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Luigi R, Stefania S, Francesca I, Federica R, Fiore BD, Annalisa S, Francesco DG, Eugenio M, Mandorino M, Adriana M, Eleonora S, Carmela DC, Lucia N, Enrica R, Michele M, Maria Teresa M, Raffaele DP. HPV and Covid-19 Era: effects of nonpharmaceutical interventions on HPV transmission. Pathog Glob Health 2023; 117:735-743. [PMID: 37533358 PMCID: PMC10614711 DOI: 10.1080/20477724.2023.2239052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/04/2023] Open
Abstract
Human papillomavirus (HPV) is considered the commonest viral cause of sexually transmitted infections. The impact of social distance measures due to Covid-19 pandemic on HPV spread is unknown. Therefore, this study has analyzed the seven-year trend of HPV prevalence in all patients tested for HPV DNA at the Microbiology and Virology Unit at Bari Policlinico. Moreover, the HPV prevalence in 2020 has been compared with the previous year ones in order to evaluate the consequences of lockdown and social distancing measures on transmission risks. From 2013 to 2020, we retrospectively analyzed 64 anal swabs, 418 biopsies, 5925 cervical-vaginal swabs, 512 cervical swabs, 104 gland swabs, 154 oral swabs, 21 seminal fluids and 503 urethral swabs. HPV DNA detection was initially performed using nested-polymerase chain reaction (PCR) and subsequently multiplex real-time PCR assay. All statistical tests were carried out by the open-source environment R 4.0.3 (R Core Team). The data were analyzed according to yearly positivity rates, temporal trend and prevalence of HPV genotypes (HPV-6, HPV-11, HPV-16, HPV-18, high risk and low risk) by age category and sex. The number of patients increased steadily from 2016 to 2019 and then decreased in 2020. There were significant differences in prevalence between females and males for HPV-6 (6.16% in females Vs 30.80% in males), HPV-11 (0.82% Vs 7.16%) and HPV-16 (7.77% Vs 5.01%). The prevalence of HPV-6 and HPV-11 significantly increased in 2020 compared to 2013-2019 (15.72% Vs 8.52 and 3.18% Vs 1.44%). On the contrary, the overall prevalence of HPV DNA remained constant in 2020 (52.84% Vs 48.44%). Over time, the prevalence of HPV DNA (Coefficient=-0.020, p-value = 0.036) and particularly high-risk genotypes (Coefficient=-0.030, p-value = 0.005) decreased in females, while low-risk genotypes (Coefficient = 0.141, p-value= < 0.001) and the prevalence of HPV DNA increased in males (Coefficient = 0.068, p-value = 0.008). During the pandemic, the number of screened patients declined, although HPV prevalence compared to 2013-2019 remained constant or increased as in the case of low-risk genotypes. It can be assumed that the reduction of the screening coverage favored the emerging of the more symptomatic low-risk infections. In conclusion, nonpharmaceutical interventions due to Covid-19 pandemic did not reduce the risk of HPV infection but it likely caused a decrease in access to health services resulting in an increased risk of undiagnosed HPV.
