A study of sexually transmitted infections among HIV – infected patients in correlation with their CD4 T cell counts

Authors : Meetesh Agrawal, Prerna Sharma, Animesh Saxena

DOI : 10.18231/j.ijced.2020.052

Volume : 6

Issue : 3

Year : 2020

Page No : 257-260

Context: Sexually transmitted infections is most common infectious disease for public health. Human immunodeficiency virus (HIV) alters the clinical presentation of sexually transmitted infections, their natural history, relative prevalence and response to treatment.
Aims: To study the sexually transmitted infections and their correlation with the CD4 T cell counts among HIV – infected patients.
Settings and Design: Department of dermatology, venereology and leprology, tertiary care hospital, Crosssectional study.
Methods and Material: A total of one hundred and fifty-five cases of HIV seropositivity were studied ver a period of twelve months. A detailed history covering all relevant points was recorded in all cases. Each patient underwent a thorough general, physical, systemic, dermatological and venereological examination. Twenty-five out of one hundred fifty-five cases had sexually transmitted infections. All relevant investigations were done and data was recorded.
Statistical analysis used: Data analysis was done using Statistical Package for Social Sciences (SPSS) v.21 for windows and Chi-square test was used.
Results: Out of the twenty-five patients, nineteen were males, five females and one transgender. Maximum numbers of patients were between the age group of 31-40 years. Most common sexually transmitted infection was herpes progenitalis (64%). Others were genital warts (16%), balanoposthtitis (8%), gonorrhea (4%), syphilis (4%), buschke-lowenstein tumour (4%) and genital molluscum contagiosum (4%).
Conclusions: There is a strong association between the occurrence of HIV and the presence of sexually transmitted infections.
Key Message: Both HIV and sexually transmitted diseases are closely interlinked. So, early diagnosis, treatment and control of sexually transmitted diseases offer a rational approach to the management.

Keywords: HIV Infections, Sexually Transmitted Diseases, CD 4 TLymphocytes.


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