Sexually Transmitted Diseases: from HPV to HTLV - clinical profile and associated factors

Silveira, Fabíola Suris da; Bonamigo, Renan Rangel

doi:10.1590/abd1806-4841.20153663

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Communication • An. Bras. Dermatol. 90 (6) • Dec 2015 • https://doi.org/10.1590/abd1806-4841.20153663 copy

Sexually Transmitted Diseases: from HPV to HTLV - clinical profile and associated factors^* * Study conducted at the Ambulatório de Dermatologia Sanitária do Estado do Rio Grande do Sul e Pós-Graduação em Patologia da Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) – Porto Alegre (RS), Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract:

The Brazilian Ministry of Health recommends the performance of serological tests in patients with clinical signs of Sexually Transmitted Diseases. However, data are lacking to affirm the necessity of testing these patients for human T-lymphotropic virus type 1 or type 2. This is a cross-sectional study with 120 patients seen at the Sexually Transmitted Diseases unit of the Sanitary Dermatology Outpatient Clinic of Rio Grande do Sul. The serum from none of the patients was positive for human T-lymphotropic virus type 1 or type 2. Viral warts were the most frequent diagnosis. Drug use was confirmed as a risk factor and high educational levels were found to be a protective factor against Sexually Transmitted Diseases.

Keywords:
Sexually Transmitted Diseases; Risk Factors; Human T-lymphotropic virus type I; Human T-lymphotropic virus type II

		Genital ulcer	Discharges^* * the sum of the urethral and vaginal discharges.	Genital warts	Pelvic Pain	Total	p
History of HIV	Yes	6	3	5	0	14	0.253^§ § Pearson's chi-square test
	No	21	30	53	3	107
Drugs use	Yes	15	25	48	3	91	0.039^§ § Pearson's chi-square test
	No	12	8	10	0	30
Condoms use	Always	10	10	19	0	39	0.282^§ § Pearson's chi-square test
	Sometimes	12	18	32	1	63
	Never	5	5	7	2	19
Steady partner	Yes	18	18	36	1	73	0.593^§ § Pearson's chi-square test
	No	9	15	22	2	48
Multiple partners	Yes	8	13	16	1	38	0.702^§ § Pearson's chi-square test
	No	19	20	42	2	83
Partner with STD	Yes	5	9	10	0	24	0.433^§ § Pearson's chi-square test
	No	12	11	33	2	58
	Does not know	10	13	15	1	39

	N	%		N	%
Gender			Use Marijuana
Male	68	56.7 %	Yes	11	9.2%
Female	52	43.3 %	No	109	90.8%

Educational level			Use cocaine
None	2	1.7%	Yes	3	2.5%
1-3 years	7	5.8%	No	117	97.5%
4-7 years	25	20.8%
8-11 years	71	59.2%	Use crack
Incomplete higher education	11	9.2%	Yes	1	0.8%
Complete higher education	4	3.3%	No	119	99.2%

City of residence			Ingest alcohol
Porto Alegre, RS, Brazil.	98	81.7%	Daily	3	2.5%
Others	22	18.3%	Sometimes	78	65%
			Never	39	32%
SEROLOGY
Current serology for HTLV			OTHER FACTORS
Negative	119	99.2%	Use condom
Inconclusive	1	0.8%	Always	40	33.3%
			Sometimes	62	51.7%
Serology for Syphilis			Never	18	15%
Positive	12	10%
Negative	108	90%	History of HIV
			Yes	14	11.7%
SYNDROMIC APPROACH STDs			No	106	88.3%
Vaginal discharge
Yes	19	15.8%	History of previous STD
No	101	84.2%	Yes	40	33.3%
			No	80	66.7%
Genital ulcer
Yes	27	22.5%	Were already tested for STD
No	93	77.5%	Yes	77	64.2%
			No	43	35.8%
Urethral discharge
Yes	3	2.5%	Havea steady partner
No	117	97.5%	Yes	73	60.8%
			No	47	39.2%
Pelvic Pain
Yes	14	11.7%	Have multiple partners
No	106	88.3%	Yes	36	30%
			No	84	70%
Genital warts
Yes	58	48.3%	Partner with STD
No	62	51.7%	No	57	47.5%
			HIV	6	5.0%
DRUGS AND ALCOHOL USE			HTLV	1	0.8%
Smoke cigarettes			HPV	11	9.2%
Yes	40	33.3%	Other	8	6.7%
No	80	66.7%	Does not know	37	30.8%

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E-mail: revista@sbd.org.br

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[1] MAILING ADDRESS: Fabíola Suris da Silveira, Av Joao Pessoa, 1327 Farroupilha, 90040001 - Porto Alegre - RS, Brazil. E-mail: fabisuris@hotmail.com