalonia. Policies need to be strengthened to promote safer sexual behaviours and active case finding by opportunistic screening in less than 25year-old.
Collapse
Affiliation(s)
- Evelin López-Corbeto
- Centro de Estudios Epidemiológicos sobre las Infecciones de Transmisión Sexual y Sida de Cataluña (CEEISCAT), Agencia de Salud Pública de Cataluña (ASPC), Generalitat de Catalunya, Badalona, Barcelona, España; CIBER Epidemiología y Salud Pública (CIBERESP), España; Departmento de Medicina Preventiva y Salud Pública, Universitat Autònoma de Barcelona, Fundación Instituto de Investigación Germans Trias i Pujol (IGTP), Badalona, Barcelona, España; Programa de Doctorado en Salud Pública y Metodología de la Investigación Biomédica, Departamento de Pediatría, Obstetricia y Ginecología y de Medicina Preventiva y Salud Pública, Universidad Autónoma Barcelona, Bellaterra-Cerdanyola, Barcelona, España.
| | - Victoria González
- Centro de Estudios Epidemiológicos sobre las Infecciones de Transmisión Sexual y Sida de Cataluña (CEEISCAT), Agencia de Salud Pública de Cataluña (ASPC), Generalitat de Catalunya, Badalona, Barcelona, España; CIBER Epidemiología y Salud Pública (CIBERESP), España; Departmento de Medicina Preventiva y Salud Pública, Universitat Autònoma de Barcelona, Fundación Instituto de Investigación Germans Trias i Pujol (IGTP), Badalona, Barcelona, España; Servicio de Microbiología, Fundación Instituto de Investigación en Ciencias de la Salud Germans Trias i Pujol, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Barcelona, España
| | - Elisabeth Bascunyana
- CIBER Epidemiología y Salud Pública (CIBERESP), España; Departmento de Medicina Preventiva y Salud Pública, Universitat Autònoma de Barcelona, Fundación Instituto de Investigación Germans Trias i Pujol (IGTP), Badalona, Barcelona, España; Servicio de Microbiología, Fundación Instituto de Investigación en Ciencias de la Salud Germans Trias i Pujol, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Barcelona, España
| | - Victoria Humet
- Dirección General de Servicios Penitenciarios de Cataluña, Departament de Justícia, Generalitat de Catalunya, Barcelona, España
| | - Jordi Casabona
- Centro de Estudios Epidemiológicos sobre las Infecciones de Transmisión Sexual y Sida de Cataluña (CEEISCAT), Agencia de Salud Pública de Cataluña (ASPC), Generalitat de Catalunya, Badalona, Barcelona, España; CIBER Epidemiología y Salud Pública (CIBERESP), España; Departmento de Medicina Preventiva y Salud Pública, Universitat Autònoma de Barcelona, Fundación Instituto de Investigación Germans Trias i Pujol (IGTP), Badalona, Barcelona, España; Departamento de Pediatría, Obstetricia y Ginecología y de Medicina Preventiva y de Salud Pública, Universidad Autónoma de Barcelona, Bellaterra-Cerdanyola, Barcelona, España
| | | |
Collapse
|
4
|
Moreno-Ribera N, Fuertes-de Vega I, Blanco-Arévalo JL, Bosch-Mestres J, González-Cordón A, Estrach-Panella T, García-de Olalla P, Alsina-Gibert M. Sexually Transmitted Infections: Experience in a Multidisciplinary Clinic in a Tertiary Hospital (2010-2013). ACTAS DERMO-SIFILIOGRAFICAS 2015; 107:235-41. [PMID: 26708458 DOI: 10.1016/j.ad.2015.10.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Revised: 10/22/2015] [Accepted: 10/24/2015] [Indexed: 10/22/2022] Open
Abstract
INTRODUCTION The number of consultations for sexually transmitted infections (STIs) is increasing in Spain. The aim of this study was to describe and analyze the epidemiological, behavioral, clinical, and microbiological characteristics of patients registered at the STI unit of a tertiary hospital. METHODS This was a retrospective, single-center descriptive study carried out between 2010 and 2013 in a multidisciplinary unit specialized in STIs, situated in a tertiary hospital. Epidemiological, clinical, and behavioral data were gathered using a face-to-face interview and a standardized questionnaire. Samples were collected for microbiology analysis. RESULTS The study included 546 patients: 96% were men, 41% had human immunodeficiency virus (HIV) infection, and 56% were men who have sex with men. The reasons for consultation were the following: urethritis; genital, anal, or perianal ulcers; proctitis; oral ulcers; sexual contact with a person with a known STI; and high-risk sexual contact. The most common microbiological diagnoses were Neisseria gonorrhoeae in urethritis, Treponema pallidum in genital and anal or perianal ulcers, and Chlamydia trachomatis lymphogranuloma venereum serovars in proctitis. The highest prevalences of the main STIs studied occurred in homosexual men with HIV infection. CONCLUSION This study confirms the increase in the incidence of STIs in recent years and the epidemiological characteristics of the HIV/STI epidemic in Spain.
