Prevalence and Associated Factors of Sexually Transmitted Infections Based on the Syndromic Approach among HIV Patients in ART Clinic; Ayder Referral Hospital, Northern Ethiopia
Clinical Medicine Research
Volume 4, Issue 5, September 2015, Pages: 132-138
Received: May 19, 2015; Accepted: Jun. 10, 2015; Published: Aug. 3, 2015
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Abraha Gebrelibanos Kahsay, Postgraduate in Tropical Dermatology, Mekelle University, Mekelle, North Ethiopia
Frehiwot Daba, Dermatovenereology Department head, Mekelle University, Mekelle, North Ethiopia
Abraham Getachew Kelbore, Postgraduate in Tropical Dermatology, Mekelle University, Mekelle, North Ethiopia
Sefonias Getachew, Addis Ababa University, school of Public Health, Addis Ababa, Ethiopia
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Background: Sexually transmitted Infections represent a large burden of disease worldwide with an annual incidence of about 333 million cases. In Ethiopia, studies on Sexually Transmitted Infections (STIs) among HIV patients are very few; therefore, conducting research on STIs in general and among HIV patients in particular is an important input to design policy and strategy aimed at preventing and controlling the infections. Objective: To determine the prevalence and associated factors of sexually transmitted infections among HIV patients in ART clinic; Ayder referral hospital, Tigray, Ethiopia. Methods: Institution based cross sectional study design was conducted among 353 HIV patients in Ayder hospital, ART clinic from July to September 2014. A systematic random sampling technique was used to identify study subjects. Data were collected using structured questionnaire and entered into and analyzed using SPSS 20 for windows. Descriptive analyses were used to estimate the prevalence of STIs and selected characteristics of patients. The effects of predictors on having STIs were analyzed using logistic regression and their effects were depicted using OR adjusted for confounding. P-value less than 0.05 were considered as statistical significant for all tests. Result;: Among total respondents; 150 (42.5%) were male and 203 (57.5%) female HIV patients .The prevalence of sexually transmitted infections based on the syndromic approach was 8.5% with specific prevalence of (4.6%) urethral discharge syndrome,(2.8%) genital ulcer syndrome, none of them scrotal swelling syndrome, (2.5%) lower abdominal pain syndrome,(0.3%)inguinal bubo and (5.5%) had vaginal discharge syndrome. 8 patients (26.7%) had recurrent disease and 28 patients (93.3%) treated without their partners. After multivariable logistic regression analysis, age (AOR=11.3 (95%CI: 1.1-116.5), marital status (AOR=0.031 (95%CI: 0.001-0.93) and having new sexual partner within the last three months (AOR=152.7 (95%CI: 3.7-6274) were significantly associated with STI syndromes p-value<0.05. Conclusion and recommendations: The prevalence of sexually transmitted infections based on the syndromic approach among HIV patients was 8.5% and the factors associated with STIs among HIV patients were: age, marital status and having new sexual partner within the last three months. Moreover, further studies to explore the predictor variables are highly recommended.
Prevalence, Sexually Transmitted Infections, Syndrome
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Abraha Gebrelibanos Kahsay, Frehiwot Daba, Abraham Getachew Kelbore, Sefonias Getachew, Prevalence and Associated Factors of Sexually Transmitted Infections Based on the Syndromic Approach among HIV Patients in ART Clinic; Ayder Referral Hospital, Northern Ethiopia, Clinical Medicine Research. Vol. 4, No. 5, 2015, pp. 132-138. doi: 10.11648/j.cmr.20150405.12
Schryer AD, Meheus A. Epidemiology of sexually transmitted disease: the global picture. Bull. WHO 1990; 68:639-654.
WHO. Global Prevalence and Incidence of Selected Curable Sexually Transmitteddiseases. Summary Sheets.WHO, Department of HIV/AIDS, Geneva, 2001.
GutheT. Venereal diseases in Ethiopia. Bull WHO 1949;2:85-137
Kloos H, Zein ZA. Health and Disease in Ethiopia: A Guide to the Literature 1940-1985. Ministry of Health, Addis Ababa, 1988
Molla M, Ismail S, KumieA et al. Sexual violence among female street adolescents in Addis Ababa, April 2000. Ethiop J Health Dev 2002; 16:119-128.
Wanzahun Godana, Abraham Atta. Prevalence of HIV/AIDS and its Associated Factors among Prevention of Mother-to-Child Transmission (PMTCT) Service Users in Jinka Town Health Institutions, South Omo Zone, South Ethiopia. Science Journal of Public Health. Vol. 1, No. 3, 2013, pp. 125-130.
Fleming DT, Wasserheit JN: From epidemiological synergy to public health policy and practice: the contribution of other sexually transmitted diseases to sexual transmission of HIV infection.SexTransm Infect 1999, 75(1):3-17.
Centers for Disease Control and Prevention (CDC): Incorporating HIV prevention into the medical c of persons living with HIV. Recommendations of CDC, the Health Resources and Services Administration, the National Institutes of Health, and the HIV Medicine Association of the Infection Diseases Society of America. MMWR Recomm Rep 2003, 52(RR-12):1-24.
World Health Organization: HIV/AIDS program: strengthening health services to fight HIV/AIDS. Essential prevention and care interventions for adults and adolescents living with HIV in resource-limite settings. Geneva: WHO press; 2008.
