PATTERN OF SEXUALLY TRANSMITTED INFECTIONS IN MALES IN INTERIOR SINDH: A 10-YEAR-STUDY

Authors

  • Abdul Manan Bhutto
  • Aftab Hussain Shah
  • Dileep Kumar Ahuja
  • Aijaz Hussain Solangi
  • Sharaf Ali Shah

Abstract

Background: Sexually transmitted infections (STIs) are widespread in Pakistan and have not beenfully documented particularly in Sindh Province. The aim of this study is to determine the number andclinical pattern of various types of STIs in general population of Larkana division and its surroundingcities. Methods: A hospital based prospective study was carried out at Male-STD-Clinic in theDepartment of Dermatology, Shaheed Muhtarma Benazir Bhutto Medical University Hospital Larkanafrom January 2000 to December 2009. Results: Among 4,288 patients, 3,947 (92.04%) had the historyof extra marital sexual contact and simultaneously had developed the clinical signs of STIs; 341(7.95%) had history of extra marital sexual contact but did not have the manifestation of STIs. Majorityof the patients (3,860, 90.01%) had the history of heterosexual contact with different partners, but onlyfew 171 (3.98%) of them had the history of homosexual contact. According the syndromic diagnosis1930 (45.00%) patients had genital ulcer (including herpes genitals) with or without skinmanifestations, 690 (16.09%) had urethral discharge, 431 (10.05%) had genital warts, 349 (8.14%) hadlesions other than STIs related, 304 (7.08%) had more than one syndrome, 193 (4.50%) had scrotalswelling, 46 (1.07%) had inguinal bubo, 3 (0.06%) were human immunodeficiency virus (HIV)positive, and 1 (0.02%) had ophthalmia neonatorum. Based on the clinical and etiological grounds:2560 (59.70%) had syphilis, 640 (14. 92%) had gonorrhoea, 399 (9.30%) had mixed infections, 40(0.93%) had chancroid, 431 (10.05%) had genital warts, 40 (0.93%) had lymphogranuloma venerum(LGV) and granuloma inguinale (GI), 3 (0.06%) were HIV positive, 208 (4.85%) had genital herpes,120 (2.79%) had orchitis, 56 (1.30%) had non gonococcal urethritis (chlamydia were 19), and 1(0.02%) had ophthalmia neonatorum. Conclusions Mode of transmission of STIs in this region ismainly by heterosexual contact and syphilis is the commonest followed by gonorrhoea.Keywords: Sexually Transmitted Infections, Hetrosexuality, Pattern, Sindh Province, Pakistan

References

Jrondi S, Mahjour J. New strategies for control of STD in

Morocco. EMR AIDS News 1998;2:2–4.

World Health Organization: Young people and sexually

transmitted diseases. Fact sheets. Geneva, Switzerland 1997.

Available at: https://apps.who.int/inf-fs/en/fact186.html

Lowndes CM, Fenton KA. European surveillance of STI`s

network: Surveillance systems for STI`s in the European

Union: facing a changing epidemiology. Sex Transm Infect

;80:264–71.

Defraye A, Sasse A. STI surveillance by a sentinel network of

physicians in Belgium. Acta Clin Belg 2005;60(2):70–4.

Khanna N, Pandhi RK, Lakhn PS. Changing trends in sexually

transmitted diseases in Chandigarh. Indian J Sex Transm Dis

;17:79–81.

J Ayub Med Coll Abbottabad 2011;23(3)

http://www.ayubmed.edu.pk/JAMC/23-3/Bhutto.pdf

Narayanan B. A retrospective study of the pattern of sexually

transmitted diseases during a ten year period. Indian J Dermatol

Venereol Leprol 2005;71:333–7.

Bowie WR, Wang SP, Alexander ER Floyd J, Forsyth

PS, Pollock HM, et al. Etiology of nongonococcal urethritis.

Evidence for Chlamydia trachomatis and ureaplasma

urealyticum. J Clin Invest 1977;59):735–42.

Global prevalence and incidence of selected curable sexually

transmitted infections: Overviews and estimates. WHO/HIVAIDS/2001-02. Geneva: World Health Organization, 2001.

Kerani RP, Handcock MS, Handsfield H, Holmes KK.

Comparative geographic concentrations of 4 sexually

transmitted infections. Am J Public Health 2005; 95:324–30.

Ray K, Bala M, Gupta SM, Khunger N, Puri P, Muralidhar S,

et al. Changing trends in sexually transmitted infections at a

regional STD centre in north Indian. Indian J Med Res

;124:559–68.

Barna Devi SA, Vetrichevvel TP, Pise GA, Thappa DM.

Pattern of sexually transmitted infections in a tertiary care

centre at Puducherry. Indian J Dermatol 2009;54:347–9.

Rehan N. Profile of men suffering from sexually transmitted

infections in Pakistan. J Pak Med Assoc 2006;56:S60–5.

Sami S, Baloch SN. Vaginitis and Sexually Transmitted

Infections in a hospital based study. J Pak Med Assoc

;55:242–4.

Khan AA, Rehan N, Qayyum K, Khan A. Correlates and

prevalence of HIV and sexually transmitted infections among

Hijras (male transgenders) in Pakistan. Int J STD AIDS

;19:817–20.

Mir AM, Wajid A, Reichenbach L, Khan M. STI prevalence

and associated factors among urban men in Pakistan. Sex

Transm Infect 2009;85:199–200.

Hamdi SA, Ibrahim MA. Sexually transmitted diseases in

domestic expatriate workers in Jeddah, Saudi Arabia. Ann

Saudi Med 1997;17(1):29–31.

Raheel H, White F, Kadir MM, Fatmi Z. Knowledge and

beliefs of adolescents regarding sexually transmitted infections

and HIV/AIDS in a rural district in Pakistan. J Pak Med Assoc

;57(1):8–11.

Khandwalla HE, Luby S, Rehman S. Knowledge, attitudes and

practices regarding sexually transmitted infections among

general practitioners and medical specialists in Karachi. J Pak

Med Assoc 2006;56(1 Suppl-1):S31–3.

Saleem NH, Adrien A, Razaque A. Risky sexual behavior,

knowledge of sexually transmitted infections and treatment

utilization among a vulnerable population in Rawalpindi,

Pakistan. Southeast Asian J Trop Med Public Health

;39:642–8.

Luchters S, Chersich MF, Rinyiru A, Barasa MS, King'ola

N, Mandaliya K, et al. Impact of five years of peer-mediated

interventions on sexual behavior and sexually transmitted

infections among female sex workers in Mombasa, Kenya.

BMC Public Health 2008;8:143–52.

Soomro FR. HIV/AIDS control in Larkana/Kamber

Shahdadkot District, Sindh –Report of meeting at District

Government Secretariat, Larkana in collaboration with

UNICEF and NACP. Infect Dis J 2005;14(2):66–7.

Platt L, Vickerman P, Collumbien M, Hasan S, Lalji

N, Mayhew S, et al. Prevalence of HIV, HCV, and sexually

transmitted infections among injecting drug users in

Rawalpindi and Abbottabad, Pakistan: evidence for an

emerging injection-related HIV epidemic. Sex Transm Infect

;85(Suppl 2):ii17–22.

Published

2011-09-01

Issue

Vol. 23 No. 3 (2011): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

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