Sexually transmitted infections combined with HIV

• Iskander K. Minullin
• Zhanna G. Eremeeva
• Rizida Z. Ibragimova
• Ildar R. Iskandarov

Abstract

Despite a significant downward trend in the incidence of sexually transmitted infections (STIs), the problem remains relevant, since frequent HIV infection aggravates the clinical picture, the course of diseases and the quality of life of patients

The aim is to provide an epidemiological characterization of the incidence of STIs (syphilis, gonorrhea, trichomoniasis, chlamydia, anogenital herpes and anogenital warts) in the Republic of Tatarstan, including in combination with HIV infection.

Material and methods. The data of primary medical documentation were analyzed using the method of descriptive epidemiological research in the IBM SPSS Statistics 23 program. The indicators of incidents per 100 thousand of the population of the Republic of Tatarstan, the structure (percentage, %) by gender and age, and the structure of patients by social status were calculated. The comparison of indicators was carried out using the Pearson criterion x².

Results. In the Republic of Tatarstan in 2011-2020, there is a significant trend to reduce the incidence of STIs in the population from 467.7 cases per 100 000 population in 2011 to 159.0 cases per 100 000 population in 2020, with a predominance in the gender structure of the proportion of women. During the analyzed period, the age structure was dominated by persons aged 18-29 (49.7-60%), the working population predominated by belonging to social groups until 2015, and since 2016 - non-working citizens. In patients with HIV infection, the proportion of anogenital warts tripled from 12.4 to 36.2%, and urogenital herpes increased 2.4 times, along with a decrease in the proportion of chlamydia from 23.2 to 1.7% in 2011 and 2020, respectively, with stable indicators for syphilis, gonorrhea and trichomoniasis.

Conclusion. Stable registration of combined forms of HIV + STIs confirm the presence of a high risk of infection of the population with etiological agents of STIs, which lead to the development of chronic forms, complications and aggravate the course of HIV infection remain important issues of practical health care.

Keywords:mainly sexually transmitted infections, HIV-infection, patients

REFERENCES

1. Official website of the World Health Organization. URL: https://www.who.int/ru/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)

2. Eremeeva Zh.G., Ibragimova R.Z., Agliullina S.T. Epidemiological features of sexually transmitted infections in the Republic of Tatarstan. Epidemiologiya i vaktsinoprofilaktika [Epidemiology and Vaccine Prophylaxis]. 2020; 19 (4): 84-90. (in Russian)

3. Atambaeva R.M., Kitarova G.S., Isakova Zh.K., Kochkarova F.A. Dynamics of the incidence of sexually transmitted infections in the Kyrgyz Republic. Pediatricheskaya farmakologiya [Pediatric Pharmacology]. 2017; 14 (4): 300-4. DOI: https://doi.org/10.15690/pf.v14i4.1762 (in Russian)

4. Khasanova G.R., Agliullina S.T., Mukharyamova L.M., Nagimo-va F.I., et al. Dynamics of epidemiological manifestations of HIV infection in the gender aspect (on the example of the Republic of Tatarstan). Epidemiologiya i vaktsinoprofilaktika [Epidemiology and Vaccine Prophylaxis]. 2020; 19 (4): 30-7. (in Russian)

5. Agliullina S.T., Tukhvatullina L.M., Kurmanbaеv T.E., Khayrullina E.A., et al. Risk factors for tubal pregnancy in women living in the industrial part of the city of Kazan. Meditsinskiy al’manakh [Medical Almanac]. 2019; 3-4 (60): 99-102. (in Russian)

6. Sakieva K.Zh., Aytmaganbet P.Zh. The impact of STIs on the morbidity and perinatal mortality of newborns in an unfavorable region. Aka-demicheskiy zhurnal Zapadnoy Sibiri [West Siberia Academic Journal]. 2014; 10 [5 (54)]: 10. (in Russian)

7. Fedorova N.F., Zaharova F.A. Frequency of sexually transmitted infections in pregnant women. Vestnik Severo-Vostochnogo federal’nogo universiteta imeni M.K. Ammosova. Seriya: Meditsinskie nauki [Bulletin of the North-Eastern Federal University named after M.K. Ammosov. Series: Medical Sciences]. 2020; 2 (19): 42-6. (in Russian)

8. Eremeeva Zh.G., Zorina L.M., Ibragimova R.Z., Fazylov V.H. HIV infection, sexually transmitted infections, viral hepatitis B and C among sexual partners of pregnant women. Sovremennye problemy nauki i obrazovaniya [Modern Problems of Science and Education]. 2015; (6): 197. (in Russian)

9. Manapova E.R., Fazylov V.P, Beshimov A.T. Sexually transmitted infections in HIV-infected patients. VICH infektsiya i immunosupressii [HIV Infection and Immunosuppression]. 2019; 11 (1): 71-4. (in Russian)

10. Vladimirova E. V., Kovalyk V. P, Murakov S.V., Vladimirov A.A., et al. Analysis of the prevalence of sexually transmitted infections in Russia, according to the federal laboratory network. Klinicheskaya praktika [Clinical Practice]. 2019; 10 (3): 35-41. (in Russian)

11. Nikulina M.K. Features of the spread of STI pathogens in men and women of Kurgan and the Kurgan region for the period 2016-2018. Studencheskiy [Student]. 2019; 39-1 (83): 23-5. (in Russian)

12. The resolution of the Chief state sanitary doctor of the Russian Federation dated October 22, 2013, No. 58 «On approval of the sanitary and epidemiological rules 3.1.3112 SP-13 "Prevention of hepatitis C virus"». URL: http://ivo.garant.ru/#/document/70620566/paragraph/188/doclist/1849/showentries/0/highlight/П%203.1.3112-13:5 (date of access April 1, 2021) (in Russian)

13. The resolution of the Chief state sanitary doctor of the Russian Federation of February 28, 2008 No. 14 «On approval of the sanitary and epidemiological rules 3.1.1.2341 SP-08». URL; https://base.garant.ru/4186480/53f89421bbdaf741eb2d1ecc4ddb4c33/#block_1000 (date of access April 1, 2021) (in Russian)

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)