Monitoring the incidence of sexually-transmitted infections among people living with HIV

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THE PURPOSE

To study the dynamics of STIs among people living with HIV (PLHIV) using the model of the Sverdlovsk region for the period 2009–2018.

MATERIAL AND METHODS

Based on the data of forms No. 9 of the federal statistical observation of dermatovenerological departments of the region and statistical materials, a comparative analysis of the incidence of STIs in PLHIV was carried out.

RESULTS

For the period 2009–2018 4.348 cases of STIs were identified in PLHIV, which amounted to 3.1% of all newly detected cases of sexually transmitted infections in the region. During the researched period, incidence of STIs among PLHIV decreased by 61.7% — from 1302.7 cases (in terms of 100 thousand HIV-positive persons) in 2009 to 498.5 cases in 2018, but remains at the level of exceeding similar indicators in the general population of residents of Ural Federal District and Russian Federation as a whole. The highest level was noted in terms of the incidence of anogenital warts — 377.6 and 209.2 cases per 100 thousand PLHIV, respectively, in 2009 and 2018. In comparison 2018/2009, the incidence of syphilis decreased by 78.5%, gonorrhea — by 86.7%, anogenital herpes viral infection — by 35.5%, amounting to 56.8, 25.8 and 125.3 cases per 100 thousand HIV-positive people in 2018, which exceeds the population indicators. The incidence rate of urogenital chlamydial infection in PLWH for all years was lower than regional indicators, and the incidence of urogenital trichomoniasis was close to those.

CONCLUSION

The persistence of the incidence of STIs in the cohort of PLHIV at a level exceeding the indicators in the region and in Russia as a whole, indicates the need to develop and optimize preventive measures, and conducting regular screening for STIs of HIV-positive citizens.

Keywords:

HIV infection

sexually transmitted infections

syphilis

gonococcal infection

trichomoniasis

anogenital warts

anogenital herpes viral infection

chlamydial infection

Authors:

Prozherin S.V.

Sverdlovsk Oblast Center for Prevention and Control of AIDS

Received:

05.12.2019

Accepted:

14.09.2020

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