PREVALENCE OF CO INFECTION IN PEOPLE LIVING WITH HIV ATTENDING STI CLINIC AT TERTIARY CARE HOSPITAL, HYDERABAD TELANGANA
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Keywords
Coinfection, STI, PLHIV.
Abstract
INTRODUCTION: HIV remains a major global public health issue, having claimed an estimated 42.3 million lives till date. Transmission is ongoing in all countries globally According to NACO Sexually transmitted infections (STI) rank among the top five conditions for which sexually active adults seek health care in the developing countries. As per the community based STI/RTI prevalence study over 6% of the adult population in India suffers from one or the other STI/RTI episode annually. Presence of a STI/RTI in the sexual partner increases the risk of acquisition of HIV from an infected partner by 8-10-fold Effective control of STI/RTI is a strong and most cost-effective strategy for reducing/preventing transmission of HIV.
METHODS: Patient were screened and detailed history was taken. Appropriate samples were collected based on patient complaints such as serum for screening for HIV, HBsAg, HCV, HSV (rapid and ELISA) Syphilis (TPHA &VDRL) , discharge from abscess in suspected cases of herpes simplex virus (HSV) or varicella-zoster virus (VZV).
RESULTS: During the study period of 6 months from January 2024 to June 2024 a total of 610 patients living with HIV visited the STI clinic with symptoms of STI. Comprehensive analysis and testing revealed Disease of bacterial aetiology syphilis in 116(19.01%); Diseases of viral aetiology: HBsAg positive in 18(2.9%), HCV positive in 2(0.32%), Genital ulcer disease herpetic (HSV 2) in 12 (1.9%) Genital molluscum (molluscum contagiosum) in 10 (1.63%); disease of parasitic aetiology Genital Scabies in 7 (1.14%) and disease of fungal aetiology: Taenia in 9 (1.47%).
CONCLUSIONS: Our study shows, increasing incidence of new STI coinfections in PLVH, thereby decreasing their quality of life, noncompliance to treatment and increasing morbidity. Periodic counselling with assertion of safe sex and regular screening for STIs should be norm for early detection and starting appropriate treatment in these patients to improve their quality of life.
References
[2] Lloyd SB, Kent SJ, Winnall WR. The high cost of fidelity. AIDS Res Hum Retroviruses. 2014;30(1):8-16.
[3] Kalichman SC, Pellowski J, Turner C. Prevalence of sexually transmitted co-infections in people living with HIV/AIDS: systematic review with implications for using HIV treatments for prevention. Sex Transm Infect 2011;87(3):183-90.
[4] National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Committee on Prevention and Control of Sexually Transmitted Infections in the United States; Crowley JS, Geller AB, Vermund SH, eds. Sexually Transmitted Infections: Adopting a Sexual Health Paradigm. Washington (DC): National Academies Press (US); 2021 Mar 24. 5, Intersection of HIV and STIs. Available from: https://www.ncbi.nlm.nih.gov/books/NBK573161/
[5] https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-sexually-transmitted-diseases-stds
[6] Jaiswal S, Banstola L, Shrestha M, et al. Prevalence of syphilis in people living with HIV/AIDS: A Hospital based Cross-Sectional Study. JHAS 2020;10(1):42-5.
[7] Behara SK, Satti B, Amrutha S. A cross-sectional descriptive study of clinical and serological prevalence of syphilis infection in people living with HIV and its effect on CD4+ T cells. Indian J Sex Transm Dis AIDS 2021;42(2):106-10.
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Dr. Arun Kumar Joshi
Final Year Postgraduate, MD, Department of Microbiology, Osmania Medical College, Hyderabad, Telangana, India.
Dr. M.L. Kavitha Latha
Associate Professor, Department of Microbiology, Osmania Medical College, Hyderabad, Telangana, India.
Dr. A. Nanditha
Assistant Professor, Department of Microbiology, Osmania Medical College, Hyderabad, Telangana, India