Estudios clínicos y de laboratorio
Investigación de infecciones de transmisión sexual en varones heterosexuales asintomáticos pareja de mujeres con neoplasia cervical intraepitelialResearch on sexually transmitted infections in asymptomatic heterosexual males whose partners have cervical intraepitelial neoplasia

https://doi.org/10.1016/S0001-7310(06)73409-3Get rights and content

Resumen

Introducción

Los virus del papiloma humano (VPH) son los agentes etiológicos de las verrugas genitales y de la neoplasia cervical intraepitelial (CIN), siendo su mecanismo de transmisión la vía sexual. El objeto de este estudio es determinar la prevalencia de infecciones de transmission sexual (ITS) en varones heterosexuales asintomáticos que acuden a la consulta en busca de consejo después de haber diagnosticado a su pareja una CIN.

Métodos

Se estudiaron 181 varones asintomáticos, pareja de mujeres con diagnóstico de CIN, en la unidad de ITS en Gijón durante un período de 5 años (1999-2003). Se empleó el mismo protocolo diagnóstico en todos los casos: examen clínico, genitoscopia y obtención de muestras para cultivo de bacterias, hongos y Trichomonas, así como muestras para la detección genómica de Chlamydia y serología de sífilis, virus de la inmunodeficiencia humana (VIH) y virus de las hepatitis.

Resultados

Se diagnosticaron 101 infecciones en 85 pacientes (47%), que por orden de mayor prevalencia fueron: uretritis por Ureaplasma urealyticum (35 de 181; 19,3%), verrugasgenitales (31 de 181; 17,1%), Haemophilus spp. (12 de 181; 6,6%) y balanopostitis micótica (10 de 181; 5,5%).

Conclusiones

La prevalencia de ITS en las parejas de mujeres con CIN es elevada, y en estos casos es necesario establecer programas de detección y control de ITS en ambos miembros de la pareja.

Abstract

Introduction

Human papillomaviruses (HPV) are the etiological agents of genital warts and of cervical intraepithelial neoplasia (CIN), and they are sexually transmitted. The aim of this study is to determine the prevalence of sexually transmitted infections (STI) in asymptomatic heterosexual males who consult their physicians seeking advice after their partners have been diagnosed with CIN.

Methods

181 asymptomatic males whose partners were women diagnosed with CIN were studied at the STI unit in Gijón over a five-year period (1999-2003). The same diagnostic protocol was used in all cases: clinical exam, genitoscopy and the taking of samples for bacterial, fungus and Trichomonas cultures, as well as samples for the genomic detection of Chlamydia, and syphilis, HIV and viral hepatitis serology.

Results

101 infections were diagnosed in 85 patients (47 %). By order of greatest prevalence, these were: urethritis from Ureaplasma urealyticum (35/181; 19.3 %), genital warts (31/181; 17.1%), Haemophilus spp. (12 de 181; 6.6%) and mycotic balanoposthitis (10/181; 5.5 %).

Conclusions

The prevalence of STI in the partners of women with CIN is high, and in these cases it is necessary to establish STI detection and control programs in both members of the couple.

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