Loading...
Publication
Sífilis Recente: Padrão Epidemiológico da Consulta de Doenças Sexualmente Transmissíveis do Hospital de Curry Cabral (2003-2005)
Advisor(s)
Abstract(s)
Introdução: A Sífilis Recente corresponde à Sífilis com menos de um ano de evolução. Nos últimos anos,
tem-se assistido, nos Estados Unidos e Europa Ocidental, a uma modificação epidemiológica com aumento do número de casos em doentes homossexuais, seropositivos para o VIH e consumidores de drogas. Objectivo e Métodos: Para avaliar o padrão epidemiológico da Consulta de Doenças de Transmissão Sexual do Hospital de Curry Cabral, efectuou-se uma análise retrospectiva de todos os casos de Sífilis Recente ocorridos entre 2003 e 2005.
Resultados: Encontraram-se 76 casos de Sífilis Recente, 64 em doentes do sexo masculino (84,2%) e 12 no sexo feminino (15,8%). No sexo masculino, 40,6% dos doentes eram homo/bissexuais e 37,5% heterossexuais enquanto que, no sexo feminino, todas as doentes eram heterossexuais. No sexo masculino, 29 doentes tinham seropositividade para o VIH conhecida anteriormente enquanto que apenas 3 mulheres eram seropositivas. Em 7 casos, foi feito o diagnóstico simultâneo de Sífilis Recente e Infecção VIH. No total, a co-infecção VIH verificou-se em 51,3% dos doentes com Sífilis Recente.
Conclusões: A Sífilis Recente continua a ter uma prevalência muito importante na nossa população e o padrão
epidemiológico encontrado foi sobreponível ao reportado nos países ocidentais, ou seja, com maior incidência em doentes seropositivos e/ou homossexuais. A forte associação entre Sífilis Recente e seropositividade para o VIH é preocupante na medida em que a Sífilis, enquanto IST ulcerativa, aumenta fortemente a probabilidade de transmissão e aquisição da Infecção VIH. Salientamos a necessidade do desenvolvimento de estratégias de prevenção adaptadas a esta nova realidade epidemiológica.
Background: Early Syphilis corresponds to Syphilis with less than one year of evolution. The epidemiology of Syphilis has been changing lately in the United States and Europe with an increase in reported cases in HIV-positive patients, homosexuals and drug users. Objective and Methods: The purpose of our study was to evaluate the epidemiological pattern of our Sexually Transmitted Disease Clinic in Hospital de Curry Cabral. A retrospective analysis was made of all cases reported between 2003 and 2005. Results: 76 cases of Early Syphilis were found: 64 in males (84,2%) and 12 in females (15,8%). Male patients had homo/bisexual behaviour in 40,6% of cases and heterosexual in 37,5% while all females were heterosexual. There was known HIV-seropositivity in 29 male and 3 female patients. In 7 cases, a simultaneous diagnosis of Syphilis and HIV was made. On the whole, there was HIV co-infection in 51,3% of our patients with Early Syphilis. Conclusions: Early Syphilis still has a very high prevalence in our population and our epidemiology was similar to that reported recently in western countries that is, there was a higher incidence in HIV-positive patients and/or homosexuals. The strong association between Syphilis and HIV is of concern as Syphilis is know to significant increase the probability of acquiring and transmitting HIV. We stress the need for new prevention strategies adapted to this new epidemiology.
Background: Early Syphilis corresponds to Syphilis with less than one year of evolution. The epidemiology of Syphilis has been changing lately in the United States and Europe with an increase in reported cases in HIV-positive patients, homosexuals and drug users. Objective and Methods: The purpose of our study was to evaluate the epidemiological pattern of our Sexually Transmitted Disease Clinic in Hospital de Curry Cabral. A retrospective analysis was made of all cases reported between 2003 and 2005. Results: 76 cases of Early Syphilis were found: 64 in males (84,2%) and 12 in females (15,8%). Male patients had homo/bisexual behaviour in 40,6% of cases and heterosexual in 37,5% while all females were heterosexual. There was known HIV-seropositivity in 29 male and 3 female patients. In 7 cases, a simultaneous diagnosis of Syphilis and HIV was made. On the whole, there was HIV co-infection in 51,3% of our patients with Early Syphilis. Conclusions: Early Syphilis still has a very high prevalence in our population and our epidemiology was similar to that reported recently in western countries that is, there was a higher incidence in HIV-positive patients and/or homosexuals. The strong association between Syphilis and HIV is of concern as Syphilis is know to significant increase the probability of acquiring and transmitting HIV. We stress the need for new prevention strategies adapted to this new epidemiology.
Description
Keywords
HCC DER HIV Sífilis Doenças Sexualmente Transmissíveis Prevenção
Citation
Revista SPDV 2006;64(3):355-359