Posts filed under ‘Infecciones de transmision sexual’
Clinical Infectious Diseases Dec.2011 V.53 N.12 Suppl.3 S79-S83
Kenneth H. Mayer1,2
1Harvard Medical School, Beth Israel Deaconess Medical Center
2Fenway Institute, Fenway Health, Boston, Massachusetts
Men who have sex with men (MSM) have increased rates of human immunodeficiency virus (HIV) infection and sexually transmitted diseases (STDs) compared with demographically matched controls. The reasons for the disproportionate infection burden are complex, including biological, behavioral, and sociocultural factors. HIV and syphilis may often be coprevalent among MSM. The use of nucleic acid amplification testing has enhanced the ability to detect frequently asymptomatic gonococcal and chlamydial infections of the rectum and other sites. Lymphogranuloma proctitis outbreaks among MSM were noted in the developed world several years ago but have not been common recently. MSM are at increased risk for viral hepatitis and anal human papillomavirus disease. Preventive interventions include vaccination for the former and anal cytologic screening for the latter. Because of the diverse ways in which MSM may be exposed to STDs, it is essential for clinicians to obtain a thorough sexual history in a culturally competent manner.
Clinical Infectious Diseases Dec.2011 V.53 N.12 Suppl.3 S84-S91
Linda M. Gorgos1 and Jeanne M. Marrazzo2
1Infectious Disease Bureau, Public Health Division, New Mexico Department of Health, Santa Fe
2Department of Medicine, Division of Allergy and Infectious Diseases, University of Washington, Seattle
Women who have sex with women (WSW) are a diverse group with variations in sexual identity, sexual behaviors, sexual practices, and risk behaviors. WSW are at risk of acquiring bacterial, viral, and protozoal sexually transmitted infections (STIs) from current and prior partners, both male and female. Bacterial vaginosis is common among women in general and even more so among women with female partners. WSW should not be presumed to be at low or no risk for STIs based on sexual orientation, and reporting of same-sex behavior by women should not deter providers from considering and performing screening for STIs, including chlamydia, in their clients according to current guidelines. Effective delivery of sexual health services to WSW requires a comprehensive and open discussion of sexual and behavioral risks, beyond sexual identity, between care providers and their female clients.
Emerging Infectious Diseases June 2016 V.22 N.6
To the Editor:
Antimicrobial resistance in Neisseria gonorrhoeae is increasing globally. In recent years, gonococcal strains with resistance to the extended-spectrum cephalosporin (ESC) ceftriaxone have been reported from many countries (1). In South America, 7 ceftriaxone-resistant strains (MICs >0.25 μg/mL) were reported from Brazil in 2007; however, these isolates have not been characterized (2). Emergence of cephalosporin-resistant gonorrhea would substantially limit treatment options and represent a major public health concern. We report an N. gonorrhoeae isolate in Argentina that was resistant to ceftriaxone and cefixime…..
2016-06 Neisseria gonorrhoeae Resistant to Ceftriaxone and Cefixime, Argentina EID
Emerging Infectious Diseases May 2016 V.22 N.5
To the Editor: Since the 1930s, Neisseria gonorrhoeae has become resistant to drugs in every class of antimicrobial therapy used to treat it. We read with interest the article by Martin et al. about trends in Canada on N. gonorrhoeae susceptibility to third-generation cephalosporins, the only class of antimicrobial drugs to which most N. gonorrhoeae strains remain susceptible (1). We find the reported decrease in cefixime- and ceftriaxone-reduced susceptibility during 2010–2014 encouraging, but remain concerned about a threat from drug-resistant and untreatable N. gonorrhoeae infections: a similar downward trend in the United States reversed in 2014 (2). That divergence demonstrates the limited reliability of surveillance data…..