2016, Number 4
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salud publica mex 2016; 58 (4)
Sexually transmitted pathogens, coinfections and risk factors in patients attending obstetrics and gynecology clinics in Jalisco, Mexico
Casillas-Vega N, Morfín-Otero R, García S, Llaca-Díaz J, Rodríguez-Noriega E, Camacho-Ortiz A, Ayala-Castellanos MM, Mendoza-Olazarán S, Flores-Treviño S, Petersen-Morfín S, Maldonado-Garza HJ, Bosques-Padilla FJ, Garza-González E
Language: English
References: 31
Page: 437-445
PDF size: 240.63 Kb.
ABSTRACT
Objective. To determine the frequency of nine sexually
transmitted pathogens, coinfections and risk factors in patients
attending obstetrics and gynecology clinics in Jalisco,
Mexico.
Materials and methods. Samples from 662
patients attending obstetrics and gynecology clinics were
analyzed.
Treponema pallidum, HIV, and HCV were detected
by serology. HPV was detected by Polimerase Chain Reaction
(PCR), and its genotype was determined by Restriction
Fragment Length Polymorphism (RFLP).
Trichomonas vaginalis,
HSV-1, HSV-2,
Mycoplasma genitalium, Neisseria gonorrhoeae
and
T. pallidum were detected by multiplex PCR.
Results. By
serology, HIV frequency was 6.8%,
T. pallidum was 2.26%, and
HCV was 0.15%. By PCR, HPV frequency was 13.9%, (more
frequent genotype was 16, 33.7%), followed by
T. vaginalis
(14.2%), HSV-1 (8.5%),
M. genitalium (2,41%),
N. gonorrhoeae
(2.11%), HSV-2 (1.8%), and
T. pallidum (1.05%). Patients
infected with
T. vaginalis were more likely to have multiple
coinfections (
p = 0.01).
Conclusion. The frequency of HPV,
HVS-1, HSV-2,
M. genitalium and
T. vaginalis was lower than
that reported. However, a high frequency of HIV,
T. pallidum,
and
N. gonorrhoeae was detected.
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