High Rates of STIs in HIV-Infected Patients Attending an STI Clinic

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5 Scopus citations

Abstract

Objectives: To evaluate the rates and types of sexually transmitted infections (STIs) in patients infected with the human immunodeficiency virus (HIV) attending a public STI clinic in Miami, Florida as compared with HIV-uninfected patients attending the same clinic. Methods: This was a retrospective review of medical records of individuals attending the Miami-Dade County Health Department STI clinic from March 2012 to May 2012. Demographic and clinical information was abstracted and transferred to an electronic database. Consecutive age-matched HIV-infected and HIV-uninfected patients were identified during the study period. Demographics, risk factors, and history and rates of STIs for HIV-infected and HIV-uninfected patients and for those with newly diagnosed and previously diagnosed HIV infection were compared. Results: A total of 175 medical records were reviewed (89 HIVinfected patients and 86 HIV-uninfected patients). The median age was 37 years. A history of STIs, including syphilis, was more common in HIV-infected than in HIV-uninfected patients. Individuals with a prior diagnosis of HIV were more likely to be older (older than 37 years of age, W2 = 15.3, P G 0.01), male (W2 = 4.74, P = 0.05), to have a new STI (W2 = 5.83, P = 0.01), to have a new diagnosis of syphilis (W2 = 5.15, P = 0.01), and to be under medical care (W2 = 31.19, P G 0.001) than those newly diagnosed as having HIV. Conclusions: HIV-infected individuals who attended this urban STI clinic had high rates of new and past STIs, suggesting the persistence of high-risk sexual behaviors. STI clinics could be a premier site to identify individuals with HIV and high-risk sexual behaviors who could benefit from additional targeted interventions.

Original languageEnglish (US)
Pages (from-to)1-4
Number of pages4
JournalSouthern Medical Journal
Volume109
Issue number1
DOIs
StatePublished - Jan 1 2016

Keywords

  • human immunodeficiency virus
  • prevention
  • sexually transmitted infection

ASJC Scopus subject areas

  • Medicine(all)

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