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Incidence of Sexually Transmitted Infections Among HIV-Positive Sex Workers in KwaZulu-Natal, South Africa

2002; Lippincott Williams & Wilkins; Volume: 29; Issue: 11 Linguagem: Inglês

10.1097/00007435-200211000-00017

1537-4521

Catherine Connolly, Gita Ramjee, A. W. Sturm, Salim S. Abdool Karim,

Adolescent Sexual and Reproductive Health

In Brief Background Improved treatment of sexually transmitted infections (STIs) is associated with decreased HIV incidence. However, the success of such programs among HIV-positive sex workers has not been shown. Goal The goal of the study was to determine the incidence of STIs (Trichomonas vaginalis, Neisseria gonorrhoeae, and Chlamydia trachomatis infections) among HIV-positive sex workers. Study Design A cohort of HIV-positive sex workers was treated for all STIs at baseline and observed monthly to detect and treat new infections. Results Seventy-seven HIV-positive sex workers were followed up for a total of 58.1 women-years. The incidence rate per 100 women-years was 150 (CI: 120–180) T vaginalis infections; 66 (CI: 45–87) N gonorrhoea infections; 30 (CI: 14–42) C trachomatis infections; and 244 (CI: 200–280) STIs of any type. Conclusion In this cohort of HIV-positive sex workers the incidence of STIs was high, despite their participation in a prevention program comprising monthly STI treatment, counseling, and condom promotion. A study of HIV-positive sex workers showed a high incidence of Trichomonas vaginalis, Neisseria gonorrhoeae, and Chlamydia trachomatis despite their participation in a prevention program of monthly STI treatment, counseling, and condom promotion.