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Affiliation(s)
- Ronga Luigi
- Microbiology and Virology, UOC, Azienda Ospedaliero-Universitaria Policlinico, Bari, Italy
| | - Stolfa Stefania
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Indraccolo Francesca
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Romanelli Federica
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Bavaro Davide Fiore
- Clinic of Infectious Diseases, Department of Biomedical Sciences and Human Oncology, Bari “Aldo Moro” University, Bari, Italy
| | - Saracino Annalisa
- Clinic of Infectious Diseases, Department of Biomedical Sciences and Human Oncology, Bari “Aldo Moro” University, Bari, Italy
| | - Di Gennaro Francesco
- Clinic of Infectious Diseases, Department of Biomedical Sciences and Human Oncology, Bari “Aldo Moro” University, Bari, Italy
| | - Milano Eugenio
- Clinic of Infectious Diseases, Department of Biomedical Sciences and Human Oncology, Bari “Aldo Moro” University, Bari, Italy
| | - Manuela Mandorino
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Mosca Adriana
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Sparapano Eleonora
- Microbiology and Virology, UOC, Azienda Ospedaliero-Universitaria Policlinico, Bari, Italy
| | - De Carlo Carmela
- Microbiology and Virology, UOC, Azienda Ospedaliero-Universitaria Policlinico, Bari, Italy
| | - Nisi Lucia
- Microbiology and Virology, UOC, Azienda Ospedaliero-Universitaria Policlinico, Bari, Italy
| | - Ranieri Enrica
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Mastria Michele
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Montagna Maria Teresa
- Hygiene Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Del Prete Raffaele
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
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Sonubi T, Sheik-Mohamud D, Ratna N, Bell J, Talebi A, Mercer CH, Sinka K, Migchelsen SJ, Folkard K, Mohammed H. STI testing, diagnoses and online chlamydia self-sampling among young people during the first year of the COVID-19 pandemic in England. Int J STD AIDS 2023; 34:841-853. [PMID: 37287231 PMCID: PMC10251181 DOI: 10.1177/09564624231180641] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Accepted: 05/22/2023] [Indexed: 06/09/2023]
Abstract
PURPOSE COVID-19 control measures reduced face-to-face appointments at sexual health services (SHSs). Remote access to SHSs through online self-sampling was increased. This analysis assesses how these changes affected service use and STI testing among 15-24 year olds ('young people') in England. METHODS Data on all chlamydia, gonorrhoea and syphilis tests from 2019-2020, among English-resident young people were obtained from national STI surveillance datasets. We calculated proportional differences in tests and diagnoses for each STI, by demographic characteristics, including socioeconomic deprivation, between 2019-2020. Binary logistic regression was used to determine crude and adjusted odds ratios (OR) between demographic characteristics and being tested for chlamydia by an online service. RESULTS Compared to 2019, there were declines in testing (chlamydia-30%; gonorrhoea-26%; syphilis-36%) and diagnoses (chlamydia-31%; gonorrhoea-25%; syphilis-23%) among young people in 2020. Reductions were greater amongst 15-19 year-olds vs. 20-24 year-olds. Amongst people tested for chlamydia, those living in the least deprived areas were more likely to be tested using an online self-sampling kit (males; OR = 1.24 [1.22-1.26], females; OR = 1.28 [1.27-1.30]). CONCLUSION The first year of the COVID-19 pandemic in England saw declines in STI testing and diagnoses in young people and disparities in the use of online chlamydia self-sampling which risk widening existing health inequalities.
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Affiliation(s)
- Tamilore Sonubi
- Blood Safety, Hepatitis, Sexually Transmitted Infections (STI) and HIV Division, UK Health Security Agency, London, UK
| | - Dahir Sheik-Mohamud
- Blood Safety, Hepatitis, Sexually Transmitted Infections (STI) and HIV Division, UK Health Security Agency, London, UK
| | - Natasha Ratna
- Blood Safety, Hepatitis, Sexually Transmitted Infections (STI) and HIV Division, UK Health Security Agency, London, UK
| | - James Bell
- Blood Safety, Hepatitis, Sexually Transmitted Infections (STI) and HIV Division, UK Health Security Agency, London, UK
| | - Alireza Talebi
- Blood Safety, Hepatitis, Sexually Transmitted Infections (STI) and HIV Division, UK Health Security Agency, London, UK
| | - Catherine H Mercer
- Institute for Global Health, University College London, London, UK
- The National Institute for Health Research Health Protection Research Unit in Blood Borne and Sexually Transmitted Infections at University College London in partnership with UK Health Security Agency, London, UK
| | - Katy Sinka
- Blood Safety, Hepatitis, Sexually Transmitted Infections (STI) and HIV Division, UK Health Security Agency, London, UK
| | - Stephanie J Migchelsen
- Blood Safety, Hepatitis, Sexually Transmitted Infections (STI) and HIV Division, UK Health Security Agency, London, UK
| | - Kate Folkard
