Characterization of sexually transmitted infections, their pharmacological treatment, and recurrence in a Colombian population
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Authors
Valladales-Restrepo, Luis Fernando
Ospina-Cano, Juan Alberto
Londoño-Serna, María José
Machado-Alba, Jorge Enrique
Issue Date
2021-10-15
Type
Article
Language
en_US
Keywords
Sexually Transmitted Diseases , Urethritis , Recurrence , Male , Condoms , Public Health
Alternative Title
Abstract
Introduction:
Sexually transmitted infections are a public health problem worldwide. Their inadequate antimicrobial management has been associated with a higher risk of recurrence.
Objective:
To characterize the main sexually transmitted infections, the adherence to clinical practice guidelines, and the factors associated with recurrence in Colombia.
Materials and methods:
We conducted an observational study to identify the main sexually transmitted infections, the sociodemographic variables, and the pharmacological management in a patient cohort from a population database of 6.5 million people affiliated with the Colombian health system. We made a multivariate analysis to identify the variables associated with recurrence.
Results:
We detected 3,158 patients with a mean age of 41.8 ± 14.5 years, of whom 63.1% were men. We found 4.030 episodes of sexually transmitted infections, predominantly urethral syndrome (27.5%). Only 13.6% of patients with urethral syndrome, ulcerative syndrome, or genital warts were managed in compliance with clinical practice guidelines and 20.6% were dispensed condoms; 16.7% of patients had recurrences and being male (OR=1.32; 95%CI 1.08-1.63), <30 years old (OR=1.72; 95%CI 1.40-2.13), being treated in municipalities other than capital cities (OR=1.43; 95%CI 1.06-1.94), and having received inadequate treatment for the first episode (OR=1.93; 95%CI 1.52-2.39) were associated with recurrence.
Conclusions:
The majority of patients with sexually transmitted infections were not treated in compliance with clinical practice guidelines and those who did not have adequate management had a higher risk of recurrence.
Description
Citation
Valladales-Restrepo, L. F., Ospina-Cano, J. A., Londoño-Serna, M. J., & Machado-Alba, J. E. (2021). Characterization of sexually transmitted infections, their pharmacological treatment, and recurrence in a Colombian population. Caracterización de las infecciones de transmisión sexual, su tratamiento farmacológico y la recurrencia en una población colombiana. Biomedica : revista del Instituto Nacional de Salud, 41(Sp. 2), 130–139. https://doi.org/10.7705/biomedica.5872
Publisher
Biomedica : Revista del Instituto Nacional de Salud