Background Multiple studies have suggested that STIs (sexual transmission infections) are important cofactors in the transmission and acquisition of HIV infection. Thus control of one may have beneficial effects on the control of the other.
Method A descriptive cross sectional study of 2059 PLHIV and STIs were undertaken at 6 at adult HIV outpatient clinics in Vietnam from 10/2008 to 11/2011 to determine the STIs situation among PLHIV.
Results Among 2059 PLHIV and STIs 48.2% (n = 991) were male, 51.8% (n = 1068) were female. The majority of PLHIV with STIs (n = 2010, 97.6%) are the ages of from 15 to 49 years, only 2.4% (n = 49) of patients over 49 years. 65.6% (n = 1350) of patients are diagnosed STI by etilogic approach. 34.4% (n = 709) of STI/HIV patients were diagnosed by syndromic approach. Among 336 male patients (n = 47.4%) diagnosed with STIs by syndromic approach: (80.1%) (n = 269) patients had urethral discharge syndrome, (19.4%) (n = 65) patients had genital ulcer syndrome. Among 373 female patients (n = 52.6%) diagnosed with STIs by syndromic approach, n = 190 (50.9%) patients had vaginal discharge syndrom, n = 148 (39.7%) had abdominal pain syndrome. Of 655 male patients etiologically diagnosed of STI, 65.7%(n = 430) had genital warts with human papillomavirus (HPV), n = 73 (11.2%) had genital ulcers due to Herpes simplex virus (HSV), n = 38 (5.8%) had gonorrhoea, n = 22 (3.4%) had Chlamydia trachomatis 3%. Of 695 female patients, n = 295 (42.4%) had warts due to HPV, n = 121 (17.4%) had fungal vaginitis due to Candida, n = 117 (16.8%) had bacterial vaginalis and n = 79 (11.4%) had ulcers due to HSV.
Conclusion In patients with STIs/HIV, when using syndromic approach nearly half of the male patients had uretharal discharge syndrome and over half of female patients had vaginal discharge syndrome. Etiologically, genital warts due to HPV were the most common cause.
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