人类肠道螺旋菌:与性传播感染相关的实体
Alejandro De Gea-Grela1, Alfredo Maldonado-Barrueco2, Clara Cabañuz3
1Unidad de VIH, Servicio de Medicina Interna, Hospital Universitario La Paz, IdiPAZ, Madrid, Spain.
概括
人类肠道螺旋菌病 (HIE) 越来越多地与其他性传播感染 (STIs) 一起被诊断出,特别是在与男性发生性关系的男性中. 这表明HIE可能被认为是一种需要进一步调查的新型STI.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 人类肠道螺旋菌病 (HIE) 是一种未被充分认识到的疾病,具有多样化的临床表现.
- 近年来,艾滋病毒感染者 (PWH) 和有性传播感染 (STIs) 或免疫抑制病史的人群中,HIE病例有所增加.
研究的目的:
- 调查人类肠道螺旋菌病 (HIE) 病例的特征和关联.
- 确定与艾滋病毒状况和其他性传播感染有关的HIE的流行率.
主要方法:
- 追溯审查所有确定的HIE病例.
- 从2014年至2021年期间从三级医院收集的数据.
主要成果:
- 确定了36例HIE病例,主要影响男性 (94%),平均年龄为45岁.
- 29.4%的患者是PWH,56%是与男性发生性关系的男性 (MSM).
- 慢性腹 (47%) 和直肠炎 (25%) 是常见的;39%的患者最近被诊断为STI,在PWH中更频繁 (90%对28%). 梅毒是最常见的相关性性传播疾病 (31%).
结论:
- HIE通常与其他性传播感染一起被诊断为性传播感染.
- 与MSM和其他性传播疾病的强烈关联表明,HIE可以被视为一种新型的性传播疾病.
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