Missed opportunities in the early detection of HIV infection in patients with sexually transmitted infections: A real-life study

Enferm Infecc Microbiol Clin (Engl Ed). 2024 Mar;42(3):146-148. doi: 10.1016/j.eimce.2024.01.004. Epub 2024 Feb 1.

Abstract

Introduction: Sexually transmitted diseases such as cervicitis, proctitis and urethritis are associated with high rates of HIV infection. When these pathologies are suspected, HIV serology should be requested.

Material and methods: A retrospective study was performed during 2018 at the Hospital Costa del Sol (Marbella, Málaga, Spain). HIV serologies requested in patients who were asked for PCR for Chlamydia trachomatis and Neisseria gonorrhoeae were reviewed.

Results: A total of 1818 patients were evaluated, in which HIV serology was performed in 44.7%, of which 14 (1.7%) were positive. The remaining 55.3% were missed diagnostic opportunities.

Conclusions: C. trachomatis and N. gonorrhoeae infections are associated with a high rate of occult HIV infection. The degree of suspicion of HIV in this population remains low and it is essential that it be reinforced in the presence of the possibility of infection by these pathologies.

Keywords: Chlamydia; Diagnóstico precoz; Early diagnosis; Gonorrea; Gonorrhea; HIV; VIH.

MeSH terms

  • Chlamydia Infections* / complications
  • Chlamydia Infections* / diagnosis
  • Chlamydia Infections* / epidemiology
  • Chlamydia trachomatis
  • Female
  • Gonorrhea* / diagnosis
  • Gonorrhea* / epidemiology
  • HIV Infections* / complications
  • HIV Infections* / diagnosis
  • Humans
  • Retrospective Studies
  • Sexually Transmitted Diseases* / diagnosis
  • Sexually Transmitted Diseases* / epidemiology