Collapse
Affiliation(s)
- N Moreno-Ribera
- Servicio de Dermatología, Hospital Clínic, Universitat de Barcelona, Barcelona, España
| | - I Fuertes-de Vega
- Servicio de Dermatología, Hospital Clínic, Universitat de Barcelona, Barcelona, España
| | - J L Blanco-Arévalo
- Servicio de Enfermedades Infecciosas, Hospital Clínic, Universitat de Barcelona, Barcelona, España
| | - J Bosch-Mestres
- Servicio de Microbiología, Hospital Clínic, Universitat de Barcelona, Barcelona, España
| | - A González-Cordón
- Servicio de Enfermedades Infecciosas, Hospital Clínic, Universitat de Barcelona, Barcelona, España
| | - T Estrach-Panella
- Servicio de Dermatología, Hospital Clínic, Universitat de Barcelona, Barcelona, España
| | - P García-de Olalla
- Servicio de Epidemiología, Agencia de Salud Pública de Barcelona, Barcelona, España
| | - M Alsina-Gibert
- Servicio de Dermatología, Hospital Clínic, Universitat de Barcelona, Barcelona, España.
| |
Collapse
|
5
|
Afrasiabi S, Moniri R, Samimi M, Khorshidi A, Mousavi SGA. The Prevalence of Endocervical Chlamydia trachomatis Infection Among Young Females in Kashan, Iran. Jundishapur J Microbiol 2015; 8:e15576. [PMID: 26034530 PMCID: PMC4449842 DOI: 10.5812/jjm.8(4)2015.15576] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2013] [Revised: 12/18/2013] [Accepted: 12/28/2013] [Indexed: 11/22/2022] Open
Abstract
Background: Chlamydia trachomatis is one of the major bacterial agents of the sexually transmitted diseases worldwide, especially among young females. There is no data regarding the prevalence of genital Chlamydia infection among young females in Kashan, Iran. Objectives: The current study aimed to determine the prevalence of endocervical C. trachomatis infection among females aged 17 - 35 years in Kashan, Iran. Patients and Methods: In the current descriptive study, 255 endocervical swab samples were collected from the obstetrics and gynecology clinics of Kashan, Iran from December 2012 to July 2013. Cervical swabs were placed in transport media and sent to the laboratory. To identify C. trachomatis in the samples Polymerase Chain Reaction (PCR) was performed to amplify a sequence in the cryptic plasmid, generating a fragment of about 512base pair. Demographic data was collected considering the relevant risk factors by a standard questionnaire. Results: A total of 255 females were tested. The prevalence of genital C. trachomatis was 2.4% (95% confidence interval [CI] 0.54% - 4.26%); 3.2% of the females in the ≤ 25-year-old group were positive versus 1.8% in the 26 - 35-year-old group. The most general presented symptoms of genital C. trachomatis infection were vaginal discharge (66.6%) and lumbar pain (50%). No significant relationships were found between C. trachomatis infection and the risk factors. Conclusions: To the authors’ knowledge this is the first study to describe endocervical C. trachomatis infection in this area. The obtained results also emphasized the importance of routine diagnosis of C. trachomatis to control of the infection.