- Blood Safety, Hepatitis, Sexually Transmitted Infections (STI) and HIV Division, UK Health Security Agency, London, UK
| | - Hamish Mohammed
- Blood Safety, Hepatitis, Sexually Transmitted Infections (STI) and HIV Division, UK Health Security Agency, London, UK
- The National Institute for Health Research Health Protection Research Unit in Blood Borne and Sexually Transmitted Infections at University College London in partnership with UK Health Security Agency, London, UK
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López Corbeto E, Lugo Colón R, Montoro Fernández M, Casabona Barbara J. [Epidemiological situation of post-pandemic sexually transmitted infections in Catalonia, Spain]. Med Clin (Barc) 2023; 161:95-100. [PMID: 37244853 PMCID: PMC10209783 DOI: 10.1016/j.medcli.2023.03.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 03/16/2023] [Accepted: 03/16/2023] [Indexed: 05/29/2023]
Abstract
BACKGROUND The growing trend of STIs in recent years was altered after the outbreak of the SARS-CoV-2 pandemic. OBJECTIVES Describe the impact of the SARS-CoV-2 pandemic on STI declarations received during the pre-pandemic to pandemic period and estimate the number of STI cases expected for the pandemic period. MATERIAL AND METHODS Descriptive analysis of STI declarations received during the pre-pandemic (2018-2019) and pandemic (2020-2021) periods. The influence of the number of positive cases of SARS-CoV-2 with the number of positive cases of STIs during the months of the pandemic was studied using a correlation model. Using the Holt-Wilson time series model, an estimate was made of the number of STI cases expected for the pandemic period. RESULTS The global incidence rate for all STIs in 2020 decreased by 18.3% compared to 2019. Chlamydia and syphilis presented a greater reduction in their incidence from 2019 to 2020 of 22.7% and 20.9%, respectively and 9.5% and 2.5% for gonorrhea and LGV. Estimates showed that in 2020 there would have been 44.6% more STIs than those declared. The proportions according to sex, country of birth and sexual orientation changed significantly in chlamydia and gonorrhea. CONCLUSIONS The measures adopted for the prevention of SARS-CoV-2 infections were able to achieve an initial decrease in STI cases in 2020, however, this change was not maintained during 2021, which ended with higher incidences recorded to date.
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Affiliation(s)
- Evelin López Corbeto
- Centro de estudios Epidemiológicos sobre las ITS y Sida de Cataluña (CEEISCAT), Barcelona, España; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, España.
| | - Rossie Lugo Colón
- Centro de estudios Epidemiológicos sobre las ITS y Sida de Cataluña (CEEISCAT), Barcelona, España; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, España
| | - Marcos Montoro Fernández
- Centro de estudios Epidemiológicos sobre las ITS y Sida de Cataluña (CEEISCAT), Barcelona, España
| | - Jordi Casabona Barbara
- Centro de estudios Epidemiológicos sobre las ITS y Sida de Cataluña (CEEISCAT), Barcelona, España; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, España; Departament de Pediatria, d'Obstetrícia, Ginecologia i de Medicina Preventiva i Salut Pública. Universitat Autónoma de Barcelona, Cerdanyola del Vallès, Barcelona, España
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[Translated article] Sexually Transmitted Infections During the First Wave of the COVID-19 Pandemic in Spain. ACTAS DERMO-SIFILIOGRAFICAS 2022. [PMCID: PMC8893302 DOI: 10.1016/j.ad.2022.01.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Objective To describe changes in sexually transmitted infection (STI) diagnoses during the first wave of the COVID-19 pandemic in Spain. Material and methods We collected demographic, chronological, and clinical data for all patients seen for a possible STI at Hospital La Paz, Centro Sanitario Sandaval, and Centro de Diagnóstico Médico in Madrid and Hospital Costa del Sol in Malaga between March 14, 2020 and June 30, 2020. Results We identified 674 STI diagnoses. The median age of the patients was 33 years. Most cases were observed among people aged 30 to 40 years and among men who have sex with men. The most common diagnoses were proctitis (36.5%), syphilis (16%), nongonococcal (13.3%) and gonococcal (11.3%) urethritis, genital herpes (8.8%), vulvovaginitis/cervicitis (8.3%), and genital warts (4.2%). A microbiologically confirmed diagnosis was on record for 77% of cases. The main microorganisms identified were Chlamydia trachomatis (35.7%), Neisseria gonorrhoeae (31.4%), and Treponema pallidum (17.2%). The number of STI diagnoses increased after the easing of lockdown restrictions, which resulted in greater freedom of movement and more consultations. On comparing the 2019 and 2020 STI registries from Centro Sanitario Sandoval and Hospital La Paz for the period March to June, we observed reductions (of up to 81%) in all STI diagnoses. Conclusions Physical distancing and movement restrictions appear to have resulted in a reduction in the incidence of STIs, although these measures did not completely eliminate sexual risk behaviors.
