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Instituto Nacional de Salud Pública

2021, Número 1

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salud publica mex 2021; 63 (1)


Marcadores de infección por sífilis de individuos VIH positivos en el Programa de VIH/SIDA de la Ciudad de México

Juárez-Figueroa LA, Uribe-Salas FJ, Vargas-Guadarrama G, González-Rodríguez A, Ruiz-González V, Medina-Islas Y, Hernández-Nevares P, Iracheta-Hernández P

Idioma: Ingles.
Referencias bibliográficas: 28
Paginas: 27-33
Archivo PDF: 270.92 Kb.


RESUMEN

Objetivo. Evaluar las prevalencias de marcadores de infección por T. pallidum en personas que viven con VIH y reciben tratamiento antirretroviral en el Programa de VIH/SIDA de la Ciudad de México, así como sus características asociadas. Material y métodos. Se siguió el método del algoritmo reverso para el diagnóstico de T. pallidum aplicado a 2 383 individuos VIH positivos, quienes contestaron un cuestionario sobre características sociodemográficas, prácticas sexuales, diagnóstico previo de sífilis y tiempo de tratamiento antirretroviral. Las variables significativamente asociadas con los marcadores de sífilis se analizaron mediante un modelo de regresión logística. Resultados. Las prevalencias de marcadores de infección “activa o resuelta” y “probablemente activa” fueron 44.2 y 28.8%, respectivamente. Las características asociadas con los marcadores fueron Clínica Especializada Condesa Iztapalapa (CECI), diagnóstico previo de infección por sífilis, hombres que tienen sexo con hombres (HSH) y prácticas sexuales receptivas. Conclusiones. Las prevalencias de marcadores de infección por T. pallidum fueron altas y estuvieron relacionadas con prácticas sexuales específicas y con el diagnóstico previo de sífilis, características que requieren medidas preventivas dentro del programa.


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