Collapse
Affiliation(s)
- Shima Afrasiabi
- Department of Microbiology and Immunology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, IR Iran
| | - Rezvan Moniri
- Department of Microbiology and Immunology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, IR Iran
- Corresponding author: Rezvan Moniri, Department of Microbiology and Immunology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, IR Iran. Tel: +98-3615550021, Fax: +98-3615551112, E-mail:
| | - Mansoreh Samimi
- Department of Gynecology and Obstetrics, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, IR Iran
| | - Ahmad Khorshidi
- Department of Microbiology and Immunology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, IR Iran
| | | |
Collapse
|
6
|
Occhionero M, Paniccia L, Pedersen D, Rossi G, Mazzucchini H, Entrocassi A, Gallo Vaulet L, Gualtieri V, Rodríguez Fermepin M. [Prevalence of Chlamydia trachomatis infection and factors with the risk of acquiring sexually transmitted infections in college students]. Rev Argent Microbiol 2015; 47:9-16. [PMID: 25683522 DOI: 10.1016/j.ram.2014.11.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2014] [Revised: 11/13/2014] [Accepted: 11/26/2014] [Indexed: 11/15/2022] Open
Abstract
Chlamydia trachomatis genital infection is nowadays considered one of the most frequent causes of sexually transmitted infections (STI) in the world, mainly affecting the group of young people under 25 years old. The aim of this study was to determine the prevalence of C. trachomatis infection in newly admitted students to Universidad Nacional del Sur, Bahía Blanca, Argentina, and to evaluate the risk factors to acquire STI. For that purpose, 204 young college students with a mean age of 19 were involved in this study. Each participant delivered a sample of first-void urine and completed a questionnaire which was then submitted anonymously. The research for C. trachomatis was done on 114 valid samples through a technique of DNA amplification, whose molecular target was the gene ompA. Four cases of infection by C. trachomatis were detected with a prevalence of 3.5%. The risks factors associated to the infection were a history of 7 or more partners since the start of sexual activity and contact with a new sexual partner in the last 4 months. The prevalence of such infection reflects a moderate circulation of this microorganism in the studied population. This fact, along with some aspects shown by the questionnaire results, would characterize a population having a low risk profile for acquiring STIs. However, some other information obtained from the questionnaires gave some opposite evidence, which would alert us on the need of keeping watch, raising awareness and implementing preventive actions in this population.
Collapse
Affiliation(s)
- Marcelo Occhionero
- Cátedra de Bacteriología y Micología, Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur, Bahía Blanca, Argentina.
| | - Laura Paniccia
- Cátedra de Bacteriología y Micología, Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur, Bahía Blanca, Argentina
| | - Dina Pedersen
- Cátedra de Bacteriología y Micología, Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur, Bahía Blanca, Argentina
| | - Gabriela Rossi
- Cátedra de Bacteriología y Micología, Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur, Bahía Blanca, Argentina
| | - Héctor Mazzucchini
- Cátedra de Bacteriología y Micología, Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur, Bahía Blanca, Argentina
| | - Andrea Entrocassi
- Unidad de Estudios de Chlamydiae y otras infecciones del Tracto Genital, Departamento de Bioquímica Clínica, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina
| | - Lucia Gallo Vaulet
- Unidad de Estudios de Chlamydiae y otras infecciones del Tracto Genital, Departamento de Bioquímica Clínica, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina
| | - Valeria Gualtieri
- Unidad de Estudios de Chlamydiae y otras infecciones del Tracto Genital, Departamento de Bioquímica Clínica, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina
| | - Marcelo Rodríguez Fermepin
- Unidad de Estudios de Chlamydiae y otras infecciones del Tracto Genital, Departamento de Bioquímica Clínica, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina
| |
Collapse
|
7
|
Corbeto EL, Gonzalez V, Lugo R, Almirall MR, Espelt R, Avecilla A, González I, Campo I, Arranz E, Casabona J. Discordant prevalence of Chlamydia trachomatis in asymptomatic couples screened by two screening approaches. Int J STD AIDS 2014; 26:27-32. [DOI: 10.1177/0956462414528686] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study was carried out to observe the effect of screening both members of an asymptomatic couple for Chlamydia trachomatis. First void urine samples were collected from 105 women and their male sex partners. Women were recruited for screening at a sexual health clinical setting (age 16–25 years), and home sampling screening options were used for men. Using PCR we detected seven positive C. trachomatis samples in women (6.6%) and five in men (4.6%). The concordant infection rate was 33% (3/9 couples). Routine urine screening of the female partner might result in substantial underestimation of the C. trachomatis prevalence within the couple, where perhaps 56% of the couples where at least one partner tested positive would remain undiagnosed. Screening both partners compared with women- or men-only screening increased the detection rate of positive couples. Furthermore, the use of alternative screening approaches in different clinical settings increases testing in at risk populations.
