[Epidemiological features of syphilis diagnosed at a clinic of sexually transmitted diseases].

Abstract:

BACKGROUND:Syphilis continues to be a common sexually transmitted disease. AIM:To describe the epidemiologic features of patients with syphilis consulting in a Chilean sexually transmitted diseases clinic. MATERIAL AND METHODS:Review of medical records of patients with positive serology for syphilis, who attended a unit of sexually transmitted diseases between 2015 and 2017. RESULTS:Of 266 cases, 61% were male and 74% were aged between 20 and 49 years. The highest incidence was observed in males aged between 20 and 30 years. Eighty five percent of cases were diagnosed in latent phases, 10% of the cases had a co-infection with HIV and 18%, a history of other sexually transmitted disease. The rate of coinfection was significantly higher in men than in women (78 and 28%, respectively; p < 0.01). Only 6.4% reported always using a condom. Men used it with higher frequency than women (72 and 28% respectively; p < 0.01). A low adherence to treatment and faulty follow-up and treatment of sexual contacts was observed. Twenty five percent of women diagnosed with syphilis were pregnant and 27% of them had a premature birth, with one neonatal death. CONCLUSIONS:A high incidence of syphilis was observed, especially in men of younger ages. The diagnosis is delayed, the treatment of sexual contacts and the use of condoms are uncommon. Although the treatment of pregnant women is appropriated, some perinatal complications are observed.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Cavero Tardones A,Ramírez-Santana M

doi

10.4067/S0034-98872020000700956

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

956-962

issue

7

eissn

0034-9887

issn

0717-6163

pii

S0034-98872020000700956

journal_volume

148

pub_type

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