Meheus AZ. Practical approaches in developing nations. In: Holmes KK, Mardh P-A, Sparling PF, et al , eds. Sexually transmitted diseases. 1st ed. New York: McGraw-Hill, 1984:998–1008.
World Health Organization. Guidelines for the management of sexually transmitted infections. Geneva: WHO/HIV_AIDS/2001, 01.
Lush L, Walt G, Ogden J. Transferring policies for treating sexually transmitted infections: what’s wrong with global Guidelines? Health Policy and Planning2003; 18:18–30.
Wolday D. Prevalent infectious diseases in patients with HIV/AIDS in Ethiopia. Ethiop Med J 2003; 41:189-203.
Nazish Fatima et al.: Sero Prevalence of Syphilis Infection among Patients Attending Antenatal Care & Sexually Transmitted Disease (STD) Clinics: Observations from a Tertiary Care Hospital of Northern India. American Journal of Internal Medicine 2014; 2(1): 6-9
Wolday D, Gebre-Mariam Z, Mohamed Z et al. Risk factors associated with failure of syndromic treatment of sexually transmitted diseases among women seeking primary care in Addis Ababa. Sex Transm Infect 2004;80:392-394
Kebede Y, Dorigo-Zetsma W, Mengistu Y et al. Transmission of herpes simplex virus Type 2 among factory workers in Ethiopia. J Infect Dis 2004; 190:365-372.
AIDS Control and Prevention (AIDSCAP) Project/Family Health International. Control of Sexually Transmitted Diseases: A Handbook for the Design and Management of Programs. Addis Ababa.
WHO: Global prevalence and incidence of selected curable sexually transmitted Diseases, overview and estimates. Geneva: WHO; 2001.
Nuwaha F: Determinants of choosing public or private health care among patients with sexually transmitted infections in Uganda. Sex Transmitted Dis 2006, 33:422–427.
Glasier A, Gülmezoglu AM, Schmid GP, Moreno CG, Van Look PF: Sexual and Reproductive health, a matter of life and death. Lancet 2006, 368:1595–1607.
Rizvi H., ZuberiF.Women’s health in developing countries.Obstet.Gynecol. 2006; 20: 907- 922.
Menendez C., Castellsague X., Renom M et al. Prevalence and risk factors of sexually transmitted infections and cervical neoplasiain women from a rural area of southern Mozambique. Infec. Dis. Obst. Gyn. Article ID 2010; 609315: 1-9.
Moodley P., Sturm A. Management of vaginal discharge syndrome: how effective is our strategy. Inter. Jour. Antimi. Agents. 2004; 24S: S4–S7.
Mullick S., Watson-Jones D., Beksinska M., Mabey D. Sexually transmitted infections in pregnancy: prevalence, impact on pregnancy outcomes and approach to treatment in developingcountries.Sex.Transm. Infect. 2005; 81:294–302
Ros C., Schmitt C. Global epidemiology of sexually transmitted diseases.AsianJ.Androl. 2008; 10: 110–114.
Mullick S., Watson-Jones D., Beksinska M., Mabey D. Sexually transmitted infections in pregnancy: prevalence, impact on pregnancy outcomes and approach to treatment in developing countries.Sex.Transm. Infect. 2005; 81: 294–302
SuvannaA, Rangisma L, Anuvat R, et al. sexually transmitted infection among HIV infected women in Thailand, 2012.
Clark JL, Lescano AG, Konda KA, Leon SR, Jones FR, et al. Syndromic Management and STI Control in Urban Peru. PLoS ONE 2009; 4(9): 1.
PlordeD. Sexually transmitted diseases in Ethiopia: Social factors contributing to their spread and implications for developing countries. Br. J. Vener. Dis. 1981; 57: 357-362.
[30][Accessed on may15th , 2014]
Ademe M, Syndromic management approach and lab. Diagnosis of T.vaginalis in STI compliant in Merawi health center, 2011
Kassa A, Shume A and Kloos H. Sexually Transmitted Infections. In: Berhane Y, Hailemariam D and Kloos (Eds): The Epidemiology and Ecology of Health and Disease in Ethiopia. Shama Books, Addis Ababa, Ethiopia.2006: 435-45.
Tesfaye F, Kasseye M, Kebede D et al. Community-based survey of STI syndromes in Adami-Tulu. Ethiop J Health Dev 2000;14:7-12.
Marg R. STD and HIV Prevalence Survey among Female Sex Workers and Truckers on Highway Routes in the Terai, Nepal. Kathmandu, Nepal Family Health International/Nepal Bakundol, PulchowkLalitpur, Nepal 2000.
Hwang L-Y, Ross MW, Zack C, Bull L, Rickman K, Holliman M. Prevalence of Sexually Transmitted Infections and Associated Risk Factors among Populations of Drug Abusers. Clinical Infectious Diseases 2000;31:920-6.
S.A. Ohen IOA. Factors associated with sexually transmitted infections among young Ghanaian women. Ghana medical journal 2008;42(3):96-100.
N. E. Kurewa MPM, M. W. Munjoma et al. The burden and risk factors of Sexually Transmitted Infections and Reproductive Tract Infections among pregnant women in Zimbabwe. BMC Infectious Diseases2010; 10::127.
Shahidullah MMRM. Adolescent Self-Reported Reproductive Morbidity and Health Care Seeking Behavior in Bangladesh Paper prepared for 25 th IUSSP International Population Conference2005 18-23.
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