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Saarentausta K, Ivarsson L, Jacobsson S, Herrmann B, Sundqvist M, Unemo M. Potential impact of the COVID-19 pandemic on the national and regional incidence, epidemiology and diagnostic testing of chlamydia and gonorrhoea in Sweden, 2020. APMIS 2022; 130:34-42. [PMID: 34758169 PMCID: PMC8653056 DOI: 10.1111/apm.13191] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 10/31/2021] [Indexed: 11/27/2022]
Abstract
The COVID-19 pandemic has challenged the societies and health care systems globally, and resulted in many social and physical distancing restrictions to limit the spread of SARS-CoV-2. These restrictions have also likely affected the frequency of intimate contacts and the spread of sexually transmitted infections (STIs). Compared to most other countries, Sweden especially in Spring-Autumn 2020 pursued mainly milder voluntary, that is, not mandatory enforced by laws, recommended restrictions and the impacts of these on society and spread of STIs remain largely unknown. We describe the potential impact of the COVID-19 pandemic on the national and regional incidence, epidemiology and diagnostic testing of chlamydia and gonorrhoea in Sweden in 2020. Compared to 2019, we found a significant decrease in incidence of chlamydia (-4.5%) and gonorrhoea (-17.5%), and in diagnostic testing (-10.5% for chlamydia, -9.4% for gonorrhoea) in 2020. However, the decrease in chlamydia incidence, which has mainly been decreasing in the last 10 years, was not significant when compared with the average incidence in 2017-2019. The largest decrease in national incidence of both infections was observed among young and heterosexual patients, however, some Swedish regions showed an increased incidence, particularly of chlamydia. Increased "internet-based self-sampling" testing approach partly compensated for a decreased attendance at STI clinics. Studies, including sexual behaviour, prevention, reasons for attending STI health care, STIs in different anatomical sites and management of STIs, are required to elucidate the impact of COVID-19-associated social and physical distancing restrictions on sexual activity and the incidence and epidemiology of chlamydia and gonorrhoea in Sweden.
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Affiliation(s)
- Katariina Saarentausta
- School of Medical SciencesÖrebro UniversityÖrebroSweden
- WHO Collaborating Centre for Gonorrhoea and other STIsNational Reference Laboratory for STIsDepartment of Laboratory MedicineFaculty of Medicine and HealthÖrebro UniversityÖrebroSweden
| | - Lovisa Ivarsson
- Department of Clinical MicrobiologyUppsala University HospitalUppsalaSweden
- Section of Clinical BacteriologyDepartment of Medical SciencesUppsala UniversityUppsalaSweden
| | - Susanne Jacobsson
- WHO Collaborating Centre for Gonorrhoea and other STIsNational Reference Laboratory for STIsDepartment of Laboratory MedicineFaculty of Medicine and HealthÖrebro UniversityÖrebroSweden
| | - Björn Herrmann
- Department of Clinical MicrobiologyUppsala University HospitalUppsalaSweden
- Section of Clinical BacteriologyDepartment of Medical SciencesUppsala UniversityUppsalaSweden
| | - Martin Sundqvist
- WHO Collaborating Centre for Gonorrhoea and other STIsNational Reference Laboratory for STIsDepartment of Laboratory MedicineFaculty of Medicine and HealthÖrebro UniversityÖrebroSweden
| | - Magnus Unemo
- WHO Collaborating Centre for Gonorrhoea and other STIsNational Reference Laboratory for STIsDepartment of Laboratory MedicineFaculty of Medicine and HealthÖrebro UniversityÖrebroSweden
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Ronga L, Stolfa S, Romanelli F, Bavaro DF, Saracino A, Mosca A, Sparapano E, De Carlo C, Montagna MT, Diella G, Nisi L, Del Prete R. Trend of sexually transmitted infections during the Covid-19 age. What was the impact of the pandemic and the social distancing measures? J Eur Acad Dermatol Venereol 2021; 36:e190-e192. [PMID: 34862991 DOI: 10.1111/jdv.17853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2021] [Accepted: 11/17/2021] [Indexed: 11/29/2022]