Collapse
Affiliation(s)
- Evelin L Corbeto
- Centre for Epidemiological Studies on HIV/STI in Catalonia (CEEISCAT), Institut Catala d'Oncologia (ICO), Agencia de Salut Publica de Catalunya (ASPC), Generalitat de Catalunya, Badalona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
- Department of Paediatrics, Obstetrics and Gynaecology, and Preventive Medicine, Univ Autonoma Barcelona, Bellaterra, Cerdanyola, Spain
| | - Victoria Gonzalez
- Centre for Epidemiological Studies on HIV/STI in Catalonia (CEEISCAT), Institut Catala d'Oncologia (ICO), Agencia de Salut Publica de Catalunya (ASPC), Generalitat de Catalunya, Badalona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
- Microbiology Service, Fundacio Institut d'Investigacio en Ciencies de la Salut Germans Trias i Pujol, Hospital Universitari Germans Trias i Pujol, Univ Autonoma Barcelona, Badalona, Spain
| | - R Lugo
- Centre for Epidemiological Studies on HIV/STI in Catalonia (CEEISCAT), Institut Catala d'Oncologia (ICO), Agencia de Salut Publica de Catalunya (ASPC), Generalitat de Catalunya, Badalona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - Ma Rosa Almirall
- Sexual and Reproductive Health Centre, ASSIR Esquerre, Barcelona, Spain
| | - Ramon Espelt
- Sexual and Reproductive Health Centre, CAP Sant Fèlix, Sabadell, Spain
| | | | - Isabel González
- Sexual and Reproductive Health Centre Mataró-Maresme, Mataró, Spain
| | - Imma Campo
- Youth Health Centre for Contraception and Sexuality (CJAS), Barcelona, Spain
| | | | - Jordi Casabona
- Centre for Epidemiological Studies on HIV/STI in Catalonia (CEEISCAT), Institut Catala d'Oncologia (ICO), Agencia de Salut Publica de Catalunya (ASPC), Generalitat de Catalunya, Badalona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
- Department of Paediatrics, Obstetrics and Gynaecology, and Preventive Medicine, Univ Autonoma Barcelona, Bellaterra, Cerdanyola, Spain
| | | |
Collapse
|
8
|
Folch C, Casabona J, Sanclemente C, Esteve A, González V. [Trends in HIV prevalence and associated risk behaviors in female sex workers in Catalonia (Spain)]. GACETA SANITARIA 2014; 28:196-202. [PMID: 24393261 DOI: 10.1016/j.gaceta.2013.11.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2013] [Revised: 11/19/2013] [Accepted: 11/21/2013] [Indexed: 12/01/2022]
Abstract
OBJECTIVES To describe trends in HIV prevalence, sexual risk behaviors and other sexual health indicators in female sex workers (SW) from 2005 to 2011. METHODS Cross-sectional studies were conducted biennially among SW recruited in Catalonia (Spain) in the street, flats and clubs (n = 400). In addition to an anonymous questionnaire, oral fluid samples were collected to estimate HIV prevalence. Linear trends in proportions were assessed by the Mantel test. RESULTS The percentage of SW who used condoms inconsistently with clients (past 6 months) increased from 5.1% in 2005 to 9.9% in 2011 (p = 0.005); this percentage also increased with steady partners (86.2% in 2005 to 94.4% in 2011, p = 0.002). The prevalence of self-reported sexually transmitted infections (STI) increased from 14% in 2005 to 20.6% in 2011 (p = 0.001). The prevalence of HIV held constant over the years (about 2%), being higher in Spanish women (14.7% in 2011). DISCUSSION The prevalence of HIV in SW remained stable over the years, being higher in Spanish SW. The increase in unprotected sex and in the prevalence of self-reported STI among SW from 2005 to 2011 highlights a possible relaxation in preventive behaviors in this group. Interventions to reduce the transmission of these infections, as well as unwanted pregnancies, should continue in Catalonia in SW.
