Seroprevalence of Human Immunodeficiency Virus/Hepatitis B Virus/Hepatitis C Virus Infections and Syphilis among Sexually Transmitted Infection Patients - A Prospective Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 2
Abstract
Background: Human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) infection are found to be a global health problem. Many risk behaviors as well as the routes of transmission for HBV and HCV infections are identical to those of HIV and other sexually transmitted diseases. Aim: To study the seroprevalence of HIV, HBV, HCV infections and syphilis and to assess the risk of these coinfections in patients with sexually transmitted infections (STI). Materials and Methods: STI patient’s detailed history was taken along with risk assessment. Blood samples were collected and subjected to HIV Rapid Method, venereal disease research laboratory test which if reactive followed by treponema pallidum haemagglutination test, hepatitis B surface antigen, and anti-HCV antibody by enzyme-linked immunosorbent assay. Results: Among the 3044 patients, 125 were HIV positive (4.1%) (male = 80, female = 43, and transgender [TG] = 2). Coinfection with HBV, HCV, and syphilis was seen in 30 HIV positives (24%). The coinfection combinations were as follows: HIV + HBV 12 (9.6%), HIV + HCV 9 (7.2%), HIV + syphilis 6 (4.8%), and HIV + HBV + HCV 3 (2.4%). None had HIV/HBV/HCV/syphilis coinfection combination. The incidence of HIV + HBV was higher in the study population. The affected age group was 25-44 years. Both two HIV-positive TG had coinfections. Most of the patients with the coinfections also had other STI’s like warts, herpes, candidiasis, gonorrhoea, trichomoniasis, and bacterial vaginosis. Conclusion: The prevalence of HIV, HBV, HCV, and syphilis coinfections needs to be studied on a larger scale for better understanding of their impact on clinical outcome, to assess the magnitude of these coinfections; the role of sexual transmission, associated risk factors in the STI population; treatment response; to create awareness, and to prevent morbidity and mortality caused by these infections.
Authors and Affiliations
Vidhya Livingston1, V Sudha
Keywords
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