Sexually transmitted infections among men who have sex with men: a retrospective study in a tertiary care hospital

Background: Men who have sex with Men (MSM) have a higher prevalence of HIV and other sexually transmitted infections (STI) than the heterosexual men. In India, NACP recommendations to reduce HIV prevalence among MSM include early detection of HIV and other STI by screening and treatment. We conducted a study of STIs among MSM attending our OPD. The aim of the study was to assess the prevalence of STIs in MSM attending our OPD.Methods: 1215 MSM among 9008 patients who attended our OPD between June 2015 and May 2016 were included in the study. Detailed history was taken and clinical examination carried out. Urethral discharge and urine samples were tested for Gonococcal infection. Smears from ulcers were tested for Syphilis, Chancroid, Herpes and Donovanosis. Serum samples were tested for HIV and other STIs like Syphilis and Herpes.Results: Among 1215 MSMs, 55 (4.5%) tested positive for VDRL and TPHA and 33 (2.7%) tested positive for HIV. 24 (2%) had urethritis (10 GU and 14 NGU), 15 (1.25%) had Balanophosthitis, 12 (1%) had genital herpes, 9 (0.75%) had genital scabies, 6 (0.5%) had Genital Wart and 2 (0.16%) had Molluscum contagiosum. Prevalence of these STIs were far higher in MSMs than in heterosexual men.Conclusions: This study highlights the higher prevalence of STIs among MSMs and the need for early intervention and treatment in this high-risk population.

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Pattern of sexually transmitted infections in a tertiary care hospital: A five-year retrospective study

Grande Medical Journal ◽

10.3126/gmj.v1i2.27058 ◽

2019 ◽

Vol 1 (2) ◽

pp. 84-87

Author(s):

Anupama Karki ◽

Rushma Shrestha ◽

Niraj Parajuli

Keyword(s):

Sexually Transmitted Infections ◽

Sexual And Reproductive Health ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Sexually Transmitted ◽

Urethral Discharge ◽

High Magnitude ◽

Awareness Programs ◽

Tertiary Care Hospitals

Introduction: Sexually transmitted infections (STIs) have a profound impact on sexual and reproductive health worldwide and especially in a developing country like Nepal. However, adequate studies are lacking in our context with regards to the pattern analysis of the STIs in community and in the tertiary care hospitals. The aim of this study is to understand the prevalence and pattern of different STIs in Nepal. Methods: This is a retrospective observational study in which the record of all patients who attended the STD OPD of NAMS, Bir Hospital from 2071 to 2075 B.S. (April 2014 – March 2019) have been analyzed. Results: Among the 2658 patients who visited the STD OPD, majority (27.5%) had been diagnosed with syphilis. The second commonest diagnosis was condyloma acuminata accounting for 22.6 % of cases. Urethral discharge syndrome and vaginal discharge syndrome comprised of 20.1% and 17% respectively. Genital herpes constituted 6% of cases whereas genital molluscum contagiosum comprised of 3.4% of cases. Genital ulcer diseases accounted for 2.1% of total cases. Conclusions: There was a high magnitude of STIs found in this study, among which syphilis constituted the major burden. The results of this study also urge further awareness programs regarding the clinical features and importance of early treatment of STIs.

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Pattern of Sexually Transmitted Infections: A Retrospective Study from a Tertiary Care Hospital in Central India

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2021/45933.14464 ◽

2021 ◽

Author(s):

Sushil Rathi ◽

Sumit Ashok Hajare ◽

Saurabh Jaiswal ◽

Sandip Agrawal ◽

Abhijit Kherde ◽

...

Keyword(s):

Sexually Transmitted Infections ◽

Vaginal Discharge ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Lower Abdominal Pain ◽

Care Hospital ◽

Cross Sectional ◽

Adequate Treatment ◽

Major Health ◽

Sexually Transmitted

Introduction: Sexually Transmitted Infections (STIs) pose a major health, social and economic problem worldwide, predominantly in developing countries like India. It is essential to understand the current patterns of STIs in the various regions of the country in order to plan and implement strategies to control the spread of infection. Aim: To study the pattern of STIs among patients attending the STI clinic. Materials and Methods: This was a cross-sectional study of data obtained retrospectively from case records over last seven years (January 2013-December 2019) from STI clinic at a tertiary care hospital at Nagpur. The demographic details, detailed history, clinical findings were noted and relevant investigations were performed. The patients were diagnosed as per syndromic approach and subjected to serologic tests for syphilis and Human Immunodeficiency Virus (HIV). The data was analysed by using MS Excel and Epi Info software, and percentage, mean, standard deviation and proportions were calculated. Results: Out of the total 4471 cases, 2807 (62.8%) were males and 1664 (37.2%) were females. The most commonly observed STI was balanoposthitis, followed by cervico-vaginal discharge, Genital Ulcerative Disease- Herpetic (GUD-H), anogenital warts, molluscum contagiosum, GUD-nonherpetic, urethral discharge, lower abdominal pain and inguinal bubo. The proportion of viral STIs was 33.5% (1495 cases) and bacterial STIs were 4.3% (191 cases). The most commonly observed STI was balanoposthitis in males and cervico-vaginal discharge in females. Newly diagnosed cases of HIV were 1.4% (61 cases) of total cases. Conclusion: The proportion of viral STIs was higher compared to bacterial STIs. The prevalence of HIV among study population was 3.9%. Since STIs are indicators of high risk sexual behaviour in the community and a major health burden with risk of development of HIV, prompt diagnosis and adequate treatment of STIs is necessary.

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A clinicoepidemiological study of sexually transmitted infections among men who have sex with men from a tertiary care centre in South India

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20172551 ◽

2017 ◽

Vol 3 (3) ◽

pp. 370

Author(s):

V. G. Binesh ◽

A. Sarin ◽

Betsy Ambooken ◽

S. Suprakasan ◽

T. P. Rakesh

Keyword(s):

Sexually Transmitted Infections ◽

Tertiary Care ◽

High Risk Population ◽

Tertiary Care Centre ◽

Serological Screening ◽

Sexually Transmitted ◽

Condom Usage ◽

Specimen Collection ◽

Laboratory Investigations ◽

Sex With Men

Background: The prevalence of men who have sex with men (MSM) is showing an increasing trend in general population. MSM being a high risk population are more prone to develop sexually transmitted infections (STIs).Methods: With the help of Sevana, a nongovernmental organization (NGO), we were able to mobilize 81 MSM for detailed evaluation. All MSM, after an informed consent were given a behavioural questionnaire, followed by detailed history taking, clinical examination, pre-test counselling and specimen collection.Results: All of them were clinically asymptomatic. Of the total 81 MSM in our study, 27(33.3%) had STIs as evidenced by laboratory investigations. Out of these, 3 (3.7%) had multiple STIs. The most common STI in our study group was asymptomatic herpes gentalis (12.4%), followed by latent syphilis (9.9%) and non gonococcal urethritis (8.6%). Conclusions: The high incidence of asymptomatic STIs among MSMs in our study points to the need for strengthening targeted intervention including condom usage and a compulsory medical check-up and serological screening at least once in six months for early detection and treatment of STIs. This in turn would help us in preventing the transmission of STIs including HIV.

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