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Inicio Medicina Clínica (English Edition) Syphilis epidemics: A descriptive study of patients diagnosed in a tertiary hosp...
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Vol. 149. Issue 12.
Pages 536-539 (December 2017)
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Vol. 149. Issue 12.
Pages 536-539 (December 2017)
Brief report
DOI: 10.1016/j.medcle.2017.11.003
Syphilis epidemics: A descriptive study of patients diagnosed in a tertiary hospital between 2011 and 2015
Emergencia de la sífilis: Estudio descriptivo de pacientes diagnosticados de sífilis en un hospital de tercer nivel entre 2011 y 2015
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Xavier Fustàa, Irene Fuertesa, Rossie Lugo-Colónb, José Luís Blancoc, Núria Barasd, Mercè Alsina-Giberta,
Corresponding author
MALSINA@clinic.ub.es

Corresponding author.
a Servicio de Dermatología, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain
b Centre d’Estudis Epidemiològics sobre les ITS i la Sida de Catalunya (CEEISCAT), Badalona, Spain
c Servicio de Enfermedades Infecciosas, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain
d Universitat de Barcelona, Barcelona, Spain
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Alfonso Cabello, Miguel Górgolas
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Tables (3)
Table 1. Results (risk/sexuality). Sexual orientation and sex-associated risk factors (number of sexual partners 3 months prior to diagnosis, alcohol and/or drug use, prostitution).
Table 2. Results (clinical). Clinical variables: year of diagnosis of syphilis, STIs diagnosed in the last year, STIs with concomitant diagnosis of syphilis, treatment of syphilis and evolution.
Table 3. Results (HIV+). HIV+ patients: immune control and HAART.
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Abstract
Background and objective

In the last decade, the incidence of syphilis has increased in our health area. Our objective is to describe the epidemiological and clinical characteristics of patients diagnosed with syphilis at our centre and their relationship with HIV.

Patients and methods

The clinical and epidemiological variables of patients diagnosed with syphilis in a third-level hospital over a period of 4.5 years, as well as their HIV status, were analyzed through a descriptive study.

Results

There was a significant increase in the incidence of syphilis in the period 2011–2015. We included 220 patients, 98% men (94% MSM). 62% were HIV+ and 89% came in early/infectious stages of the disease. 7% were concomitantly diagnosed with HIV. There was a high number of sexual partners and frequent use of drugs associated with sexual activity (46%).

Conclusions

The incidence of syphilis has increased in our centre in the last 2 years. The most affected group is MSM, with high HIV prevalence and risk behaviours for STI acquisition.

Keywords:
Syphilis
HIV
Sexually transmitted infections
Epidemiology
Resumen
Fundamento y objetivo

En la última década la incidencia de sífilis se ha incrementado en nuestra área sanitaria. Nuestro objetivo es describir las características epidemiológicas y clínicas de los pacientes diagnosticados de sífilis en nuestro centro y su relación con el VIH.

Pacientes y métodos

Se analizaron, mediante estudio descriptivo, las variables clínicas y epidemiológicas de los pacientes diagnosticados de sífilis en un hospital de tercer nivel en un período de 4,5 años, así como su estatus respecto al VIH.

Resultados

Se observó un importante aumento en la incidencia de sífilis en el período 2011–2015. Se incluyeron 220 pacientes, el 98% hombres (el 94% HSH). El 62% eran VIH+. El 89% acudieron en etapas tempranas/infecciosas de la enfermedad. El 7% fueron diagnosticados de VIH de forma concomitante. Se observó un elevado número de parejas sexuales y frecuente consumo de drogas asociadas al ámbito sexual (el 46%).

Conclusiones

La incidencia de sífilis se ha incrementado en nuestro centro en los últimos 2 años. El colectivo más afectado es el de los HSH, con gran prevalencia de VIH y con conductas de riesgo para la adquisición de ITS.

Palabras clave:
Sífilis
VIH
Infecciones de transmisión sexual
Epidemiología

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