トルコのイスタンブールにある大学病院でHIV感染者の性行為と性感染症の追跡調査
Dilek Yagci-Caglayik1, Fatma Burcu Doganc2, Rabia Can3
1Pendik Training and Research Hospital, Infectious Diseases and Clinical Microbiology, Marmara University Faculty of Medicine.
International journal of STD & AIDS
|September 2, 2025
まとめ
トルコで男性と性交するHIV陽性男性 (MSM) のトリプルサイトスクリーニングでは,高確率のクラミジアと淋病が検出されました. 強化されたスクリーニングは,この重要な集団におけるHIVとSTIの効果的な制御に不可欠です.
科学分野:
- 感染症
- 公衆衛生
- 流行病学について
背景:
- トルコでは男性とセックスする男性 (MSM) がHIV感染の主要な集団です.
- HIVに感染したMSMにおける性行為と性感染症の頻度を理解することは,公衆衛生政策にとって極めて重要です.
- HIVの追跡ガイドラインでは 特定のスクリーニングプロトコルが推奨されています
研究 の 目的:
- トルコでHIVに感染しているMSMにおける性感染症の頻度を評価する.
- この集団における性感染症のトリプルサイトスクリーニング (尿,喉頭,直腸) の有効性を評価する.
- HIVとSTIの予防のための健康とコントロールの政策を伝える.
主な方法:
- 2018年にイスタンブールにあるマーマーラ大学ペンディク教育訓練病院でHIV感染者45人のMSMを対象に調査が行われました.
- 5P (パートナー,慣行,保護,過去歴,妊娠予防) を含む性病歴が得られた.
- トリプルサイトスクリーニングテスト (尿,喉頭,直腸のスランプ) が実施されました.
主要な成果:
- 24. 4%がクラミジア・トラコマティス (CT) と26. 7%がニセリア・ゴノレア (NG) の陽性でした.
- STIの検出率は,尿サンプルのみを検査すると,6. 7%に大幅に低下しました.
- HIV診断とトリプルテスト (中位28ヶ月) の間,梅毒の陽性度は18%から34%に増加しました.
結論:
- トリプルサイトスクリーニングは,HIVに感染したMSMの性感染症の検出において,尿のみの検査よりも有効です.
- 重要な集団における総合的なSTIスクリーニングの重要性を強調しています.
- この研究は,HIVに感染したMSMのトリプルテストのスクリーニングと補償の必要性を強調しています.
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