Affiliation(s)
- L Ronga
- UOC Microbiologia e Virologia, Azienda Ospedaliero-Universitaria, Bari, Italy
| | - S Stolfa
- Section of Microbiology, Interdisciplinary Department of Medicine, School of Medicine, University of Bari "Aldo Moro", Bari, Italy
| | - F Romanelli
- Section of Microbiology, Interdisciplinary Department of Medicine, School of Medicine, University of Bari "Aldo Moro", Bari, Italy
| | - D F Bavaro
- Clinic of Infectious Diseases, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - A Saracino
- Clinic of Infectious Diseases, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - A Mosca
- UOC Microbiologia e Virologia, Azienda Ospedaliero-Universitaria, Bari, Italy.,Section of Microbiology, Interdisciplinary Department of Medicine, School of Medicine, University of Bari "Aldo Moro", Bari, Italy
| | - E Sparapano
- UOC Microbiologia e Virologia, Azienda Ospedaliero-Universitaria, Bari, Italy
| | - C De Carlo
- UOC Microbiologia e Virologia, Azienda Ospedaliero-Universitaria, Bari, Italy
| | - M T Montagna
- Hygiene Section, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - G Diella
- Hygiene Section, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - L Nisi
- Section of Microbiology, Interdisciplinary Department of Medicine, School of Medicine, University of Bari "Aldo Moro", Bari, Italy
| | - R Del Prete
- UOC Microbiologia e Virologia, Azienda Ospedaliero-Universitaria, Bari, Italy.,Section of Microbiology, Interdisciplinary Department of Medicine, School of Medicine, University of Bari "Aldo Moro", Bari, Italy
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Tarin-Vicente EJ, Sendagorta Cudos E, Servera Negre G, Falces Romero I, Ballesteros Martín J, Martin-Gorgojo A, Comunión Artieda A, Salas Marquez C, Herranz Pinto P. Sexually Transmitted Infections During the First Wave of the COVID-19 Pandemic in Spain. ACTAS DERMO-SIFILIOGRAFICAS 2021:S1578-2190(21)00328-0. [PMID: 34866637 PMCID: PMC8626349 DOI: 10.1016/j.adengl.2021.11.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 08/01/2021] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE To describe changes in sexually transmitted infection (STI) diagnoses during the first wave of the COVID-19 pandemic in Spain. MATERIAL AND METHODS We collected demographic, chronological, and clinical data for all patients seen for a possible STI at Hospital La Paz, Centro Sanitario Sandaval, and Centro de Diagnóstico Médico in Madrid and Hospital Costa del Sol in Malaga between March 14, 2020 and June 30, 2020. RESULTS We identified 674 STI diagnoses. The median age of the patients was 33 years. Most cases were observed among people aged 30 to 40 years and among men who have sex with men. The most common diagnoses were proctitis (36.5%), syphilis (16%), nongonococcal (13.3%) and gonococcal (11.3%) urethritis, genital herpes (8.8%), vulvovaginitis/cervicitis (8.3%), and genital warts (4.2%). A microbiologically confirmed diagnosis was on record for 77% of cases. The main microorganisms identified wereChlamydia trachomatis (35.7%), Neisseria gonorrhoeae (31.4%), and Treponema pallidum (17.2%). The number of STI diagnoses increased after the easing of lockdown restrictions, which resulted in greater freedom of movement and more consultations. On comparing the 2019 and 2020 STI registries from Centro Sanitario Sandoval and Hospital La Paz for the period March to June, we observed reductions (of up to 81%) in all STI diagnoses. CONCLUSIONS Physical distancing and movement restrictions appear to have resulted in a reduction in the incidence of STIs, although these measures did not completely eliminate sexual risk behaviors.
