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Infección gonocócica y clamidial no tratada en una muestra de probabilidad de adultos
Charles F Turner1, Susan M Rogers, Heather G Miller
1Program in Health and Behavior Measurement, Research Triangle Institute, 1615 M St NW, Washington, DC 20036, USA. cft@rti.org
JAMA
|February 20, 2002
Resumen
Las infecciones de gonorrea y clamidia no tratadas son comunes en adultos jóvenes, con tasas más altas en mujeres negras. Muchas infecciones no se diagnostican, superando los casos reportados.
Área de la Ciencia:
- Salud Pública La salud pública.
- Epidemiología La epidemiología.
- Enfermedades infecciosas Enfermedades infecciosas.
Sus antecedentes:
- La prevalencia de infecciones gonocócicas y clamidiosas en la población general no se comprende bien.
- Las pruebas de amplificación de ácido nucleico ofrecen nuevos métodos para estimar las infecciones no tratadas.
Objetivo del estudio:
- Estimar la prevalencia general de gonorrea y clamidia no tratadas en adultos jóvenes.
- Describir los patrones de infección en subgrupos demográficos específicos.
Principales métodos:
- Encuesta transversal de comportamiento de los hogares de Baltimore (1997-1998).
- Muestra de probabilidad de 728 adultos de entre 18 y 35 años; 579 proporcionaron muestras de orina.
- Análisis de reacción en cadena de ligasa utilizado para detectar infecciones; resultados ponderados para la representación de la población.
Principales resultados:
- Se estima que el 5,3% de la gonorrea no tratada, el 3,0% de la clamidia no tratada en personas de 18 a 35 años.
- En general, el 7,9% tenía cualquiera de las infecciones, con una mayor prevalencia (15,0%) en las mujeres negras.
- Las infecciones no diagnosticadas excedieron a los casos reportados de gonorrea y clamidia.
Conclusiones:
- Las infecciones no diagnosticadas de gonorrea y clamidia en adultos jóvenes de Baltimore fueron muy prevalentes en 1997-1998.
- La prevalencia se acercó o excedió a las infecciones diagnosticadas y tratadas anualmente.
- Destaca la carga de las ITS no diagnosticadas en la comunidad.
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