alexa Risk Factors of HIV Co-Infection and Sexual Behaviours in Patients with Gonococcal Infection in a STIs Clinic in Madrid | OMICS International | Abstract
ISSN 2155-6113

Journal of AIDS & Clinical Research
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Research Article

Risk Factors of HIV Co-Infection and Sexual Behaviours in Patients with Gonococcal Infection in a STIs Clinic in Madrid

Ariza-Mejía MC1, García-García L1, Puerta-López T2, Menéndez-Prieto B2, Vera-García M2, Clavo-Escribano P2, Ballesteros Martín J2,Rodriguez-Martín C2, Gil de Miguel A1, del Romero-Guerrero J2 and Gil-Prieto R1*

1Department of Preventive Medicine and Public Health and Medical Immunology and Microbiology, Rey Juan Carlos University, Madrid, Spain

2Sandoval Health Centre, Madrid Health Service, Madrid, Spain

*Corresponding Author:
Ruth Gil Prieto
Preventive Medicine and Public Health &
Medical Immunology and Microbiology Department
Rey Juan Carlos University
Avda Atenas s/n CP: 28922 Alcorcón (Madrid), Spain
Tel: +34914888646
Fax: +34914888955
E-mail: [email protected]

Received Date: July 16, 2013; Accepted Date: August 29, 2013; Published Date: September 05, 2013

Citation: Ariza-Mejía MC, García-García L, Puerta-López T, Menéndez-Prieto B, Vera-García M, et al. (2013) Risk Factors of HIV Co-Infection and Sexual Behaviours in Patients with Gonococcal Infection in a STI's Clinic in Madrid. J AIDS Clin Res 4:240. doi:10.4172/2155-6113.1000240

Copyright: © 2013 Ariza-Mejía MC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Introduction: During the past decade, the incidence of gonorrhoea has increased in Spain, mainly affecting the community of men who have sex with men. The objective of the present study was to describe the cases of gonococcal infection at a referral centre for sexually transmitted diseases in Madrid, as well as the factors associated with co-infection by the human immunodeficiency virus. Methods: A retrospective cross-sectional study was performed of all of the cases of gonococcal infection that were diagnosed in 2010 at the Sandoval Health Centre of Madrid. Clinical histories, diagnostic tests, and sociodemographic and risk-behaviour questionnaires were analysed. Results: Eighty-three per cent of the patients who were diagnosed with gonorrhoea were men who had engaged in sex with men, and 29% tested positive by serological screening for HIV. In the multiple logistic regression model the following factors were associated with the HIV co-infection: having a positive history of one or more sexually transmitted diseases (OR=57.44; 95% CI: 6.78-486.50), having a stable partner who was HIV-positive (OR=23.13; 95% CI: 2.44-219.36), having a concomitant syphilis diagnosis (OR=8.88; 95% CI: 1.90-41.37), having engaged in unprotected, insertive anal intercourse (OR=6.10; 95% CI: 2.52-14.76), and having engaged in high-risk sexual contacts while under the influence of alcohol or other drugs (OR=2.73; 95% CI: 1.13-6.62). Conclusions: In the present study, a greater incidence of gonococcal infection and HIV co-infection was observed in men who had engaged in sex with men. Therefore, greater emphasis should be placed on the routine screening for sexually transmitted diseases and the targeting of education and health-promotion initiatives to highrisk communities

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