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Affiliation(s)
- E J Tarin-Vicente
- Servicio de Dermatología Medicoquirúrgica y Venereología, Hospital Universitario La Paz, Madrid, Spain
| | - E Sendagorta Cudos
- Servicio de Dermatología Medicoquirúrgica y Venereología, Hospital Universitario La Paz, Madrid, Spain
| | - G Servera Negre
- Servicio de Dermatología Medicoquirúrgica y Venereología, Hospital Universitario La Paz, Madrid, Spain
| | - I Falces Romero
- Servicio de Microbiología y Parasitología Clínicas, Hospital Universitario La Paz, Madrid, Spain
| | | | - A Martin-Gorgojo
- Servicio de ITS/Dermatología, Centro de Diagnóstico Médico, Ayuntamiento de Madrid, Madrid, Spain
| | - A Comunión Artieda
- Servicio de ITS/Dermatología, Centro de Diagnóstico Médico, Ayuntamiento de Madrid, Madrid, Spain
| | - C Salas Marquez
- Servicio de Dermatología, Hospital Costa del Sol, Marbella, Málaga, Spain
| | - P Herranz Pinto
- Servicio de Dermatología Medicoquirúrgica y Venereología, Hospital Universitario La Paz, Madrid, Spain
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Tarin-Vicente EJ, Cudos ES, Negre GS, Romero IF, Martín JB, Martin-Gorgojo A, Artieda AC, Marquez CS, Pinto PH. [Sexually Transmitted Infections During the First Wave of the COVID-19 Pandemic in Spain]. ACTAS DERMO-SIFILIOGRAFICAS 2021; 113:115-122. [PMID: 34538874 PMCID: PMC8436423 DOI: 10.1016/j.ad.2021.08.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 08/01/2021] [Indexed: 11/25/2022] Open
Abstract
Objetivo Describir los cambios en el comportamiento de las ITS durante la situación de alerta sanitaria por la pandemia SARS-CoV-2. Material y métodos Se recogieron datos demográficos, cronológicos y clínicos de todos los pacientes que solicitaron atención médica por ITS en los hospitales La Paz y Costa del Sol, y en los Centros Sandoval y de Diagnóstico Médico, entre el 14/03/2020 y el 30/06/2020. Resultados Documentamos 674 casos de ITS. La mediana de edad fue de 33 años. El mayor porcentaje de casos se dio en el rango de 30-40 años y en hombres que tenían sexo con hombres. Los diagnósticos más frecuentes fueron: proctitis (36,5%), sífilis (16%), uretritis no gonocócica (13,3%) y gonocócica (11,3%), herpes genital (8,8%), vulvovaginitis/cervicitis (8,3%) y condilomas (4,2%). En el 77% de los casos hubo confirmación microbiológica, siendo los microorganismos más frecuentes Chlamydia trachomatis (35,7%), Neisseria gonorrhoeae (31,4%) y Treponema pallidum (17,2%). Se constató un incremento del número de casos de ITS tras el desconfinamiento, explicable por las mayores libertades y el aumento de consultas. Comparando los registros de ITS del Centro Sandoval y del Hospital La Paz en los cuatrimestres de marzo a junio de 2019 frente a 2020, se observó una disminución en 2020 de todos los diagnósticos, de hasta el 81% menos que en 2019. Conclusiones Las medidas de distanciamiento y limitación de movilidad aparentemente generaron una disminución de la incidencia de ITS, pero sin llegar a una inhibición completa de las conductas sexuales de riesgo.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Pedro Herranz Pinto
- Servicio de Dermatología medico-quirúrgica y Venereología H.U. La Paz, Spain
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