Epidemiología de la sífilis con enfoque territorial: caso del Hospital de La Serena, años 2015-2017

Background: Syphilis continues to be a common sexually transmitted disease. Aim: To describe the epidemiologic features of patients with syphilis consulting in a Chilean sexually transmitted diseases clinic. Material and Methods: Review of medical records of patients with positive serology for sy...

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Autores principales: Cavero Tardones,Andrea, Ramírez-Santana,Muriel
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2020
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000700956
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spelling oai:scielo:S0034-988720200007009562020-10-09Epidemiología de la sífilis con enfoque territorial: caso del Hospital de La Serena, años 2015-2017Cavero Tardones,AndreaRamírez-Santana,Muriel Pregnancy Complications Syphilis Sexually Transmitted Diseases Unsafe Sex Background: Syphilis continues to be a common sexually transmitted disease. Aim: To describe the epidemiologic features of patients with syphilis consulting in a Chilean sexually transmitted diseases clinic. Material and Methods: Review of medical records of patients with positive serology for syphilis, who attended a unit of sexually transmitted diseases between 2015 and 2017. Results: Of 266 cases, 61% were male and 74% were aged between 20 and 49 years. The highest incidence was observed in males aged between 20 and 30 years. Eighty five percent of cases were diagnosed in latent phases, 10% of the cases had a co-infection with HIV and 18%, a history of other sexually transmitted disease. The rate of coinfection was significantly higher in men than in women (78 and 28%, respectively; p < 0.01). Only 6.4% reported always using a condom. Men used it with higher frequency than women (72 and 28% respectively; p < 0.01). A low adherence to treatment and faulty follow-up and treatment of sexual contacts was observed. Twenty five percent of women diagnosed with syphilis were pregnant and 27% of them had a premature birth, with one neonatal death. Conclusions: A high incidence of syphilis was observed, especially in men of younger ages. The diagnosis is delayed, the treatment of sexual contacts and the use of condoms are uncommon. Although the treatment of pregnant women is appropriated, some perinatal complications are observed.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.7 20202020-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000700956es10.4067/S0034-98872020000700956
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Pregnancy Complications
Syphilis
Sexually Transmitted Diseases
Unsafe Sex
spellingShingle Pregnancy Complications
Syphilis
Sexually Transmitted Diseases
Unsafe Sex
Cavero Tardones,Andrea
Ramírez-Santana,Muriel
Epidemiología de la sífilis con enfoque territorial: caso del Hospital de La Serena, años 2015-2017
description Background: Syphilis continues to be a common sexually transmitted disease. Aim: To describe the epidemiologic features of patients with syphilis consulting in a Chilean sexually transmitted diseases clinic. Material and Methods: Review of medical records of patients with positive serology for syphilis, who attended a unit of sexually transmitted diseases between 2015 and 2017. Results: Of 266 cases, 61% were male and 74% were aged between 20 and 49 years. The highest incidence was observed in males aged between 20 and 30 years. Eighty five percent of cases were diagnosed in latent phases, 10% of the cases had a co-infection with HIV and 18%, a history of other sexually transmitted disease. The rate of coinfection was significantly higher in men than in women (78 and 28%, respectively; p < 0.01). Only 6.4% reported always using a condom. Men used it with higher frequency than women (72 and 28% respectively; p < 0.01). A low adherence to treatment and faulty follow-up and treatment of sexual contacts was observed. Twenty five percent of women diagnosed with syphilis were pregnant and 27% of them had a premature birth, with one neonatal death. Conclusions: A high incidence of syphilis was observed, especially in men of younger ages. The diagnosis is delayed, the treatment of sexual contacts and the use of condoms are uncommon. Although the treatment of pregnant women is appropriated, some perinatal complications are observed.
author Cavero Tardones,Andrea
Ramírez-Santana,Muriel
author_facet Cavero Tardones,Andrea
Ramírez-Santana,Muriel
author_sort Cavero Tardones,Andrea
title Epidemiología de la sífilis con enfoque territorial: caso del Hospital de La Serena, años 2015-2017
title_short Epidemiología de la sífilis con enfoque territorial: caso del Hospital de La Serena, años 2015-2017
title_full Epidemiología de la sífilis con enfoque territorial: caso del Hospital de La Serena, años 2015-2017
title_fullStr Epidemiología de la sífilis con enfoque territorial: caso del Hospital de La Serena, años 2015-2017
title_full_unstemmed Epidemiología de la sífilis con enfoque territorial: caso del Hospital de La Serena, años 2015-2017
title_sort epidemiología de la sífilis con enfoque territorial: caso del hospital de la serena, años 2015-2017
publisher Sociedad Médica de Santiago
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000700956
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AT ramirezsantanamuriel epidemiologiadelasifilisconenfoqueterritorialcasodelhospitaldelaserenaanos20152017
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