Prevalence of antibodies against Treponema pallidum among HIV-positive patients in a tertiary care hospital in Mexico

Author:

Mata-Marín José Antonio1,Sandoval-Sánchez Juan Joel2,Huerta-García Gloria3,Arroyo-Anduiza Carla Ileana4,Alcalá-Martínez Enrique2,Mata-Marín Luis Alberto5,Sandoval-Ramirez Jorge Luis1,Gaytán-Martínez Jesús1

Affiliation:

1. Infectious Diseases Department, Hospital de Infectología, “La Raza” National Medical Center, IMSS, Mexico City, Mexico

2. Epidemiology Department, Hospital de Infectología, “La Raza” National Medical Center, IMSS, Mexico City, Mexico

3. Pediatric Infectious Diseases Department, “Siglo XXI” National Medical Center, IMSS, Mexico City, Mexico

4. Central Blood Bank, “La Raza” National Medical Center, IMSS, Mexico City, Mexico

5. Internal Medicine Department, St. Johannisstift Ev. Krankenhaus Paderborn, Germany

Abstract

Our objective was to determine the seroprevalence of syphilis among HIV-infected patients in a tertiary care hospital in Mexico City. A cross-sectional study was developed, and 318 HIV-positive patients were evaluated from January to February 2013 at Hospital de Infectología, National Medical Center ‘La Raza’ (a tertiary care hospital specialising in infectious diseases in Mexico City). Laboratory data were screened for the detection of antibodies against Treponema pallidum. Patients completed a questionnaire relating to socio-demographic data and factors associated with syphilis. Of the 318 patients, 83% were men. The mean age ± SD was 36 ± 11 years; 52% were men who have sex with men and 47% had undertaken higher education. The overall seroprevalence of syphilis among these patients was 25% (95% confidence interval 21%, 30%). Men who have sex with men had a significantly higher seroprevalence (30% vs. 15%, p = 0.009). We conclude that, in Mexico, there is a high seroprevalence of syphilis antibodies in HIV-infected patients and that men who have sex with men are the group most affected.

Publisher

SAGE Publications

Subject

Infectious Diseases,Pharmacology (medical),Public Health, Environmental and Occupational Health,Dermatology

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