Increase in sexually transmitted infections in a cohort of outpatient HIV-positive men who have sex with men in the Parisian region

Med Mal Infect. 2017 Nov;47(7):490-493. doi: 10.1016/j.medmal.2017.06.004. Epub 2017 Sep 22.

Abstract

Objective: To describe the increased incidence of sexually transmitted infections (STIs) in a cohort of HIV-infected men who have sex with men (MSM), followed in a tertiary hospital of the Île-de-France region.

Materials and methods: We performed a monocentric, retrospective, and prospective study. We included symptomatic HIV-infected MSM patients who consulted for their annual consultation.

Results: One hundred and eighty patients were seen between 2008-2011 and 215 between 2012-2015. We observed an increased incidence of STIs between the two periods (14 and 29.3%, respectively). These STIs includes: syphilis, hepatitis C, urethritis, and proctitis due to Chlamydia trachomatis and Neisseria gonorrhea.

Conclusion: A better management of symptomatic and asymptomatic STIs is needed for HIV-infected MSM patients.

Keywords: HIV; Hommes ayant des rapports sexuels avec des hommes; IST; Men who have sex with men; STI; VIH.

MeSH terms

  • Adult
  • Comorbidity
  • HIV Infections / epidemiology*
  • Homosexuality, Male
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Morbidity / trends
  • Outpatients
  • Paris / epidemiology
  • Prospective Studies
  • Retrospective Studies
  • Sexually Transmitted Diseases / epidemiology*