Collapse
Affiliation(s)
- Cinta Folch
- Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Institut Català d'Oncologia (ICO), Agència de Salut Pública de Catalunya (ASPC), Generalitat de Catalunya, Badalona (Barcelona), España; CIBER de Epidemiología y Salud Pública (CIBERESP), España.
| | - Jordi Casabona
- Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Institut Català d'Oncologia (ICO), Agència de Salut Pública de Catalunya (ASPC), Generalitat de Catalunya, Badalona (Barcelona), España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Departament de Pediatria, d'Obstetrícia i Ginecologia i de Medicina Preventiva i de Salut Pública, Facultat de Medicina, Universitat Autònoma de Barcelona, Barcelona, España
| | | | - Anna Esteve
- Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Institut Català d'Oncologia (ICO), Agència de Salut Pública de Catalunya (ASPC), Generalitat de Catalunya, Badalona (Barcelona), España; CIBER de Epidemiología y Salud Pública (CIBERESP), España
| | - Victoria González
- Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Institut Català d'Oncologia (ICO), Agència de Salut Pública de Catalunya (ASPC), Generalitat de Catalunya, Badalona (Barcelona), España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Servicio de Microbiología, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), España
| | | |
Collapse
|
9
|
Fernández-Benítez C, Mejuto-López P, Otero-Guerra L, Margolles-Martins MJ, Suárez-Leiva P, Vazquez F. Prevalence of genital Chlamydia trachomatis infection among young men and women in Spain. BMC Infect Dis 2013; 13:388. [PMID: 23968487 PMCID: PMC3765329 DOI: 10.1186/1471-2334-13-388] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2013] [Accepted: 08/16/2013] [Indexed: 11/24/2022] Open
Abstract
Background There are no accurate data regarding the real prevalence of Chlamydia trachomatis infection in Spain. Our aim was to determine the prevalence of C. trachomatis infections and the risk factors for acquiring them among 1,048 young (15–24 years old) inhabitants of Laviana. Methods The study was completed in the period between 1st November 2010 and 31st December 2011. We conducted a capture strategy in the whole population, instead of only in a sample group, with a capture conducted in schools, in the local health centre, by post and by phone as a last resort. The design was based on the model used by Shafer to increase screening rates. C. trachomatis was identified by RT-PCR in urine samples. Results A total of 487 sexually active people underwent the test, which implies a response rate of 59.8% of the sexually active people (target population). The prevalence was 4.1% (CI 95%: 3.1-5.8): women: 4% ( CI 95%; 2.8-6.4) and men: 4.3% (CI 95%: 2.9-7.2). The circulating genotype was the E genotype. There was an increase in the risk of C. trachomatis infection when barrier contraceptives were not routinely used OR: 4.76 (CI 95%:1.30-17.36) p<0.05. Conclusions In our study the prevalence in women resembles those found in other countries in Europe and the prevalence in men is similar to that in women. Screening for C. trachomatis infection in women would be cost-effective in Spain given the prevalence of C. trachomatis measured by this study. The use of a condom is the best preventative measure for avoiding STIs in sexually active people.
Collapse
|
10
|
López Corbeto E, Carnicer-Pont D, Lugo R, Gonzalez V, Bascuñana E, Lleopart N, Barbero L, Humet V, Casabona J. [WITHDRAWN: Prevalence and associated factors of Chlamydia trachomatis infection in young prisoners of Catalonia, Spain.]. Med Clin (Barc) 2012:S0025-7753(12)00137-6. [PMID: 22440143 DOI: 10.1016/j.medcli.2012.01.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2011] [Revised: 01/09/2012] [Accepted: 01/10/2012] [Indexed: 11/22/2022]
Affiliation(s)
- Evelin López Corbeto
- Centro de Estudios Epidemiológicos sobre las Infecciones de Transmisión Sexual y Sida de Cataluña (CEEISCAT), Institut Catalàd'Oncologia/Department de Salut, Generalitat de Catalunya, Barcelona, España; Consorcio de Investigación Biomédica de Epidemiología y Salud Pública (CIBERESP), España; Departamento de Medicina Preventiva y Salud Pública, Universidad Autónoma de Barcelona, Bellaterra, Barcelona, España.
| | | | | | | | | | | | | | | | | |
Collapse
|
11
|
Vázquez F. [The increase in sexually transmitted infections in the XXI century: new challenges and appearance of new diseases]. Enferm Infecc Microbiol Clin 2011; 29:77-8. [PMID: 21334781 DOI: 10.1016/j.eimc.2010.11.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2010] [Accepted: 11/05/2010] [Indexed: 10/18/2022]
|